OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015) BIOGRAPHICAL SKETCH Provide the following information for the Senior/key personnel and other significant contributors. Follow this format for each person. DO NOT EXCEED FIVE PAGES. NAME: Phillip H. Kuo eRA COMMONS USER NAME (credential, e.g., agency login): philliphkuo POSITION TITLE: Professor for Departments of Medical Imaging and Biomedical Engineering EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable. Add/delete rows as necessary.) DEGREE (if applicable) Completion Date MM/YYYY B.A. 05/1994 Chemistry M.S. 05/1998 Molecular Physiology and Biological Physics University of Virginia School of Medicine Charlottsville, Virginia Ph.D. 05/1999 Molecular Physiology and Biological Physics University of Virginia School of Medicine Charlottsville, Virginia M.D. 05/2000 Medicine UCLA Medical Center Los Angeles, California Residency 06/2003 Internal Medicine Yale New Haven Hospital (New Haven, CT) Fellowship 08/2004 Nuclear Medicine Yale New Haven Hospital (New Haven, CT) Residency 06/2008 Radiology Residency INSTITUTION AND LOCATION Harvard University Cambridge, MA University of Virginia School of Medicine Charlottsville, Virginia FIELD OF STUDY A. Personal Statement I am a member of the Univeristy of Arizona Cancer Center (UACC). For many years, I have worked closely with UACC members, Marty Pagel and Amanda Baker, to develop acidoCEST MRI for pre-clinical studies. More recently, we have collaborated to develop clinical acidoCEST MRI, SAFARI “direct-CEST” MRI, and QUESPOWR “reverse-CEST” MRI at the University of Arizona. My background as a clinical radiologist and physician scientist provides me the experience to move forward this translational research. This has required joint efforts to obtain approval from our institution’s IRB for clinical research; combined efforts to arrange for commercial contrast agents from several companies; and many team meetings to organize the logistics and protocols for performing clinical research studies that involve the injection of a contrast agent. For example specifically, I am the principal investigator on the Institutional Review Board approved protocol for the use of CEST on normal volunteers and patients. I look forward to helping my collaborators understand the intricacies of the regulatory issues for clinical trials as well as the myriad other aspects for running a successful trial. B. Positions and Honors Positions and Employment 2004-2005 Clinical Instructor, Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT 2005-2008 Assistant Clinical Professor, Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, CT 2008-2010 Clinical Director of Breast Imaging and Associate Section Head of Nuclear Medicine, Southern Arizona Veterans Administration Hospital, Tucson, AZ 2008-2010 2010-2014 2015- Associate Professor, Department of Medicine, Section of Hematology-Oncology, University of Arizona School of Medicine, Tucson, Arizona Associate Professor, Departments of Medical Imaging, Medicine and Biomedical Engineering, Section Chief of Nuclear Medicine and Director of PET/CT, Department of Medical Imaging, University of Arizona School of Medicine, Tucson, Arizona Professor with tenure, Departments of Medical Imaging and Biomedical Engineering, Section Chief of Nuclear Medicine and Director of PET/CT, Department of Medical Imaging, University of Arizona School of Medicine, Tucson, Arizona Other Experience and Professional Memberships 2003 Diplomate of the American Board of Internal Medicine 2004 Diplomate of the American Board of Nuclear Medicine 2005 Member of the Radiological Society of North America 2006 Diplomate of the Certification Board of Nuclear Cardiology 2006 Advisory Panel to FDA on Association of Gadolinium-Based MRI Contrast with Nephrogenic Systemic Fibrosis 2008 Diplomate of the American Board of Radiology 2008 Full Member of the Arizona Cancer Center 2008 Reviewer for American Journal of Roentgenology 2008 Reviewer for European Radiology 2009 Reviewer for Molecular Imaging and Biology 2009 Reviewer for Investigative Radiology 2008 Reviewer for Nature Medicine 2010 Member of the American Roentgen Ray Society 2010 Member of Medical Advisory Council to the Global Fibrosis Foundation 2011 Member of the Southwest Oncology Group (SWOG) Honors 1990-1994 1994-2000 2000 2006 2008 2008 2009 2009 2010 2010 201220132013 2013 2013 2013 2013 Dean’s List Harvard University Medical Scientist Training Program Fellowship (University of Virginia) Society of Fellows, Representative for the School of Medicine (University of Virginia) Award for Education Exhibit: Kuo PH and Weidhaas J. “Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography (FDG-PET/CT) for the Optimization of Planning of Radiation