Updated on 2025/03/31

写真a

 
NISHII Ryuichi
 
Organization
Graduate School of Medicine Professor
Graduate School
Graduate School of Medicine
Undergraduate School
School of Health Sciences
Title
Professor
External link

Degree 1

  1. Doctor (Medicine) ( 2000.3   Miyazaki Medical College ) 

Research Areas 1

  1. Life Science / Radiological sciences

 

Papers 16

  1. A Monte Carlo study comparing dead-time losses of a gamma camera between tungsten functional paper and lead sheet for dosimetry in targeted radionuclide therapy with Lu-177 Open Access

    Nakanishi, K; Fujita, N; Iwanaga, H; Asano, Y; Abe, S; Nishii, R; Kato, K

    ANNALS OF NUCLEAR MEDICINE   Vol. 39 ( 2 ) page: 199 - 207   2025.2

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    Language:English   Publisher:Annals of Nuclear Medicine  

    Objective: Dead-time loss is reported to be non-negligible for some patients with a high tumor burden in Lu-177 radionuclide therapy, even if the administered activity is 7.4 GBq. Hence, we proposed a simple method to shorten the apparent dead time and reduce dead-time loss using a thin lead sheet in previous work. The collimator surface of the gamma camera was covered with a lead sheet in our proposed method. While allowing the detection of 208-keV gamma photons of Lu-177 that penetrate the sheet, photons with energies lower than 208 keV, which cause dead-time loss, were shielded. In this study, we evaluated the usefulness of tungsten functional paper (TFP) for the proposed method using Monte Carlo simulation. Methods: The count rates in imaging of Lu-177 administered to patients were simulated with the International Commission on Radiological Protection (ICRP) 110 phantom using the GATE Monte Carlo simulation toolkit. The simulated gamma cameras with a 0.5-mm lead sheet, 1.2-mm TFP, or no filter were positioned closely on the anterior and posterior sides of the phantom. The apparent dead times and dead-time losses at 24 h after administration were calculated for an energy window of 208 keV ± 10%. Moreover, the dead-time losses at 24–120 h were analytically assessed using activity excretion data of Lu-177-DOTATATE. Results: The dead-time loss without a filter was 5% even 120 h after administration in patients with a high tumor burden and slow excretion, while those with a lead sheet and TFP were 0.22 and 0.58 times less than those with no filter, respectively. The count rates with the TFP were 1.3 times higher than those with the lead sheet, and the TFP could maintain primary count rates at 91–94% of those without a filter. Conclusions: Although the apparent dead time and dead-time loss with the lead sheet were shorter and less than those with TFP, those with TFP were superior to those without a filter. The advantage of TFP over the lead sheet is that the decrease in primary count rates was less.

    DOI: 10.1007/s12149-024-01987-5

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  2. Deep Learning-based Whole-liver Segmentation Using only <SUP>18</SUP>F-FDG PET Images

    Yamao, T; Kaneko, Y; Miwa, K; Miyaji, N; Nishii, R; Yamazaki, K; Higashi, T

    EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING   Vol. 51   page: S313 - S314   2024.9

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  3. Expression of fibroblast activation protein- α in human deep vein thrombosis

    Oguri, N; Gi, T; Nakamura, E; Furukoji, E; Goto, H; Maekawa, K; Tsuji, AB; Nishii, R; Aman, M; Moriguchi-Goto, S; Sakae, T; Azuma, M; Yamashita, A

    THROMBOSIS RESEARCH   Vol. 241   page: 109075   2024.9

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    Language:English   Publisher:Thrombosis Research  

