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MIC MIC MOLECULAR IMAGING CENTER, NIRS 独立行政法人放射線医学総合研究所 http://www.nirs.go.jp/research/division/mic/eng/ National Institute of Radiological Sciences 分子イメージング研究センター Molecular Imaging Center MOLECULAR IMAGING CENTER, NIRS National Institute of Radiological Sciences 独立行政法人 放射線医学総合研究所 Molecular Imaging Center 分子イメージング研究センター 4-9-1,Anagawa,Inage-ku,Chiba-shi,263-8555 JAPAN TEL:+81-(0)43-206-4706 FAX:+81-(0)43-206-4079 本冊子は環境に配慮し、植物油100%の「大豆インキ」 を使用しています。 また、 印刷工程で有害廃液を出さない 「水なし印刷方式」 で印刷しております。 Ver.1.0 E 2009.06.11 http://www.nirs.go.jp/research/division/mic/eng/ MIC National Instisute of Radiological Sciences MOLECULAR IMAGING CENTER Contents Historical Timeline …03 1957 National Institute of Radiological Sciences (NIRS) was opened. 1974 The first medical cyclotron of Japan was installed. 1976 Diagnosis using radioactive isotope (RI) beams produced by the cyclotron was made for the first time.(13N, evaluation of liver function) 1977 High-speed positron camera with short-lived RI was successfully developed. 1979 Positron computed tomography (CT) was applied in a clinical setting for the first time in Japan. 1980 Technology to produce high-volume of compounds labeled with short-lived RI was developed. 1982 A test model of a whole-body multilayer positron CT machine was completed. 1996 A research station for advanced diagnostic function was established. 2000 High-quality radio-pharmaceutical hot laboratory that is capable of good manufacturing practice (GMP)-grade production was opened. 2002 The first positron emission tomography-computed tomography (PET-CT) machine of Japan was installed. Safety Assurance, Ethics, and Regulatory Sciences 2003 A three-dimensional radio detector for next-generation PET machines was installed. …11 2004 A 7-Tesla magnetic resonance imaging (MRI) machine was developed. Historical Timeline …04 Toward better diagnosis of diseases and innovations in evaluating therapy …05 Facilities•Equipments …06 What is Molecular Imaging? …07 Molecular Imaging at NIRS …08 Prominent Molecular Probe Synthesis System …09 Molecular Probe …10 Molecular Imaging …12 Sponsored by the Ministry of Education, Culture, Sports, Science and Technology, Japan Organization A clinical trial to estimate the optimum dosage of a new antidepressant agent was conducted. Promotion of Molecular Imaging Research NIRS was selected as the “Research Base for PET Diagnosis” in the Molecular Imaging Research Program; it receives a 5-year grant from the Japanese Ministry of Education, Culture, Sports, Science and Technology. (FY2005–2009) …14 The Molecular Imaging Center was established. …13 Diagnostic Imaging Group …16 Molecular Neuroimaging Group …18 Molecular Probe Group …20 Biophysics Group …22 Vision of the Future MOLECULAR IMAGING CENTER P2 2005 2006 The Molecular Imaging Center concluded an agreement with Tohoku University for organizational partnership. 2007 The Molecular Imaging Center concluded an agreement with RIKEN Brain Science Institute for organizational partnership. 2008 The Molecular Imaging Center concluded a Memorandum of Understanding on Research Cooperation with Joseph Fourier University, France. Open PET geometry was proposed for the first time in the world. The Molecular Imaging Center concluded a Memorandum of Understanding on Research Cooperation with Trakia University, Bulgaria. MOLECULAR IMAGING CENTER P3 What is Molecular Imaging? Molecular Imaging Molecular imaging is a discipline that enables the non-invasive visualization of molecular behavior in the living body. It is a newly emerging field of study that combines molecular biology techniques for the investigation of molecular functions in the living body and the technology for the visualization of these molecules. The 4 important technologies that have been established in the field of molecular imaging comprise PET, SPECT, MRI, and fluorescence imaging. PET and SPECT are considerably effective in whole-body imaging of human subjects; similarly, MRI is effective for imaging body structures, while fluorescence imaging is appropriate for the imaging of deeper regions of the body at cellular and molecular levels. By using these imaging modalities to take advantage of the other modalities and to complement each other, the new and varied applications of molecular imaging can be developed. The advancement of molecular imaging is expected to provide us with improved methods for the