Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University

The creation of a PET center in the Kharkov region is proposed. This is facilitated by the transfer of the cyclotron by the Julich Research Center (Germany) to Kharkiv, which will ensure the development of the diagnostic radiopharmaceutical “Glucose,¹⁸F”. An additional expansion of the treatment bas...

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Опубліковано в: :Вопросы атомной науки и техники
Дата:2020
Автори: Voronko, V.O., Dronov, R.N., Shramenko, B.I., Beloziorov, І.V., Girka, I.O.
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Опубліковано: Національний науковий центр «Харківський фізико-технічний інститут» НАН України 2020
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Цитувати:Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University / V.O. Voronko, R.N. Dronov, B.I. Shramenko, І.V. Beloziorov, I.O. Girka // Problems of atomic science and tecnology. — 2020. — № 3. — С. 168-171. — Бібліогр.: 9 назв. — англ.

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Digital Library of Periodicals of National Academy of Sciences of Ukraine
id nasplib_isofts_kiev_ua-123456789-194549
record_format dspace
spelling Voronko, V.O.
Dronov, R.N.
Shramenko, B.I.
Beloziorov, І.V.
Girka, I.O.
2023-11-27T13:42:23Z
2023-11-27T13:42:23Z
2020
Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University / V.O. Voronko, R.N. Dronov, B.I. Shramenko, І.V. Beloziorov, I.O. Girka // Problems of atomic science and tecnology. — 2020. — № 3. — С. 168-171. — Бібліогр.: 9 назв. — англ.
1562-6016
PACS: 87.57.uk, 87.57.un
https://nasplib.isofts.kiev.ua/handle/123456789/194549
The creation of a PET center in the Kharkov region is proposed. This is facilitated by the transfer of the cyclotron by the Julich Research Center (Germany) to Kharkiv, which will ensure the development of the diagnostic radiopharmaceutical “Glucose,¹⁸F”. An additional expansion of the treatment base is possible by acquiring a microtron electron accelerator, which will make it possible to produce and use for treatment of cancer the “Ethanol,¹¹C” radio-pharmaceutical and the “Glucose,¹¹C” diagnostic radiopharmaceutical developed at the NSC KIPT.
Запропоновано створення в Харківському регіоні ПЕТ-центру. Цьому сприяє передача Юліхським науковим центром (Німеччина) у м. Харків циклотрона, який забезпечить напрацювання діагностичного радіофармпрепарата «Глюкоза,¹⁸F». Додаткове розширення лікувальної бази можливо шляхом придбання прискорювача електронів мікротрона, який дасть можливість виробляти і використовувати для лікування раку радіофармпрепарат «Етанол,¹¹С», а також діагностичний радіофармпрепарат «Глюкоза,¹¹С», розроблені в ННЦ ХФТІ.
Предложено создание в Харьковском регионе ПЭТ-центра. Этому способствует передача Юлихским научным центром (Германия) в г. Харькове циклотрона, который обеспечит наработку диагностического радиофармпрепарата «Глюкоза,¹⁸F». Дополнительное расширение лечебной базы возможно путем приобретения ускорителя электронов микротрона, который даст возможность производить и использовать для лечения рака радиофармпрепарат «Этанол,¹¹С», а также диагностический радиофармпрепарат «Глюказа,¹¹С», разработанные в ННЦ ХФТИ.
The authors express their sincere thanks for the assistance and helpful comments when discussing the Proposal to: M.F. Shulga - Director General of NSC KIPT NAS; M.V. Krasnoselsky - Director of Grigoriev Institute for Medical Radiology; V.P. Starenky - Head of the Department of Radiation Therapy of Grigoriev Institute for Medical Radiology; M.V. Kolomensky - Head of Kharkiv Specialized Medical Unit № 13; V.G. Rudichev - Leading researcher of the School of Physics and Technology of KhNU.
en
Національний науковий центр «Харківський фізико-технічний інститут» НАН України
Вопросы атомной науки и техники
Application of accelerators in radiation technologies
Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University
Пропозиція зі створення центру позитрон-емісійної томографії на базі медичного та фізико-технічного факультетів ХНУ
Предложение по созданию центра позитрон-эмиссионной томографии на базе медицинского и физико-технического факультетов ХНУ
Article
published earlier
institution Digital Library of Periodicals of National Academy of Sciences of Ukraine
collection DSpace DC
title Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University
spellingShingle Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University
Voronko, V.O.