    Background: Fibroblast activation protein-α (FAP), a type-II transmembrane serine protease, is associated with wound healing, cancer-associated fibroblasts, and chronic fibrosing diseases. However, its expression in deep vein thrombosis (DVT) remains unclear. Therefore, this study investigated FAP expression and localization in DVT. Methods: We performed pathological analyses of the aspirated thrombi of patients with DVT (n = 14), classifying thrombotic areas in terms of fresh, cellular lysis, and organizing reaction components. The organizing reaction included endothelialization and fibroblastic reaction. We immunohistochemically examined FAP-expressed areas and cells, and finally analyzed FAP expression in cultured dermal fibroblasts. Results: All the aspirated thrombi showed a heterogeneous mixture of at least two of the three thrombotic areas. Specifically, 83 % of aspirated thrombi showed fresh and organizing reaction components. Immunohistochemical expression of FAP was restricted to the organizing area. Double immunofluorescence staining showed that FAP in the thrombi was mainly expressed in vimentin-positive or α-smooth muscle actin-positive fibroblasts. Some CD163-positive macrophages expressed FAP. FAP mRNA and protein levels were higher in fibroblasts with low-proliferative activity cultured under 0.1 % fetal bovine serum (FBS) than that under 10 % FBS. Fibroblasts cultured in 10 % FBS showed a significant decrease in FAP mRNA levels following supplementation with hemin, but not with thrombin. Conclusions: The heterogeneous composition of venous thrombi suggests a multistep thrombus formation process in human DVT. Further, fibroblasts or myofibroblasts may express FAP during the organizing process. FAP expression may be higher in fibroblasts with low proliferative activity.

    DOI: 10.1016/j.thromres.2024.109075

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  4. Unique advantages of dynamic <sc>l</sc>-[<SUP>11</SUP>C]methionine PET/CT for assessing the rate of skeletal muscle protein synthesis: A pilot trial in young men Open Access

    Sumi, K; Yamazaki, K; Nishii, R; Sakuda, M; Nakamura, K; Ashida, K; Tamura, K; Higashi, T

    PLOS ONE   Vol. 19 ( 7 ) page: e0305620   2024.7

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    Language:English   Publisher:PLoS ONE  

    Although the standard method to evaluate skeletal muscle protein synthesis (MPS) is muscle biopsy, the method is invasive and problematic for multisite use. We conducted a small pilot study in volunteers to investigate changes in MPS according to skeletal muscle site using a noninvasive method in which 6 healthy young men were given yogurt (containing 20 g milk protein) or water, and 1 h later, L-[11C]methionine ([11C]Met) was administered intravenously. Dynamic PET/CT imaging of their thighs was performed for 60 min. The influx constant Ki of [11C]Met in skeletal muscle protein was calculated as an index of MPS using a Patlak plot, and found to be 0.6%–28% higher after ingesting yogurt than after water in 5 of the 6 volunteer participants, but it was 34% lower in the remaining participant. Overall, this indicated no significant increase in Ki after ingesting milk protein. However, when the quadriceps and hamstring muscles were analyzed separately, we found a significant difference in Ki. This demonstrates the potential of visualizing MPS by calculating the Ki for each voxel and reconstructing it as an image, which presents unique advantages of [11C]Met PET/CT for evaluating MPS, such as site-specificity and visualization.

    DOI: 10.1371/journal.pone.0305620

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  5. Potential Application of the Myocardial Scintigraphy Agent [<SUP>123</SUP>I]BMIPP in Colon Cancer Cell Imaging

    Sato, K; Hirayama, Y; Mizutani, A; Yao, JW; Higashino, J; Kamitaka, Y; Muranaka, Y; Yamazaki, K; Nishii, R; Kobayashi, M; Kawai, K

    INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES   Vol. 25 ( 14 )   2024.7

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    Language:English   Publisher:International Journal of Molecular Sciences  