Therapy”, Annual Meeting of the Radiological Society of North America, Chicago, IL. Cover article for Applied Radiology Aug 2008 Guest Editor for special issue of the Journal of the American College of Radiology entitled “Nephrogenic Systemic Fibrosis and MRI Contrast” Medscape’s Top 10 Most Read Articles by Radiologists July 2009. Medscape’s #1 full-text journal article read by radiologists July 2009. Kuo PH, Abu-Alfa A, Bucala R, , Griffith J, Thompson K, Girardi M, Weinreb J, Cowper SE. MRI with Gadoliniumbased Contrast Agents in the Era of Nephrogenic Systemic Fibrosis: Review, Controversies, and Suggested Protocols. Applied Radiology. April 2009, 38(4): 22-33. Medical Advisory Council to the Global Fibrosis Foundation Co-Director of Research Education for the Arizona Cancer Center Steering Committee for Endocyte’s development of targeted folate receptor imaging Instructor for the American College of Radiology PET/CT Course (Reston, VA) SAM-CME Course Instructor for Dopamine Transporter Imaging at the Annual Meeting of the Society of Nuclear Medicine and Molecular Imaging (Vancouver, Canada) Course Instructor for Molecular Neuroimaging at the Annual Meeting of the American Roentgen Ray Society (Washington, DC) Member of expert panel for white paper on “Efficient and Effective Diagnosis of Parkinson’s Disease: Guidance for Managed Care” (Miami, FL) Plenary session talk at the AACR-SNMMI State-of-the-Art Molecular Imaging in Cancer Biology and Therapy Joint Conference (San Diego, CA) Primary sponsor for Capstone senior project in Engineering: Motion Correction for PET and SPECT Using Wearable Sensors 20142014 2014 2014 2014 Instructor for the American College of Radiology PET/CT Course (Reston, VA) Promotion to Full Professor with tenure Grand Saguaro Award for Teaching of Medical Students Featured lecturer at the Etarfolatide European Expert Faculty Meeting at the Old Stock Exchange in Amsterdam, Netherlands. Lectured to over 30 nuclear medicine experts from across Europe. #1 and #5 Most-Cited Articles from last 2 years as of September 1, 2014 for Journal of Nuclear Medicine Technology C. Contribution to Science 1. Molecular Oncologic Imaging My deep interest in oncology began during my internal medicine training at UCLA Medical Center. I had the opportunity to work with incredible physician scientists during my months on oncology. I came to know firsthand the incredible successes and also the deep deficiencies in treatment. The next step in my career moved my research interests and clinical practice to imaging and nuclear medicine. As a nuclear medicine physician and radiologist, I learned to harness molecular imaging to improve cancer therapy. My experience with PET/CT has motivated me to develop other imaging tools to guide the oncologist in the selection of proper therapies. The many years of collaboration with Dr. Pagel to develop acidoCEST MRI for pre-clinical studies has now moved from bench to bedside. With my extensive experience in clinical research trials, I have been excited to lend my expertise to all facets of this process. I will continue to leverage my background as a clinical radiologist and physician-scientist to ensure the successful implementation of CEST MRI into the clinic. a. Chen LQ, Howison C, Jeffrey J, Robey I, Kuo PH and Pagel M: Evaluations of extracellular pH within in vivo tumors using acidoCEST MRI. Magnetic Resonance in Medicine. 2014, 72(5): 1408-17. PMCID: PMC Journal in process. b. Kuo PH, Nauman RW, Symanowski J, Nguyen B, Harb W and Edelman MJ: 99mTc-etarfolatide (EC20) SPECT imaging for the identification of ovarian and non-small cell lung cancer (NSCLC) patients who are most likely to benefit from folate-receptor targeted agent vintafolide (EC145). Journal of Nuclear Medicine, February 2013; 54(2S): 14. PMCID: PMC Journal in process. c. Kuo PH, Thompson K, Christensen I, Girardi M, and Heald PW. (Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography) FDG-PET/CT for the Evaluation of Response to Therapy of Cutaneous T-cell Lymphoma to Suberoylanilide Hydroxamic Acid in a Phase II Trial. Molecular Imaging and Biology. Nov-Dec 2008, 10(6):306-14. d. Kuo PH, McClennan BL, Thompson K, Wilson LD, Edelson RL, Heald PW, and Girardi M. (2008) FDGPET/CT in the Evaluation of Cutaneous T-cell Lymphoma. Molecular Imaging and Biology. 10(2): 7481. 