Dronov, R.N.
Shramenko, B.I.
Beloziorov, І.V.
Girka, I.O.
Application of accelerators in radiation technologies
title_short Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University
title_full Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University
title_fullStr Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University
title_full_unstemmed Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University
title_sort proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of kharkiv national university
author Voronko, V.O.
Dronov, R.N.
Shramenko, B.I.
Beloziorov, І.V.
Girka, I.O.
author_facet Voronko, V.O.
Dronov, R.N.
Shramenko, B.I.
Beloziorov, І.V.
Girka, I.O.
topic Application of accelerators in radiation technologies
topic_facet Application of accelerators in radiation technologies
publishDate 2020
language English
container_title Вопросы атомной науки и техники
publisher Національний науковий центр «Харківський фізико-технічний інститут» НАН України
format Article
title_alt Пропозиція зі створення центру позитрон-емісійної томографії на базі медичного та фізико-технічного факультетів ХНУ
Предложение по созданию центра позитрон-эмиссионной томографии на базе медицинского и физико-технического факультетов ХНУ
description The creation of a PET center in the Kharkov region is proposed. This is facilitated by the transfer of the cyclotron by the Julich Research Center (Germany) to Kharkiv, which will ensure the development of the diagnostic radiopharmaceutical “Glucose,¹⁸F”. An additional expansion of the treatment base is possible by acquiring a microtron electron accelerator, which will make it possible to produce and use for treatment of cancer the “Ethanol,¹¹C” radio-pharmaceutical and the “Glucose,¹¹C” diagnostic radiopharmaceutical developed at the NSC KIPT. Запропоновано створення в Харківському регіоні ПЕТ-центру. Цьому сприяє передача Юліхським науковим центром (Німеччина) у м. Харків циклотрона, який забезпечить напрацювання діагностичного радіофармпрепарата «Глюкоза,¹⁸F». Додаткове розширення лікувальної бази можливо шляхом придбання прискорювача електронів мікротрона, який дасть можливість виробляти і використовувати для лікування раку радіофармпрепарат «Етанол,¹¹С», а також діагностичний радіофармпрепарат «Глюкоза,¹¹С», розроблені в ННЦ ХФТІ. Предложено создание в Харьковском регионе ПЭТ-центра. Этому способствует передача Юлихским научным центром (Германия) в г. Харькове циклотрона, который обеспечит наработку диагностического радиофармпрепарата «Глюкоза,¹⁸F». Дополнительное расширение лечебной базы возможно путем приобретения ускорителя электронов микротрона, который даст возможность производить и использовать для лечения рака радиофармпрепарат «Этанол,¹¹С», а также диагностический радиофармпрепарат «Глюказа,¹¹С», разработанные в ННЦ ХФТИ.
issn 1562-6016
url https://nasplib.isofts.kiev.ua/handle/123456789/194549
citation_txt Proposal for creation of positron-emission tomography center on the basis of school of medicine and school of physics and technology of Kharkiv National University / V.O. Voronko, R.N. Dronov, B.I. Shramenko, І.V. Beloziorov, I.O. Girka // Problems of atomic science and tecnology. — 2020. — № 3. — С. 168-171. — Бібліогр.: 9 назв. — англ.