    [123I]β-methyl-p-iodophenyl-pentadecanoic acid ([123I]BMIPP), which is used for nuclear medicine imaging of myocardial fatty acid metabolism, accumulates in cancer cells. However, the mechanism of accumulation remains unknown. Therefore, this study aimed to elucidate the accumulation and accumulation mechanism of [123I]BMIPP in cancer cells. We compared the accumulation of [123I]BMIPP in cancer cells with that of [18F]FDG and found that [123I]BMIPP was a much higher accumulation than [18F]FDG. The accumulation of [123I]BMIPP was evaluated in the presence of sulfosuccinimidyl oleate (SSO), a CD36 inhibitor, and lipofermata, a fatty acid transport protein (FATP) inhibitor, under low-temperature conditions and in the presence of etomoxir, a carnitine palmitoyl transferase I (CPT1) inhibitor. The results showed that [123I]BMIPP accumulation was decreased in the presence of SSO and lipofermata in H441, LS180, and DLD-1 cells, suggesting that FATPs and CD36 are involved in [123I]BMIPP uptake in cancer cells. [123I]BMIPP accumulation in all cancer cell lines was significantly decreased at 4 °C compared to that at 37 °C and increased in the presence of etomoxir in all cancer cell lines, suggesting that the accumulation of [123I]BMIPP in cancer cells is metabolically dependent. In a biological distribution study conducted using tumor-bearing mice transplanted with LS180 cells, [123I]BMIPP highly accumulated in not only LS180 cells but also normal tissues and organs (including blood and muscle). The tumor-to-intestine or large intestine ratios of [123I]BMIPP were similar to those of [18F]FDG, and the tumor-to-large-intestine ratios exceeded 1.0 during 30 min after [123I]BMIPP administration in the in vivo study. [123I]BMIPP is taken up by cancer cells via CD36 and FATP and incorporated into mitochondria via CPT1. Therefore, [123I]BMIPP may be useful for imaging cancers with activated fatty acid metabolism, such as colon cancer. However, the development of novel imaging radiotracers based on the chemical structure analog of [123I]BMIPP is needed.

    DOI: 10.3390/ijms25147747

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  6. Development of radioiodine-labeled mequitazine for evaluation of hepatic CYP2D activity Open Access

    Mizutani, A; Kobayashi, M; Nishi, K; Fujita, KI; Takahashi, K; Muranaka, Y; Sato, K; Kitamura, M; Suzuki, C; Nishii, R; Shikano, N; Magata, Y; Ishida, Y; Kunishima, M; Fukuchi, K; Kawai, K

    FRONTIERS IN PHARMACOLOGY   Vol. 15   page: 1397288   2024.6

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    Language:English   Publisher:Frontiers in Pharmacology  

    Background: As drug-metabolizing enzyme activities are affected by a variety of factors, such as drug-drug interactions, a method to evaluate drug-metabolizing enzyme activities in real time is needed. In this study, we developed a novel SPECT imaging probe for evaluation of hepatic CYP2D activity. Methods: Iodine-123- and 125-labeled 4-iodobenzylmequitazine (123/125I-BMQ) was synthesized with high labeling and purity. CYP isozymes involved in the metabolism of 125I-BMQ in mouse liver microsomes were evaluated, and the utility of 123/125I-was assessed from biological distribution and SPECT imaging evaluation in normal and CYP2D-inhibited mice. Results: In vitro metabolite analysis using mouse liver microsomes showed that 125I-BMQ is specifically metabolized by CYP2D. Biological distribution and SPECT imaging of 123/125I-BMQ in normal mice showed that injection 123/125I-BMQ accumulated early in the liver and was excreted into the gallbladder and intestines. In CYP2D-inhibited mice, accumulation in the liver was increased, but accumulation in the gallbladder and intestines, the excretory organ, was delayed. Since only metabolites of 125I-BMQ are detected in bile, visualization and measuring of the accumulation of metabolites over time in the intestine, where bile is excreted, could predict the amount of metabolites produced in the body and evaluate CYP2D activity, which would be useful in determining the dosage of various drugs metabolized by CYP2D. Conclusion: 123/125I-BMQ is useful as a SPECT imaging probe for comprehensive and direct assessment of hepatic CYP2D activity in a minimally invasive and simple approach.

