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Research ArticleImaging

Report on the PET/CT Image–Based Radiation Dosimetry of [18F]FDHT in Women, a Validated Imaging Agent with New Applications for Evaluation of Androgen Receptor Status in Women with Metastatic Breast Cancer

Keisha C. McCall, Mofei Liu, Su-Chun Cheng, Amanda Abbott, Shipra Dubey, Diane Young, Mayzie Johnston, Annick D. Van den Abbeele, Beth Overmoyer and Heather Jacene
Journal of Nuclear Medicine Technology September 2023, 51 (3) 204-210; DOI: https://doi.org/10.2967/jnmt.123.265623
Keisha C. McCall
1Department of Radiology, Henry Ford Health, Detroit, Michigan;
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Mofei Liu
2Division of Biostatistics, Department of Data Science, Dana-Farber Cancer Institute, Boston, Massachusetts;
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Su-Chun Cheng
2Division of Biostatistics, Department of Data Science, Dana-Farber Cancer Institute, Boston, Massachusetts;
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Amanda Abbott
3Department of Imaging, Dana-Farber Cancer Institute, Boston, Massachusetts;
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Shipra Dubey
4BiCOR, Brigham and Women’s Hospital, Boston, Massachusetts;
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Diane Young
5GTx, Inc., Memphis, Tennessee;
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Mayzie Johnston
5GTx, Inc., Memphis, Tennessee;
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Annick D. Van den Abbeele
3Department of Imaging, Dana-Farber Cancer Institute, Boston, Massachusetts;
6Department of Radiology, Mass General Brigham, Boston, Massachusetts; and
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Beth Overmoyer
7Susan F. Smith Center for Women’s Cancers, Dana-Farber Cancer Institute, Boston, Massachusetts
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Heather Jacene
3Department of Imaging, Dana-Farber Cancer Institute, Boston, Massachusetts;
6Department of Radiology, Mass General Brigham, Boston, Massachusetts; and
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  • FIGURE 1.
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    FIGURE 1.

    Biodistribution in typical female participant at 52 ± 6 min after administration of [18F]FDHT. Figure shows PET/CT images of participant with breast cancer imaged at S0, S1, and S2. At top are maximum-intensity projection images, and at bottom are coronal PET/CT images at level of gallbladder and bile duct.

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    FIGURE 2.

    [18F]FDHT SUVorgan measurements in liver of women with breast cancer at S0, S1, and S2. (Left) Spaghetti plot showing changes in measurements in individuals across all time points. (Right) Box plot showing median, interquartile range, and mean (+) of measurements over the 11 participants at each time point. Linear mixed model analysis found statistically significant decrease in uptake in individual participants at S1 compared with S0 (P < 0.05) and no statistically significant change between S1 and S2 (P = 0.87). pt = patient.

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    TABLE 1.

    Intersubject Averages of SUVorgan Measurements from [18F]FDHT PET/CT Images in 11 Women with Breast Cancer at S0, S1, and S2

    OrganS0S1S2
    MeanSDMeanSDMeanSD
    Aorta blood pool4.80.74.40.44.60.5
    Lumbar vertebral body1.70.91.70.41.80.3
    Cerebellum0.290.070.320.050.300.05
    Left ventricle blood pool4.90.64.50.34.70.5
    Kidneys3.70.63.60.43.60.4
    Liver3.80.52.90.42.90.6
    Lungs0.850.220.820.210.770.18
    Spleen2.30.32.20.22.30.3
    Whole body0.800.060.770.070.790.05
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    TABLE 2.

    [18F]FDHT Radiation Dosimetry in Women with Breast Cancer at S0: Absorbed Dose in Target Organ at S0

    Target organAbsorbed dose (mGy/MBq)
    MeanSDSD (%)
    Adrenals2.3E−021.3E−035%
    Bone (endosteal cells)1.4E−021.6E−0311%
    Bone marrow (red, active)2.1E−023.9E−0319%
    Brain5.3E−036.8E−0413%
    Breast tissue1.2E−023.0E−043%
    Colon1.7E−026.5E−044%
    Extrathoracic region8.0E−033.0E−044%
    Gallbladder wall2.5E−021.7E−037%
    Heart wall2.1E−021.2E−036%
    Kidneys3.4E−023.8E−0311%
    Liver3.7E−023.9E−0311%
    Lung1.5E−021.8E−0312%
    Lymphatic nodes1.6E−027.0E−050%
    Muscle1.3E−021.8E−041%
    Ovaries2.6E−022.0E−037%
    Pancreas1.9E−026.9E−044%
    Skin9.1E−031.7E−042%
    Small intestine1.9E−027.0E−044%
    Spleen2.4E−022.2E−039%
    Stomach1.6E−026.4E−044%
    Thymus1.4E−025.9E−044%
    Thyroid1.2E−024.0E−043%
    Urinary bladder wall7.4E−021.1E−0215%
    Uterus3.8E−024.0E−0311%
    Total body1.3E−021.5E−041%
    Effective dose (mSv/MBq)2.0E−025.0E−042%

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Journal of Nuclear Medicine Technology: 51 (3)
Journal of Nuclear Medicine Technology
Vol. 51, Issue 3
September 1, 2023
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Report on the PET/CT Image–Based Radiation Dosimetry of [18F]FDHT in Women, a Validated Imaging Agent with New Applications for Evaluation of Androgen Receptor Status in Women with Metastatic Breast Cancer
Keisha C. McCall, Mofei Liu, Su-Chun Cheng, Amanda Abbott, Shipra Dubey, Diane Young, Mayzie Johnston, Annick D. Van den Abbeele, Beth Overmoyer, Heather Jacene
Journal of Nuclear Medicine Technology Sep 2023, 51 (3) 204-210; DOI: 10.2967/jnmt.123.265623

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Report on the PET/CT Image–Based Radiation Dosimetry of [18F]FDHT in Women, a Validated Imaging Agent with New Applications for Evaluation of Androgen Receptor Status in Women with Metastatic Breast Cancer
Keisha C. McCall, Mofei Liu, Su-Chun Cheng, Amanda Abbott, Shipra Dubey, Diane Young, Mayzie Johnston, Annick D. Van den Abbeele, Beth Overmoyer, Heather Jacene
Journal of Nuclear Medicine Technology Sep 2023, 51 (3) 204-210; DOI: 10.2967/jnmt.123.265623
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Keywords

  • FDHT
  • dosimetry
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