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fulltext ISSN 1562-6016. ВАНТ. 2020. №3(127) 168 APPLICATION OF ACCELERATORS IN RADIATION TECHNOLOGIES PROPOSAL FOR CREATION OF POSITRON-EMISSION TOMOGRAPHY CENTER ON THE BASIS OF SCHOOL OF MEDICINE AND SCHOOL OF PHYSICS AND TECHNOLOGY OF KHARKIV NATIONAL UNIVERSITY V.O. Voronko1, R.N. Dronov1, B.I. Shramenko1, І.V. Beloziorov2, I.O. Girka2 1National Science Center “Kharkov Institute of Physics and Technology”, Kharkiv, Ukraine; 2V.N. Karazin Kharkiv National University, Kharkiv, Ukraine E-mail: bshram@kipt.kharkov.ua The creation of a PET center in the Kharkov region is proposed. This is facilitated by the transfer of the cyclo- tron by the Julich Research Center (Germany) to Kharkiv, which will ensure the development of the diagnostic ra- diopharmaceutical “Glucose,18F”. An additional expansion of the treatment base is possible by acquiring a microtron electron accelerator, which will make it possible to produce and use for treatment of cancer the “Ethanol,11C” radio- pharmaceutical and the "Glucose,11C" diagnostic radiopharmaceutical developed at the NSC KIPT. PACS: 87.57.uk, 87.57.un INTRODUCTION The proposal is an updated version of the Project [1] that was proposed earlier and has not been implemented due to the lack of radiopharmaceuticals for PET diag- nostics and the PET tomograph itself. Given the ab- sence of such a Center in the Kharkiv region, the need to create a Center for Positron Emission Tomography has not only lost its relevance, but has become even more urgent. At present, the situation with radiophar- maceuticals for PET diagnostics has been improved due to production in NSC KIPT of ready to use radiophar- maceuticals labeled with the 11C isotope: “Glucose,11C” [2, 9], and “Ethanol,11C” [3]. The 11C, 13N, 15O, and 18F isotopes, which form the basis of radiopharmaceuticals for PET diagnostics, have short half-lives: from 2 min (15O) to 110 min (18F). For this reason, the main condition for the implementation of the Proposal is the need to locate the PET in the im- mediate vicinity of the isotope and radiopharmaceutical production site. ESSENCE OF PROPOSAL The condition of close proximity of accelerators where pharmaceuticals produced and PET scanner, where pharmaceuticals is used, is well met by this pro- posal. According to proposal, accelerators, which are used to obtain the pharmaceuticals labeled with 11C and 18F isotopes, will be placed in a building that belongs to school of physics and technology of Kharkiv National University. The PET is planned to be placed in the building of Kharkiv Specialized Medical Unit № 13, which is only 134 meters away (in the line of sight). The production of 18F isotopes, “Fludeoxyglucose,18F” will be performed on the accelerator of protons (cyclotron) and isotopes 11C (radiopharmaceuticals “Glucose,11C” [2, 9] and “Ethanol,11C” [3]) will be produced on elec- tron accelerator  microtron MM50 Scanditronix. This will allow for the rapid transportation of the generated isotopes from the accelerator to the PET using pneumatic tube system (PTS) (Fig. 1). Fig. 1. Schematic location of the available buildings involved in Proposition: 1  Building of KhNU’s School of Physics and Technol- ogy; 2  Vault; 7 m below ground level where accelera- tors (cyclotron/microtron) should be installed; 3  Place where ampoule (A) with isotopes or radio- pharmaceutical is loaded into the PTS; 4  Place near the PET where ampoule (A) is unloaded from PTS for final preparation of radiopharmaceutical (if necessary); 5  PET; 6  Building for PET and patient care rooms Transport of the ampoule (A) between positions 3 and 4 to a distance of 134 m is accomplished by pneu- matic tube system and takes approximately one minute. The aerial view of the available buildings involved is shown in Fig. 2. One of the important factors that will contribute to the implementation of the Proposal is the successful implementation in practice of NSC KIPT the possibility of obtaining new radiopharmaceuticals labeled with 11C isotope ready for use for PET diagnosis and treatment. The development of new radiopharmaceuticals is de- scribed in patent applications [2, 3] and radiopharma- ceutical “Glucose,11C” in [9] correspondingly. It is important that the invention [3] significantly improve the method proposed by American scientists in the treatment of cancer with ethanol (alcohol) [4, 5]. These researchers believe that even one injection of ethanol-based gel can cure certain types of tumors, and that some cancers of the cervix and breast cancer can be treated. ISSN 1562-6016. ВАНТ. 2020. №3(127) 169 Fig. 2. The aerial view of the buildings involved in Proposition (Source: Google Maps). 