    DOI: 10.3389/fphar.2024.1397288

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  7. Age-related Variation in SUVR in 11C-PiB PET Scans

    Inagaki, T; Fujita, N; Tada, T; Ikeda, H; Inagaki, T; Isobe, R; Nagahara, T; Abe, S; Nakanishi, K; Nishii, R; Kato, K

    JOURNAL OF NUCLEAR MEDICINE   Vol. 65   2024.6

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  8. Relationship between 99mTc-MAA Planar Image Accumulation Distribution in Pulmonary Hypertension and Indices Obtained by Right Heart Catheterization

    Tsunekawa, R; Fujita, N; Ikeda, H; Nakanishi, K; Nishii, R; Inagaki, T; Isobe, R; Nagahara, T; Inagaki, T; Abe, S; Kato, K

    JOURNAL OF NUCLEAR MEDICINE   Vol. 65   2024.6

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  9. Initial assessment of biodistribution in healthy males using 11C-MePro PET/CT and exploratory analysis of pancreatic molecular pathology

    Yamazaki, K; Nishii, R; Tani, K; Hashimoto, H; Sudo, H; Tsuji, A; Sato, S; Higashi, T

    JOURNAL OF NUCLEAR MEDICINE   Vol. 65   2024.6

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  10. Comparison of image reconstruction methods by a SPECT phantom using an inkjet printer

    Nagahara, T; Fujita, N; Katafuchi, T; Ikeda, H; Nakanishi, K; Nishii, R; Isobe, R; Inagaki, T; Tsunekawa, R; Kato, K

    JOURNAL OF NUCLEAR MEDICINE   Vol. 65   2024.6

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  11. A simple method to shorten the apparent dead time in the dosimetry of Lu-177 for targeted radionuclide therapy using a gamma camera

    Nakanishi, K; Fujita, N; Abe, S; Nishii, R; Kato, K

    PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS   Vol. 119   page: 103298   2024.3

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    Language:English   Publisher:Physica Medica  

    Background: The dead-time loss reportedly degrades the accuracy of dosimetry using a gamma camera for targeted radionuclide therapy with Lu-177; therefore, the dead-time loss needs to be corrected. However, the correction is challenging. In this study, we propose a novel and simple method to shorten the apparent dead time rather than correcting it through experiments and Monte Carlo simulations. Methods: An energy window of 208 keV ± 10 % is generally used for the imaging of Lu-177. Lower-energy gamma photons and X-rays of Lu-177 do not contribute to image formation but lead to dead-time losses. In our proposed method, a thin lead sheet was used to shield gamma photons and X-rays with energies lower than 208 keV, while detecting 208 keV gamma photons that penetrated the thin sheet. We measured and simulated the energy spectra and count rate characteristics of a clinical gamma camera system using a cylindrical phantom filled with a Lu-177 solution. Lead sheets of 1.0- and 0.5-mm thicknesses were used as thin shields, and the dead-time losses in tumour imaging with consumed Lu-177 were simulated. Results: The apparent dead times with lead sheets of 1.0- and 0.5-mm thicknesses and without a lead sheet were 1.7, 1.9, and 5.8 µs for an energy window of 208 keV ± 10 %, respectively. The dead-time losses could be reduced from 10 % to 1.3 % using the 1.0-mm thick lead sheet in the simulated imaging of tumour. Conclusion: Our method is promising in clinical situations and studies on Lu-177 dosimetry for tumours.

    DOI: 10.1016/j.ejmp.2024.103298

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  12. Synthesis and evaluation of a rociletinib analog as prospective imaging double mutation L858R/T790M in non-small cell lung cancer

    Fawwaz, M; Mishiro, K; Purwono, B; Nishii, R; Ogawa, K

    JOURNAL OF PHARMACY & PHARMACOGNOSY RESEARCH   Vol. 12 ( 2 ) page: 231 - 242   2024.3

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    Publisher:Journal of Pharmacy and Pharmacognosy Research  