2. Contrast Agent Safety and Utilization Earlier in my career, I published heavily in molecular imaging with special interests in contrast agents and imaging for dermatology. In 2006, the fusion of these interests placed me at the forefront of a crucial matter of safety. The revelation that gadolinium chelates used as MRI contrast cause a devastating systemic fibrosis shocked the medical community. For the next two years, my colleagues and I successfully labored through publications, education and policy development to virtually eradicate this disease, Nephrogenic Systemic Fibrosis (NSF). With my background in basic science, I was also a thought leader on the molecular pathology of the disease. I continue to utilize the lessons from this medical tragedy to wisely develop clinical research protocols. a. Kuo PH. ‘NSF-active’ and ‘NSF-inert’ Species of Gadolinium: Mechanistic and Clinical Implications. American Journal of Roentgenology. 2008, 191(6):1861-3. PMCID: PMC Journal in process. b. Kuo PH, Abu-Alfa A, Bucala R, Griffith J, Thompson K, Girardi M, Weinreb J, Cowper SE. MRI with Gadolinium-based Contrast Agents in the Era of Nephrogenic Systemic Fibrosis: Review, Controversies, and Suggested Protocols. Applied Radiology. April 2009, 38(4): 22-33. c. Kuo PH, Kanal E, Abu-Alfa A, and Cowper S. (2007) Gadolinium-Based MRI Contrast Agents and Nephrogenic Systemic Fibrosis. Radiology 242(3): 647-9. d. Kuo PH. Gadolinium-containing MRI Contrast Agents: Important Variations on a Theme. Journal of the American College of Radiology, 2008, 5 (1): 29-35. (Also Guest Editor for the issue). 3. Molecular Brain Imaging As junior faculty at Yale, I collaborated with Dr. George Zubal in PET and SPECT brain imaging for epilepsy. My move to the University of Arizona provided me the opportunity as Chief of Nuclear Medicine to launch a thriving molecular neuroimaging program. With my colleagues in the movement disorder specialty clinic, we have built one of the most successful dopamine transporter imaging programs in the country. University of Arizona was the first site in our region to perform commercial PET amyloid imaging. I am privileged to work with neurologists and PhD researchers who understand and appreciate the value of imaging in aging and Alzheimer’s disease. This clinical success led to a research program that renewed my collaboration with Dr. Zubal. Together again, we have produced peer-reviewed publications optimizing and validating Dr. Zubal’s automated software analysis, Objective Striatal Analysis for Parkinson's disease (OSA). As a reader for multiple clinical trials of amyloid imaging, I have interpreted thousands of PET amyloid scans and therefore can be considered one of the most expert readers in the world. Dr. Zubal and I additionally extended our collaboration to amyloid imaging with an NIH STTR grant. In both academia and industry, I am recognized as a leader and speaker on both dopamine transporter and amyloid imaging. a. Kuo PH, Avery R, Krupinski EA, Lei H, Bauer A, Sherman S, McMillan N, Seibyl J, Zubal G. ReceiverOperator-Characteristic Analysis of an Automated Program for Analyzing Striatal Uptake of 123IIoflupane SPECT images: Calibration Using Visual Reads, Journal of Nuclear Medicine Technology; 2013; 41:26-31. PMCID: PMC Journal in process. b. Kuo PH, Avery R, Lei H, Sherman S, Krupinski E, Bauer A, Seibyl J, Zubal G: Evaluation of an Objective Striatal Analysis program for determining laterality in uptake of DaTscan SPECT images: Comparison to clinical symptoms and to visual reads. J Nucl Med Technol. 2014 Mar 13; 42(2):105-1. PMCID: PMC Journal in process. c. Cummings JL, Fine MJ, Grachev ID, Jarecke CR, Johnson MK, Kuo PH, Schaecher KL, Oberdorf JA, Rezak M, Riley DE and Truong D. Effective and efficient diagnosis of parkinsonism: the role of dopamine transporter SPECT imaging with ioflupane I-123 injection (DaTscan™). Am J Manag Care; 2014; 20(5 Suppl): S97-109. PMCID: PMC Journal in process. D. Research Support Ongoing 5R01CA167183 (Pagel, PI) 04/01/12-02/28/16 NIH/NCI Measuring Extracellular pH in Pre-clinical Tumor Models with CEST MRI This proposal will develop CEST agents and improve CEST MRI methods that detect enzyme activities in preclinical cancer models. Role: Co-investigator 5R01CA169774-01 (Pagel, PI) 07/01/12-05/31/17 NIH/NCI Detection of in vivo Enzyme Sctivities with CEST MRI This proposal will develop CEST agents and improve CEST MRI methods that detect enzyme activities in preclinical cancer models. Role: Co-investigator Completed No Grant # (Persky, PI) 01/01/15 - 06/30/15 American Chemical Society Exploring the Feasibility of AcidoCEST MRI to Investigate the Lymphoma Microenvironment The proposed research applies our clinical acidoCEST MRI method to evaluate the extracellular pH in solid tumors to improve the diagnosis and early assessments of chemotherapies in patients with lymphoma. Role: Co-investigator 5R42NS055475 (Kuo, PI) 09/01/13 – 08/31/15 NIH/NINDS Computational Tools for Research in Neuroscience, Behavioral Science and Mental Health. Terminated early due to primary awardee's Small Business restructuring. Role: Sub-Award Principal Investigator