1  Building of KhNU`s School of Physics and Technol- ogy; 2  Main building of Kharkiv Specialized Medical Unit № 13; 3  Building for PET and patient care rooms Our improvement in cancer treatment [4, 5] consists of the labeling of ethyl alcohol with 11C isotope (i.e., the creation of a new radiopharmaceutical “Ethanol,11C” [3]), which enables PET imaging to visualize the loca- tion and spatial shape of the ethanol introduced into the tumor. The use of “Ethanol,11C” provides continuous dynamic control over the cancer treatment process with ethanol and the possibility of additional corrective injec- tions of ethanol, if necessary. The timely implementation of the Proposal will open wide opportunities for cancer treatment in Ukraine without a significant time gap from the US. As the new method of treating cancer with ethanol [4, 5] is only beginning to develop, the timely imple- mentation of the Proposal will help close the huge gap that exists today between cancer treatment options in Ukraine and in developed countries. In addition, the implementation of the Proposal (as a pilot version) will make it possible to test in practice the efficiency and effectiveness of the complexes of the PET diagnostic system, their functionality and the correctness of the conceptual approaches that underlie the Proposal, in order to take into account the acquired experience for further improvement, development of PET  cancer treatment centers in Ukraine. The implementation of the Proposal includes two stages: STAGE I (Year 2021) Provides PET diagnostics with the use of “Flude- oxyglucose,18F” obtained on a proton accelerator, a cy- clotron, using well-developed (licensed) worldwide technology. 1. Installation and commissioning of cyclotron (baby cyclotron)*. Building 1 (vault 2) (see Fig. 1). 2. Design and construction of the pneumatic tube system (see Fig. 1). 3. Installation of PET** in Building 6 (see Fig. 1), (Building 3 (see Fig. 2). 4. Development of complex functioning  PET di- agnostic center. *Cyclotron will be delivered from the Jülich Science Center (Germany) according to an existing agreement. **Obtaining PET from structures interested in the use of radiopharmaceuticals that will be based on a cy- clotron (under existing arrangement), or purchasing a PET following the example of a PET center in Kyiv (Feofaniya). STAGE II (Years 2021-2022) Provides practical implementation of the method of cancer treatment with ethanol by the method [4, 5] tak- ing into account improvements [3] (“Ethanol,11C”), as well as the provision of PET diagnostics, using the tra- ditional radiopharmaceutical “Fludeoxyglucose,18F” and the new radiopharmaceutical “Glucose,11C” [2, 9], which provides receptor (repeat) studies. Glucose,11C and Ethanol,11C will be developed on the MM-50 (Scanditronix)*** electron microtron accelerator, which is selected as an electron source due to its reliability and ease of use (in addition, a microtron is cheaper than a linear accelerator). 1. Installation and commissioning MM-50 microtron with 30…50 MeV energy and average current of 10…20 µA. 2. Practical preparation and use of the pharmaceuti- cal “Ethanol,11C” [3] for the treatment of cancer with ethanol by the method [4, 5] in combination with PET diagnostics. 3. Practical preparation and use of the pharmaceuti- cal “Glucose,11C” [2, 9] for PET diagnostics, including frequently repetitive studies using PET. ***The acquisition of the MM-50 microtron (Scan- ditronix) overseas is planned. Factors that will contribute to the implementation of the Proposal: - the specialized vault of the KhNU, where accelera- tors are to be installed, has all the relevant permits for operating the accelerators in the modes planned by this Proposal; - the use of existing buildings for PET and accelera- tors significantly reduces the timeframe for the imple- mentation of the Proposal; - the location of the PET in close proximity to the isotope production site greatly simplifies its implemen- tation and, most importantly, enables it to maintain the accumulated level of ultra short lived isotope`s activity by transporting it via pneumatic tube system to the ra- diopharmaceutical preparation site (near PET); - the availability of qualified personnel of NSC KIPT and those of School of Physics and Tech- nology of the KhNU, whose participation will ensure the implementation of the Proposal, will help to ensure the constant development of isotopes 18F and 11C and preparation of radiopharmaceutical based on them for PET diagnosis and treatment [2, 3, 6 - 9]; - participation of medical staff of the Grigoriev Insti- tute for Medical Radiology (as provided by the Pro- posal), who has experience in the field of nuclear medi- cine, with additional