    Context: Imaging the mutation status of non-small cell lung cancer (NSCLC) using radiolabeled tyrosine kinase inhibitor (TKI) analogs has garnered interest due to their unique interactions with the target epidermal growth factor receptor (EGFR). Rociletinib is a third-generation TKI that selectively inhibits the activated EGFR L858R/T790M mutations while sparing the wild-type EGFR. Aims: To synthesize a rociletinib analog for radioiodination purposes and evaluate its affinity for EGFR L858R/T790M using molecular docking and in vitro cytotoxicity assay. Methods: The rociletinib analog, N-{3-[(4-{[4-(4-acetylpiperazin-1-yl)-2-methoxyphenyl]amino}-5-(trifluoromethyl)pyrimidine-2-yl)amino] -5-iodophenyl} acrylamide (I-RMFZ), was produced by adding iodine into the diaminophenyl group and changing the position of the trifluoromethyl group. A simulation of molecular docking was conducted using the AutoDock Vina software suite. IC50 of I-RMFZ was determined using a cell cytotoxicity assay. Results: I-RMFZ was successfully synthesized through multistep reactions. Molecular docking revealed that I-RMFZ interacts with the EGFR L858R/T790M mutation. Cytotoxicity assay demonstrated that I-RMFZ had a high selectivity towards EGFR L858R/T779M mutation. Conclusions: I-RMFZ is notable for radioiodination and is anticipated to be comparable with in vivo features of rociletinib. Thus, I-RMFZ can potentially be developed as an imaging agent for NSCLC through preclinical assay.

    DOI: 10.56499/jppres23.1743_12.2.231

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  13. A first-in-man study of [<SUP>18</SUP>F] FEDAC: a novel PET tracer for the 18-kDa translocator protein

    Tamura, K; Nishii, R; Tani, K; Hashimoto, H; Kawamura, K; Zhang, MR; Maeda, T; Yamazaki, K; Higashi, T; Jinzaki, M

    ANNALS OF NUCLEAR MEDICINE     2024.1

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    Language:English   Publisher:Annals of Nuclear Medicine  

    Purpose: N-benzyl-N-methyl-2-[7, 8-dihydro-7-(2-[18F] fluoroethyl) -8-oxo-2-phenyl-9H-purin-9-yl] acetamide ([18F] FEDAC) is a novel positron emission tomography (PET) tracer that targets the translocator protein (TSPO; 18 kDa) in the mitochondrial outer membrane, which is known to be upregulated in various diseases such as malignant tumors, neurodegenerative diseases, and neuroinflammation. This study presents the first attempt to use [18F]FEDAC PET/CT and evaluate its biodistribution as well as the systemic radiation exposure to the radiotracer in humans. Materials and Methods: Seventeen whole-body [18F]FEDAC PET/CT (injected dose, 209.1 ± 6.2 MBq) scans with a dynamic scan of the upper abdomen were performed in seven participants. Volumes of interest were assigned to each organ, and a time–activity curve was created to evaluate the biodistribution of the radiotracer. The effective dose was calculated using IDAC-Dose 2.1. Results: Immediately after the intravenous injection, the radiotracer accumulated significantly in the liver and was subsequently excreted into the gastrointestinal tract through the biliary tract. It also showed high levels of accumulation in the kidneys, but showed minimal migration to the urinary bladder. Thus, the liver was the principal organ that eliminated [18F] FEDAC. Accumulation in the normal brain tissue was minimal. The effective dose estimated from biodistribution in humans was 19.47 ± 1.08 µSv/MBq, and was 3.60 mSV for 185 MBq dose. Conclusion: [18F]FEDAC PET/CT provided adequate image quality at an acceptable effective dose with no adverse effects. Therefore, [18F]FEDAC may be useful in human TSPO-PET imaging.

    DOI: 10.1007/s12149-023-01895-0

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  14. Synthesis and initial <i>in vitro</i> evaluation of olmutinib derivatives as prospective imaging probe for non-small cell lung cancer