determination of the optimal drug dose, for the elucidation and diagnosis of diseases and pathological conditions, for the realization of individually tailored therapy, and for bringing about drastic improvement in the structure of the drug-discovery process. In addition to these prospects of direct and multiple applications in the clinical field, molecular imaging can contribute to fundamental investigations to reveal the secrets of life such as molecular biological investigations. In particular, as this is the beginning of the post-genomic era, molecular imaging plays an important role in the paradigm shift observed in the field of life sciences in which its major objectives range from unscrambling the genetic codes to investigating the functions of biomolecules. PET Positron Emission Tomography PET is a type of radionuclide scanning that utilizes trace amounts of radioisotopes. The PET scanning process involves replacing an element in a molecule or analogous molecule with a radioisotope, which emits positrons (i.e. labeling the compound), and introducing the radiolabeled molecule (i.e. molecular probe, radiopharmaceutical) into the living subject. RI in molecular probes emits a positron (e+) when it undergoes radioactive decay. After traveling a short distance, the positron encounters and annihilates with an electron (e-), which is a particle with a charge opposite to that of a positron, thereby producing a pair of annihilation (γ) photons moving in opposite directions. A PET scanner detects these γ-rays, and images of the body distribution of a s ray γra y ion t a γil n nih tro eV an c f 1k o ele 51 air - + ap n o r sit po ra y γV e 1k 51 Molecular Imaging at NIRS targeted molecular probe are reconstructed using positional and temporal data. In PET methodology, it is possible to visualize various biological reactions occurring in the living body by designing PET probes in order to detect targets. PET image of a case of lung cancer As shown in the table provided below, the halflives of positron emitting nuclides are so short that the period of time to which the subjects are exposed to radiation would be less than that observed in traditional scanning methods utilized in the field of nuclear medicine. A reduction in the radiation exposure also enables repeated scanning. Another advantage of PET scanning is its quantitative performance. In addition, the spatial resolution and sensitivity of PET has been improved; this can be observed from the fact that the spatial resolution of the PET machine that is currently in use is less than 3 mm. PET utilizes positron emitters such as carbon, nitrogen, and oxygen. These elements are structural components of living matter and are used as test agents (molecular probes) for amino acid, glucose, water, and oxygen. Nuclide Carbon 11 C Nitrogen 13 N Oxygen 15 O Fluorine 18 F Copper 62 Cu Rubidium 82 Rb Half-life Production method 20 min Cyclotron 10 min Cyclotron 2 min Cyclotron 110 min Cyclotron 10 min Generator 75 s Generator Major positron-emitting radionuclides SPECT Single Photon Emission Computed Tomography SPECT is an imaging technique with RI that is used in the assessment of functions of the living body and the diagnosis of many diseases and tumors. RI is utilized in both PET and SPECT; however, they radiolabel different elements. SPECT uses γ-ray emitting RIs, whereas PET uses positron-emitting RIs. Monoenergetic photons (γ-ray) emitted from the RI injected in the living body are captured; this enables physiological functions of the body to be visualized by tomography. MRI Magnetic Resonance Imaging MRI utilizes a phenomenon called nuclear magnetic resonance (NMR), in which an atomic nucleus absorbs resonating energy and subsequently releases it in the form of electromagnetic rays. MRI imaging mainly uses protons, which form the nucleus of hydrogen atoms, as these atoms occur in the human body in large quantities. Magnetic field strength distribution is captured as signal intensity distribution, and sectional images of the subject are acquired. MRI is a non-invasive test that does not involve radiation exposure and provides strong organ contrast, which enables the differentiation between benign and malignant tumors as well as the visualization of blood vessels without the use of contrast agents. Furthermore, a variety of information can be acquired from a single location by altering tomography parameters. The spatial resolution in MRI is approximately 