Medical Radiology and Radiation Safety. 2018. Vol. 63. No. 1. P. 53-56

NUCLEAR MEDICINE

DOI: 10.12737/article_5a85541371b9d7.91570726

The Possibility of Using the Sodium-Fluoride, ¹⁸F at Non-Neoplastic Lesions of Bone Tissue (Experimental Study)

N.A. Kostenikov, V.F. Dubrovskaya, O.Yu. Mirolyubova, O.V. Klestova, E.G. Kovan’ko, N.N. Izotova, Yu.R. Ilushchenko, A.A. Stanzhevsky

A.M. Granov Russian Research Center for Radiology and Surgical Technologies, Saint Petersburg, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

N.A. Kostenikov - Head of the Lab., Dr. Sc. Med.; V.F. Dubrovskaya - Leading Researcher, Dr. Sc. Med.; O.Y. Mirolyubova - Senior Researcher, PhD Med.; O.V. Klestova - Senior Researcher, PhD Med.; E.G. Kovan’ko - Senior Researcher, PhD Med.; N.N. Izotova - Technician; Y.R. Ilyushchenko - Researcher; A.A. Stanzhevsky - Deputy Director Dr. Sc. Med.

Abstract

Purpose: To study the possibility of using radiopharmaceutical (RPH) Sodium fluoride, ¹⁸F (Na¹⁸F) in order to identify the characteristics and dynamics of the development process for a number of non-neoplastic lesions in bone tissue such as fractures and osteoporosis in experimental animals by the method of positron emission tomography (PET).

Material and methods: Two experimental models of pathology of bone tissue in rats were used: fracture and osteoporosis.

The model of osteoporosis was created by intraperitoneal introduction of hydrocortisone during 3 weeks. The study was conducted in 22 days from the onset of the agent introduction. In areas of the chest and sacral sections of the spinal cord in experimental and intact animals we detected the value of uptake of Na¹⁸F, as well as indices of tissue density with data of X-ray CT.

In the model of fracture of bones injury struck in the pre-anesthetized rats in the region of the shin. Animals were examined starting from the 3rd day up to the 30th day after the fracture by PET and PET/CT. We detected the value of uptake, the dynamics of Na¹⁸F accumulation, as well as indices of densitometry and signs of callus formation with CT examination.

Results: In rats with osteoporosis compared with intact animals observed a 2,5-fold decrease of the bone tissue density in X-ray, whereas the level of metabolic activity in the bones of the PET scan with Na¹⁸F was 5.6 times lower than in healthy rats. Therefore, differences in the level of capture of the radiopharmaceutical in PET were significantly more important compared to the ratio of the values of the X-ray of the bone tissue density, determined by CT.

In experiments with shin fracture was noted hyperfixation and increasing rate of Na¹⁸F accumulation on PET-scans since the 9th and 30th day from the start of the experiment. It reflects a process of enhancing the metabolism in the injured area. At the same time, a significant increase of densitometric density and visualisation of callus formation in the fracture by CT were detected 3 weeks later, - only by the 30th day after trauma.

Conclusion: The use of Na¹⁸F in positron-emission tomography enables to diagnose more early and accurate the nature (osteoporosis) and intensity of processes of the restoration (fracture) in the injured bone tissue as compared to results of computed tomography.

Key words: radiopharmaceutical, positron emission tomography, osteoporosis, bone fracture, animals

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For citation: Kostenikov NA, Dubrovskaya VF, Mirolyubova OYu, Klestova OV, Kovan’ko EG, Izotova NN, Ilushchenko YuR, Stanzhevsky AA. The Possibility of Using the Sodium-Fluoride, ¹⁸F at Non-Neoplastic Lesions of Bone Tissue (Experimental Study). Medical Radiology and Radiation Safety. 2018;63(1):53-6. DOI: 10.12737/article_5a85541371b9d7.91570726. Russian.

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