involvement in the practice and work of students of the School of Medicine, as well as the Department of Nuclear and Medical Physics of the School of Physics and Technology of KhNU; - an important factor that will contribute to the im- plementation of the proposal for the creation of the Cen- ter (as an additional training base) may be the training of young people at the School of Physics and Technol- ISSN 1562-6016. ВАНТ. 2020. №3(127) 170 ogy of KhNU under the already accredited educational program “Medical Physics”; - the availability of proven methods of obtaining ra- diopharmaceuticals “Glucose,11C” and “Ethanol,11C” on the electron accelerator of the NSC KhIPT [2, 3, 9]. Executing organizations to be involved in the im- plementation of the Proposal: 1. National Science Center “Kharkov Institute of Physics and Technology”. 2. Karazin Kharkiv National University. (School of Physics and Technology, School of Medicine). 3. Grigoriev Institute for Medical Radiology. CONCLUSIONS 1. Implementation of Stage I of the Proposal will give the opportunity to provide Kharkiv region with a standard Center for PET diagnostics. Under favorable conditions (free delivery of cyclotron (baby cyclotron) and PET tomograph), the cost of Stage I will be deter- mined only by the cost of licensed technology of crea- tion of radiopharmaceutical “Fludeoxyglucose,18F” and the cost of construction of the pneumatic tube system. For this reason, Stage I takes relatively modest funding and deserves careful attention. 2. The implementation of Stage II will create the world's first, unique PET Center with the possibility of treating cancer with the new radiopharmaceutical “Eth- anol,11C” [3], which was developed by NSC KIPT after research by the American researchers on cancer treat- ment using conventional ethanol [4, 5]. The cost of this stage will be determined by the cost of the MM-50 mi- crotron (Scanditronix). 3. The fulfillment of the Proposal does not require costly and long-term capital construction of buildings for PET and accelerators, which significantly shortens the Proposal`s implementation time. 4. The complementary nature of the above factors, including the territorial proximity, administrative and organizational subordination of Proposal`s participants, as well as the scientific and ideological interest of scien- tific and medical institutions in achieving the ultimate goal, will contribute to the practical implementation of this Proposal. ACKNOWLEDGEMENT The authors express their sincere thanks for the as- sistance and helpful comments when discussing the Proposal to: M.F. Shulga  Director General of NSC KIPT NAS; M.V. Krasnoselsky  Director of Grigoriev Institute for Medical Radiology; V.P. Starenky  Head of the Department of Radia- tion Therapy of Grigoriev Institute for Medical Radiol- ogy; M.V. Kolomensky  Head of Kharkiv Specialized Medical Unit № 13; V.G. Rudichev  Leading researcher of the School of Physics and Technology of KhNU. REFERENCES 1. A.M. Dovbnya, M.P. Dykyy, A.S. Zadvornyy, O.H. Konovalov, M.I. Pylypenko, P.V Sorokin, B.I. Shramenko. 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Getting the “Glucose,11C” radiopharmaceutical // East European Journal of Physics (EEJP). 2018, v. 5, № 4, p. 77- 86. Article received 28.02.2020 ISSN 1562-6016. ВАНТ. 2020. №3(127) 171 ПРЕДЛОЖЕНИЕ ПО СОЗДАНИЮ ЦЕНТРА ПОЗИТРОН-ЭМИССИОННОЙ ТОМОГРАФИИ НА БАЗЕ МЕДИЦИНСКОГО И ФИЗИКО-ТЕХНИЧЕСКОГО ФАКУЛЬТЕТОВ ХНУ В.А. Воронко, Р.Н. Дронов, Б.И. Шраменко, И.В. Белозёров, И.А. Гирка Предложено создание в Харьковском регионе ПЭТ-центра. Этому способствует передача Юлихским на- учным центром (Германия) в г. Харькове циклотрона, который обеспечит наработку диагностического ра- диофармпрепарата «Глюкоза,18 F». Дополнительное расширение лечебной базы возможно путем приобрете- ния ускорителя электронов микротрона, который даст возможность производить и использовать для лечения рака радиофармпрепарат «Этанол,11С», а также диагностический радиофармпрепарат «Глюказа,11С», разра- ботанные в ННЦ ХФТИ. ПРОПОЗИЦІЯ ЗІ СТВОРЕННЯ ЦЕНТРУ ПОЗИТРОН-ЕМІСІЙНОЇ ТОМОГРАФІЇ НА БАЗІ МЕДИЧНОГО ТА ФІЗИКО-ТЕХНІЧНОГО ФАКУЛЬТЕТІВ ХНУ В.О. Воронко, Р.М. Дронов, Б.І. Шраменко, І.В. Белозьоров, І.О. Гірка Запропоновано створення в Харківському регіоні ПЕТ-центру. Цьому сприяє передача Юліхським нау- ковим центром (Німеччина) у м. Харків циклотрона, який забезпечить напрацювання діагностичного радіо- фармпрепарата «Глюкоза,18F». Додаткове розширення лікувальної бази можливо шляхом придбання при- скорювача електронів мікротрона, який дасть можливість виробляти і використовувати для лікування раку радіофармпрепарат «Етанол,11С», а також діагностичний радіофармпрепарат «Глюкоза,11С», розроблені в ННЦ ХФТІ.