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      Unparalleled and revolutionary impact of PET imaging on research and day to day practice of medicine

      1 , 1 , 2 , 3 , 4 , 2 , 3 , 4
      Bio-Algorithms and Med-Systems
      Walter de Gruyter GmbH

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          Abstract

          Positron emission tomography (PET) imaging is the most quantitative modality for assessing disease activity at the molecular and cellular levels, and therefore, it allows monitoring its course and determining the efficacy of various therapeutic interventions. In this scientific communication, we describe the unparalleled and revolutionary impact of PET imaging on research and day to day practice of medicine. We emphasize the critical importance of the development and synthesis of novel radiotracers (starting from the enormous impact of F-Fluorodeouxyglucose (FDG) introduced by investigators at the University of Pennsylvania (PENN)) and PET instrumentation. These innovations have led to the total-body PET systems enabling dynamic and parametric molecular imaging of all organs in the body simultaneously. We also present our perspectives for future development of molecular imaging by multiphoton PET systems that will enable users to extract substantial information (owing to the evolving role of positronium imaging) about the related molecular and biological bases of various disorders, which are unachievable by the current PET imaging techniques.

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          Computerized transverse axial scanning (tomography). 1. Description of system.

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            Iron oxide MR contrast agents for molecular and cellular imaging.

            Molecular and cellular MR imaging is a rapidly growing field that aims to visualize targeted macromolecules or cells in living organisms. In order to provide a different signal intensity of the target, gadolinium-based MR contrast agents can be employed although they suffer from an inherent high threshold of detectability. Superparamagnetic iron oxide (SPIO) particles can be detected at micromolar concentrations of iron, and offer sufficient sensitivity for T2(*)-weighted imaging. Over the past two decades, biocompatible particles have been linked to specific ligands for molecular imaging. However, due to their relatively large size and clearance by the reticuloendothelial system (RES), widespread biomedical molecular applications have yet to be implemented and few studies have been reproduced between different laboratories. SPIO-based cellular imaging, on the other hand, has now become an established technique to label and detect the cells of interest. Imaging of macrophage activity was the initial and still is the most significant application, in particular for tumor staging of the liver and lymph nodes, with several products either approved or in clinical trials. The ability to now also label non-phagocytic cells in culture using derivatized particles, followed by transplantation or transfusion in living organisms, has led to an active research interest to monitor the cellular biodistribution in vivo including cell migration and trafficking. While most of these studies to date have been mere of the 'proof-of-principle' type, further exploitation of this technique will be aimed at obtaining a deeper insight into the dynamics of in vivo cell biology, including lymphocyte trafficking, and at monitoring therapies that are based on the use of stem cells and progenitors. Copyright (c) 2004 John Wiley & Sons, Ltd.
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              Potential toxicity of superparamagnetic iron oxide nanoparticles (SPION)

              Superparamagnetic iron oxide nanoparticles (SPION) are being widely used for various biomedical applications, for example, magnetic resonance imaging, targeted delivery of drugs or genes, and in hyperthermia. Although, the potential benefits of SPION are considerable, there is a distinct need to identify any potential cellular damage associated with these nanoparticles. Besides focussing on cytotoxicity, the most commonly used determinant of toxicity as a result of exposure to SPION, this review also mentions the importance of studying the subtle cellular alterations in the form of DNA damage and oxidative stress. We review current studies and discuss how SPION, with or without different surface coating, may cause cellular perturbations including modulation of actin cytoskeleton, alteration in gene expression profiles, disturbance in iron homeostasis and altered cellular responses such as activation of signalling pathways and impairment of cell cycle regulation. The importance of protein-SPION interaction and various safety considerations relating to SPION exposure are also addressed.
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                Author and article information

                Contributors
                (View ORCID Profile)
                (View ORCID Profile)
                Journal
                Bio-Algorithms and Med-Systems
                Walter de Gruyter GmbH
                1896-530X
                January 05 2022
                November 08 2021
                December 01 2021
                January 05 2022
                December 16 2021
                December 01 2021
                : 17
                : 4
                : 203-212
                Affiliations
                [1 ]Department of Radiology , Hospital of the University of Pennsylvania , Philadelphia , PA , USA
                [2 ]Faculty of Physics, Astronomy, and Applied Computer Science , Jagiellonian University Kraków , Poland
                [3 ]Total-Body Jagiellonian-PET Laboratory, Jagiellonian University , Kraków , Poland
                [4 ]Theranostics Center, Jagiellonian University , Kraków , Poland
                Article
                10.1515/bams-2021-0186
                9fe38245-8327-4241-84a9-a14e54e791fe
                © 2021
                History

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