1 mm, while the temporal resolution is approximately 1 s. PET Human level MRI SPECT Fluorescence imaging Animal level Tissue level Cell level MRI image of the human brain Fluorescence Imaging Fluorescence imaging applies the principles of both fluorescence and luminescence into practice to observe 1 specific molecule in cells or individuals. It enables the determination of the location and measurement of the quantity of the molecule. There are 2 prominent fluorescence imaging techniques: one that involves light absorption and/or reflection of intrinsic molecules, and the other that administers extrinsic fluorescent or luminescent substances. The latter method is associated with the expression of genes that encode luminescent proteins and specific enzymes that can generate luminescent reactions on substrate injection and on intracellular injection of fluorescent materials. By observing fluorescence and luminescence with an optical microscope, we can visualize molecular and cellular events within the living body of rats or mice. Thus, fluorescence imaging is useful for the analysis of the dynamic state of fluorescencelabeled peptides and proteins in addition to the local existence of cells and proteins. Detector positron Molecular Biology Life Science In addition to the knowledge on the techniques and know-how to enable bench-to-bedside research, NIRS has been accumulating fundamental molecular imaging equipments for many years. Now, these resources are applied to molecular imaging research, which enables the investigation of molecular/cellular events and dysfunction within the living body. This is one of the consistently promoted fields of research at the NIRS as “Life science research involving use of nuclear radiation.” Considerable knowledge and know-how on the techniques of basic biological science are essential to successfully perform molecular imaging research. At NIRS, since it has not yet received recognition as a core of Molecular Imaging, exploratory research for the discovery of the causes and therapeutic targets of cancer, higher brain dysfunction, metabolic disorder, and other diseases has been undertaken for the purpose of formulation of the basic research grounds of diagnosis and therapy using nuclear radiation. The subsequent phase following the identification of candidate targets of molecular imaging by basic research involves determining the technology in which these targets can be visualized; this would require the establishment of techniques for imaging at the cellular and molecular level first, and the assessment of these targets as diagnostic and therapeutic targets. Simultaneously, the researchers will be involved in exploring the possibilities of the applicability of the technique in in vivo imaging. Generally, optical imaging, MRI, or radiological modalities such as PET and SPECT are employed for in vivo imaging. It is one of the strengths of NIRS that it has a comprehensive group of professionals who understand the characteristics of each of the imaging modalities and are capable of developing new detectors specialized for each purpose ready to successfully initiate research. When the possibility of in vivo imaging has been corroborated, the subsequent phase involves considering its potential for human application. It is essential to provide a production system for molecular probes that are of a quality sufficient for human injection, and provide evidence for the probe efficiency and give safety assurance. NIRS is the first research institute in Japan that manufactures PET probes using facilities, equipments, and systems that conform to GMP standards. Further, in cooperation with the Research Center for Radiation Protection, which is the professional group of NIRS that deals with radiation exposure, the Molecular Imaging Center members are working toward the realization of safe PET examination. neutron SPECT image of tumor MOLECULAR IMAGING CENTER P6 Fluorescence image of a living mouse MOLECULAR IMAGING CENTER P7 Prominent Molecular Probe Synthesis System Molecular Probe Molecular Probes and Probe Library Synthesis technology for Ultra-high specific radioactivity Stable Production Supply GMP Standards At NIRS, greater than 50 kinds of radiopharmaceuticals have been applied to clinical practice, to date. In the future, the yearly development of 2 or 3 new pharmaceuticals designed for clinical use will continue. Specific radioactivity is an indicator of the