AbstractAbstract
[en] The melanoma originates from the melanocytes, which are embryologically derived from neural crest. The melanoma of choroids in adults is a very common type primary ocular malignancy, where the tyrosine, an immediate precursor common for both melanin and thyroid hormone synthesis is involved. The neurogenic origins of melanoma and medullary thyroid carcinoma have also been shown to have certain common metabolites, receptors and the receptor binding proteins. Several radiolabelled derivatives either in the form of melanin metabolites or melanin binding agents including receptors/ receptor-binding proteins like somatostatin, calcitonin and other monoclonal antibodies, protein receptors (S-100, myelin basic protein, Leu-7, glial fibrillary acidic protein, HMB-45) etc. have been tried to evaluate/diagnose melanoma, staging or post therapeutic effects. However their cost of production, tedious synthetic and radiolabelling processes and the availability of certain cyclotron produced isotopes were not favorable or patient friendly. Moreover post-therapeutic assessments in melanoma patients were not encouraging. Because of the chelating properties of Tc-99m (V) Dimercaptosuccinic acid with Calcium ion, uptake by neurogenic tumors including ocular retinoblastoma, medullary thyroid carcinoma, pituitary adenoma etc has been demonstrated. Since MTC and Melanoma have the common neural crest origin and producing some common metabolites, receptors/receptor proteins and at the same time Tc-99m (V) DMSA was used in pre and post therapeutic assessment of Medullary thyroid carcinoma extensively. We therefore decided to use Tc-99m (v) DMSA for the assessment of melanoma developed in thyrotoxicosis patients who underwent radioiodine therapy more than 15 years back. The DMSA kits were prepared locally and labeled with Tecnetium-99m at pentavalent state. After the quality control each patients were injected a dose of 10mCi of Tc-99m labeled DMSA.The whole body images were taken after two hrs and the images were analyzed for the accumulation of radiopharmaceutical. Our findings confirmed the accumulation of Tc-99m (V) DMSA in ocular melanoma sites and were comparable with CT images and histochemical findings. Hence this radiopharmaceutical can also be utilized for melanoma imaging. It is cost effective as compared to cyclotron-produced radionuclide and other modalities, where SPECT studies can be repeated and data can be analysed for recurrence and necrosis of melanoma. (authors)
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Asia and Oceania Federation of Nuclear Medicine and Biology, Beijing (China); 246 p; 2004; p. 26; 8. Asia oceania congress of nuclear medicine and biology; Beijing (China); 9-13 Oct 2004; Available from China Nuclear Information Centre (China Institute of Nuclear Information and Economics)
Record Type
Miscellaneous
Literature Type
Conference
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Descriptors (DEI)
Descriptors (DEC)
ANTIBODIES, BETA DECAY RADIOISOTOPES, BETA-MINUS DECAY RADIOISOTOPES, CARCINOMAS, CELL CONSTITUENTS, CELL MEMBRANES, COMPUTERIZED TOMOGRAPHY, DIAGNOSTIC TECHNIQUES, DISEASES, DRUGS, EMISSION COMPUTED TOMOGRAPHY, ENDOCRINE DISEASES, EPITHELIOMAS, HORMONES, HOURS LIVING RADIOISOTOPES, INTERMEDIATE MASS NUCLEI, INTERNAL CONVERSION RADIOISOTOPES, ISOMERIC TRANSITION ISOTOPES, ISOTOPES, LABELLED COMPOUNDS, LIPIDS, LIPOPROTEINS, MATERIALS, MEDICINE, MEMBRANE PROTEINS, MEMBRANES, NEOPLASMS, NUCLEI, ODD-EVEN NUCLEI, ORGANIC COMPOUNDS, PATHOLOGICAL CHANGES, PEPTIDE HORMONES, PEPTIDES, POLYPEPTIDES, PROTEINS, RADIOACTIVE MATERIALS, RADIOISOTOPES, TECHNETIUM ISOTOPES, TOMOGRAPHY, YEARS LIVING RADIOISOTOPES
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