    Fawwaz, M; Mishiro, K; Arwansyah; Nishii, R; Ogawa, K

    BIOIMPACTS   Vol. 14 ( 1 ) page: 27774   2024.1

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    Introduction: Imaging a non-small cell lung cancer (NSCLC) using radiolabeled tyrosine kinase inhibitors (TKIs) has attracted attention due to their unique interaction with the target epidermal growth factor receptor (EGFR). Olmutinib (OTB) is one of the third-generation EGFR TKIs, which selectively inhibit EGFR L858R/T790M mutation. In this study, we aim to estimate the interaction of the iodinated OTB (I-OTB)-receptor complex by molecular docking. Furthermore, we will synthesize the I-OTB and evaluate its activity toward EGFR L858R/T790M by in vitro cytotoxicity assay. Methods: A molecular docking simulation was carried out using an AutoDock Vina program package to estimate the interaction of the ligand-receptor complex. The I-OTB, N-{3-iodo-5-[(2- {[4-(4-methylpiperazin-1-yl)phenyl]aminothieno{3,2-d}pyrimidin-4-yl)oxy]phenyl} acrylamide, was synthesized by introducing an iodine atom in the phenyl group in the 3-aryloxyanilide structure. The half inhibitory concentration (IC50) was determined by employing a 2-(2-methoxy- 4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-disulfophenyl)-2H tetrazolium monosodium salt (WST- 8) assay to evaluate the activity of I-OTB. Results: The docking study exhibited that I-OTB could take an interaction similar to that of the parent compound. We successfully synthesized I-OTB and confirmed its structure by instrumental analysis. The binding energy of OTB and I-OTB in complex with EGFR T790M are -8.7 and -7.9 kcal/mol, respectively. The cytotoxicity assay showed that I-OTB also has an affinity towards the EGFR L858R/T790M mutation with the IC50 10.49 ± 5.64 μM compared to the EGFR wild type with the IC50 over than 10 μM. Conclusion: The cytotoxicity effect of I-OTB was comparable to that of OTB. This result indicates that the iodine substituent in OTB did not alter the parent compound selectivity toward double mutations EGFR L858R/T790M. Therefore, I-OTB is prominent for radioiodination, and [123/124I] I-OTB may be a promising candidate for EGFR L858R/T790M mutation imaging.

    DOI: 10.34172/bi.2023.27774

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  15. 膵癌早期検出に向けた新規PET/CTイメージング -アミノ酸トランスポーター発現に応じた個別化画像診断への取り組み- Reviewed

    西井 龍一, 須藤 仁美

    Precision Medicine   Vol. 7   page: 60 - 63   2024

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  16. 膵がん早期発見に向けた新規PET/CT画像診断法の開発ー11C-MeLeu PET/CT及び11C-MePro PET/CTー

    西井 龍一, 須藤 仁美

    BIO Clinica   Vol. 38   page: 52 - 55   2023

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KAKENHI (Grants-in-Aid for Scientific Research) 4

  1. 新規アミノ酸PET薬剤を用いた脳腫瘍の分子イメージング研究

    Grant number:23K07085  2023.4 - 2026.3

    科学研究費助成事業  基盤研究(C)

    山本 由佳, 須藤 仁美, 西山 佳宏, 西井 龍一, 畠山 哲宗, 則兼 敬志

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    脳腫瘍は予後不良でその分子生物学的特徴を明らかにするため、アミノ酸PET薬剤の11C-METを用いたPET検査が行われることが多い。しかし、遺伝子変異の有無などの予測法はまだ確立されていない。
    新規アミノ酸PET薬剤である11C-MeLeuを脳腫瘍に応用し、最適な検査法の確立、脳腫瘍でのSLC6A20との関係を明らかにする。また、悪性度評価、遺伝子変異の有無などとの関係を調べ、従来の11C-MET PETと比べてこれら診断能が向上できるかを検討する。腫瘍特異的なPET検査を行うことで、脳腫瘍の診断能の向上と生物学的特徴の把握が容易になり、最適な診断法の確立に繋がる。

  2. Clinical PET/CT study with [11C]MEPRO, a specific transporter target for pancreatic cancer

    Grant number:23K07170  2023.4 - 2026.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

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    Authorship:Principal investigator 

    Grant amount:\4680000 ( Direct Cost: \3600000 、 Indirect Cost:\1080000 )

  3. Development of Mitochondria-Targeted Theranostic Agents for Cancer-Specific Glutaminolysis

    Grant number:22K19504  2022.6 - 2025.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Challenging Research (Exploratory)

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  4. Development of theranostics agents targeting sodium glucose co-transporter

    Grant number:21H02865  2021.4 - 2025.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

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    Authorship:Coinvestigator(s)