amount of radiation (Ci, GBq, etc.) in a particular amount (measured in μmol, μg, etc.) of radiolabeled compounds. Theoretically, a dose of 1 pmol (10-7 mg of 100 molecular weight) of 11C-labeled pharmaceuticals, which have a half-life of 20 min, is required per human subject to perform a PET examination. However inpractice, these pharmaceuticals are attenuated by a suite of carbons in the environment. Accordingly, the only approximately one-ten thousandth density of the theoretical value of these pharmaceuticals can be acquired, and a considerable amount of ligand is required for their satisfactory isolation. Extremely advanced techniques are required for the application of high doses of radiation to labeled Because of the short half-lives of positron emitters (e.g. 11C; t1/2 = 20.4 min, 18F; t1/2 = 109.8 min), it is impossible to produce PET molecular probes in advance and store them for future use. Therefore, they must be produced at the location at which they are to be used upon receiving each request. The effective conduct of clinical study and research is dependent upon the kind of PET probes and the number of times production can be performed on a daily basis. At NIRS, automated synthesis devices and production systems are developed using in-house expertise, which enables the production and provision of various PET probes up to 4-6 times, sometimes even 10 times upon request, per The NIRS was the first among PET facilities in the world to recognize the significance of good manufacturing practice (GMP) and the potential danger of radiation exposure to personnel and developed comprehensive intelligent production system oriented to GMP. We produce a number of PET molecular probes with high-quality and safety under a clean fabrication environment. This system made it possible not only to automatically produce PET probes, but also to control the entire production process, from ordering of probes to the administration to the subject. Consequently, operators are not required to come in contact with the probes (radioactive substances) at all throughout the entire production process, and the radiation compounds. NIRS has already established 10- to 100-fold higher specific radioactivity using its compounds than has been reported around the world. This technique for the production of “ultrahigh specific radioactivity” developed by NIRS enables us to conduct various PET tests and research at a much higher sensitivity than that achieved in other research institutes. In addition, the ultra-high specific radioactivity technique can decrease the amount of compounds to be used (PET pharmaceuticals) in the tests; therefore, it is possible to perform imaging even on physiologically active substances without affecting living organisms. Likewise, this technique enables the visualization of molecules that occur at very low concentrations in the living body. NIRS has already achieved ultrahigh specific radioactivity for the synthesis of 11C, 13N, 18F, and other pharmaceuticals. day. In fact, we can produce approximately 60 kinds of PET probes for clinical application and more than 100 probes for basic research, respectively. These probes are used safely at a rate of greater than 1,000 times per year. The technology and skills possessed by our center for the stable production and supply of PET probes enables us to meet the various needs of molecular imaging research. exposure to the operators is reduced drastically. Simultaneously, this system provides for the concept of GMP, which places emphasis on the prevention of human errors, contamination, and quality decline of radiopharmaceuticals. The entire system is capable of performing complicated procedures automatically with less human intervention. Disease-specific radiopharmaceuticals (molecular probes) are essential for diagnosis using molecular imaging methodologies, such as PET or SPECT. Different functions can be visualized by altering the pharmaceuticals employed. The number and variety of automated-synthesis devices used for the production of these radiopharmaceuticals as well as the production system differs between institutions. The ready-touse pharmaceuticals produced, therefore, differ to a considerable extent between institutions. The MIC at NIRS has been continuing its efforts to enrich the menus of molecular probes (probe library). It has enabled the synthesis of molecular probes—the effectiveness of which has already been verified by