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New treatment strategy for non-small-cell lung cancer by molecular imaging

Research Project

Project/Area Number 17K10479
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Radiation science
Research InstitutionThe University of Tokushima

Principal Investigator

IKUSHIMA Hitoshi  徳島大学, 大学院医歯薬学研究部(医学域), 教授 (90202861)

Co-Investigator(Kenkyū-buntansha) 近藤 和也  徳島大学, 大学院医歯薬学研究部(医学域), 教授 (10263815)
工藤 隆治  徳島大学, 大学院医歯薬学研究部(歯学域), 助教 (10263865)
大塚 秀樹  徳島大学, 大学院医歯薬学研究部(医学域), 教授 (30346605)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywords放射線治療 / PET/CT / FLT / FDG / 非小細胞肺癌 / 分子イメージング / FLT-PET / FDG-PET / imaging predictors / 同所移植性肺癌マウスモデル / 18F-FLT / 18F-FDG / PET / lung cancer / radiation therapy / 癌 / 放射線
Outline of Final Research Achievements

18F-3'-deoxy-3'-fluorothymidine(18F-FLT) synthesized in the laboratory and we evaluated an accumulation of 18F-FLT to tumor using orthotopic mouse model of non-small cell lung cancer.Also, we evaluate a change of 18F-FLT accumulation at early phase after irradiation. As a result,tumor uptake of 18F-FLT did not show a statistically significant differnce in comparison with those of 18F-fluoro-deoxyglucose (FDG). 18F-FLT accumulation was related to tumor proliferation. An accumulation of 18F-FLT was decreased significantly a week after irradiation. According to the results of the present study, we concluded that 18F-FLT-PET/CT has the same detectability with 18F-FDG-PET/CT in the diagnosis of non-small cell lung cancer. SUV parameters of 18F-FLT-PET/CT can be a tumor proliferation index, and an indicator of treatment effect at an early phase after radiation therapy for non-small cell lung cancer.

Academic Significance and Societal Importance of the Research Achievements

放射線治療終了後早期にその効果を正確に評価できる画像診断法があれば、治療戦略の個別化が可能になる。本研究では、非小細胞肺がんにおいて新規PETトレーサーである18F-3'-deoxy-3'-fluorothymidine(18F-FLT) が現在臨床で使用されている18F-fluoro-deoxyglucose (FDG )と同程度の診断能があり、放射線治療後早期にFDGより正確にその治療効果を評価できる可能性を示した。今後、術前導入化学放射線療法後にFLT-PET/CTを指標とすることで、初期治療効果に応じて根治的化学放射線療法を選択し治療成績向上と副作用軽減を実現できる可能性がある。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (5 results)

All 2020 2019

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (2 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Long-term stability of a three-dimensional dose verification system.2020

    • Author(s)
      Motoharu Sasaki, Hitoshi Ikushima, Wataru Sugimoto and Kenta Kitagawa
    • Journal Title

      Radiological Physics and Technology

      Volume: 13 Issue: 1 Pages: 83-91

    • DOI

      10.1007/s12194-020-00554-7

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical outcomes and prognostic factors of definitive radiotherapy for esophageal cancer2019

    • Author(s)
      Chisato Tonoiso, Hitoshi Ikushima, Akiko Kubo, Takashi Kawanaka, Shunsuke Furutani, Takaharu Kudoh, Takahiro Yoshida, Hiroshi Miyamoto, Masafumi Harada, Tetsuji Takayama and Akira Tangoku
    • Journal Title

      The Journal of Medical Investigation

      Volume: 66 Issue: 1.2 Pages: 99-105

    • DOI

      10.2152/jmi.66.99

    • NAID

      130007638725

    • ISSN
      1343-1420, 1349-6867
    • Year and Date
      2019-02-15
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical outcomes of hypofractionated image-guided multifocal irradiation using volumetric-modulated arc therapy for brain metastases.2019

    • Author(s)
      Shunsuke Furutani, Hitoshi Ikushima, Motoharu Sasaki, Chisato Tonoiso, Ayaka Takahashi, Akiko Kubo, Takashi Kawanaka and Masafumi Harada
    • Journal Title

      Journal of Radiation Research

      Volume: 60 Issue: 1 Pages: 134-141

    • DOI

      10.1093/jrr/rry091

    • NAID

      120006959734

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Investigation of tumor detectability of 18F-3'-deoxy-3'-fluorothymidine in a mouse model of orthotopic transplanted lung cancer2020

    • Author(s)
      Tamaki ohtani, Hitoshi Ikushima, Yoshie Bandoh, Hedeki Ohtsuka, Kazuya Kondoh
    • Organizer
      Society of Nuclear Medicine and Molecular Imaging Annual Meeting 2020
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 放射線治療効果判定におけるFLT-PETの有効性2020

    • Author(s)
      大谷環樹、生島仁史、坂東良美、大塚秀樹、近藤和也
    • Organizer
      第60回日本核医学会学術総会
    • Related Report
      2019 Annual Research Report

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Published: 2017-04-28   Modified: 2021-02-19  

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