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Quick Automatic Synthesis Of Solvent-Free 16 Alpha-[F-18] Fluoroestradiol: Comparison Of Kryptofix 222 And Tetrabutylammonium Bicarbonate

FRONTIERS IN ONCOLOGY(2020)

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Abstract
Estrogen receptor (ER) expression level of human breast cancer often reflects the stage of disease and is usually monitored by immunohistochemical stainingin vitro. The preferable non-invasive and real-time diagnosisin vivois more accessible by PET scan using 16 alpha-[F-18]FES. The objective of this study was to develop a quick automatic method for synthesis of solvent-free 16 alpha-[F-18]FES using a CFN-MPS-200 synthesis system and compare the catalytic efficiency of two phase transfer catalysts, Kryptofix 222/K2CO3(K222/K2CO3) and tetrabutylammonium hydrogen carbonate (TBA center dot HCO3). In this method, phase transfer catalysts K222/K(2)CO(3)and TBA center dot HCO(3)were used, respectively. The intermediate products were both hydrolyzed with hydrochloric acid and neutralized with sodium bicarbonate. The crude product was purified with semi-preparative HPLC, and the solvent was removed by rotary evaporation. The effects of radiofluorination temperature and time on the synthesis were also investigated. Radiochemical purity of solvent-free product was above 99% and the decay-corrected radiochemical yield of 16 alpha-[F-18]FES was obtained in 48.7 +/- 0.95% (catalyzed by K222/K2CO3,n= 4) and 46.7 +/- 0.77% (catalyzed by TBA center dot HCO3,n= 4, respectively). The solvent-free 16 alpha-[F-18]FES was studied in clinically diagnosed breast cancer patients, and FES-PET results were compared with pathology diagnosis results to validate the diagnosis value of 16 alpha-[F-18]FES. The new method was more reliable, efficient, and time-saving. There was no significant difference in catalytic activity between K222/K(2)CO(3)and TBA center dot HCO3.
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Key words
16 alpha-[F-18]fluoroestradiol, estrogen receptor, automatic synthesis, phase transfer catalyst, breast cancer
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