other research institutions—in addition to developing novel molecular probes using its in-house expertise. As it possesses the skills and techniques that are required to produce these high-quality probes and ensure that their safety is sufficient for their administration in human subjects, NIRS can meet diverse demands being made by the clinical research sectors. MIC is currently involved in the expansion of the probe library, so as to meet the needs of both internal and external researchers. Optimal maximum theoretical specific radioactivity C 11 C 1200 Network Good manufacturing practice (GMP) concept 800 2.Prevention of contamination and quality decline of pharmaceuticals 3.Establishment of high-quality assurance system 400 0 1994 1996 1998 2000 2002 2004 2006 (FY) Growth in production The number of PET radiopharmaceutical production Production Routine for Radiopharmaceuticals System Database Automated scheduling Monitoring and recording Barcode approval 11 [11C]SCH 14 [11C]RAC 28 [11C]WAY 16 Others 34 [ C]BTA 35 [ C]FLB 41 [11C]DASB 16 C Other institutions: NIRS: approximately 1Ci /μmol Dosage (10 mCi/time) NIRS: less than 0.1 nmol ↑ Ordering of radiopharmaceuticals Tracking the progress Diagnosis Clinical research 11 [ C]DOPA 36 62Zn/Cu Generator 18 [18F]FDG 107 Production of radionuclide Checking the preparation list Automated Synthesizer Radiosynthesis,purification, formulation [18F]FLT 36 200 Ci /μmol Cyclotron [11C]Met 908 Automated Autoradiographic image of brain slice with [ C]Raclopride 11 Quality check pH, purity, etc. Breakdown of pharmaceuticals 125 Ci/μmol 2 Ci/μmol 1 mCi/μmol The above-provided image shows that the higher the specific activity, the higher the clarity of the image. This is an autoradiographic image obtained by applying [11C]Raclopride that has the same total radioactivity but different specific radioactivity compared to brain slices obtained from the same rat. MOLECULAR IMAGING CENTER P8 Flow of Pharmaceutical Production 11 Achieved value of specific radioactivity Diagnosis of Disease Conditions such as Alzheimer’s Disease OCOCH3 Serotonin 5-HT1A Receptor [11C]WAY100635 Muscarinic Acetylcholine Receptor (mAch) [11C]NMPB, [11C]3NMPB Opioid Receptor [11C]Carfentanil [11C]PAE Cholinergic Enzyme Acetylcholinesterase [11C]MP4A [11C]MP4P [18F]EP4MA [18F]EP4A Brain Butylcholinesterase [11C]5R3B [11C]MP3B [18F]FEP4MB Metabotropic Glutamate [11C]PTBN Phosphodiesterase [11C]Rolipram Glucose Metabolism Dopamine Metabolism [11C],[18F] DOPA [18F]FDG Tumor Fat Metabolism Bone DNA Synthesis Receptor [11C]S-dThd [18F]Estradiol [11C]Methionine [11C],[18F]Tyrosine [18F]FLT Blood Flow [61,62Cu]HSA [15O]H2O [13N]NH3 [38K]K+ Circulatory Organ Protein Synthesis [18F]NaF Serotonin [11C]DASB [11C]McN5652 Multiple Drug Resistance Norepinephrine Protein 11 [18F]FMeNER-d2 [ C]Verapamil [11C]Oseltamivir Glial Metabolism Benzodiazepine Receptor (BZR) [11C]Ro15-4513 11 Peripheral Benzodiazepine [ C]Flumazenil Receptor NMDA-type Glutamate Receptor [11C]DAA1106 [11C]Ac-L703,717 [18F]FEtDAA1106 [11C]Ac5216 Substance P Receptor [18F]FEt-SPARQ At NIRS, PET scanning is performed prior to and following charged particle therapy as well as for brain function research. [11C]Met and [18F]FDG are PET probes that are used for tumor diagnosis, while the others are used for brain function imaging. FY2007: 1289 subjects, 19 pharmaceuticals [11C]MP4A Characterization of Malignant Tumors [11C]Choline Hypoxic Tissue [61,62Cu]ATSM [18F]Misonidazole [11C]Methyl-Kigamaycin Oxygen Metabolism [11C]Acetate [11C]Iressa 11 CH3 For the purpose of imaging the activities of the cholinergic nervous system (acetylcholinesterase activity), [11C]MP4A has been developed. By quantitatively measuring the acetylcholinesterase activity, we demonstrated differences among cholinergic nervous conditions observed in various cases of dementia. In addition, we succeeded in elucidating the direct pharmacological effects of Alzheimer’s disease in the human body. This helps the discrimination between similar disease conditions and the adoption of appropriate remedial measures. [11C]MP4A is an original probe developed by NIRS; the development of his probe from molecular design, labeling, synthesis, and evaluation, to the analytical method, was conducted at NIRS. O 11 CH3 HO S N 1.Reducing human errors 1 atom 11 Dopamine D2 Receptor [11C]Raclopride [11C]FLB457 [11C]NMPA Dopamine [11C]PE2I [11C]BF227 [11C]PIB Network FY 2007:1658 times 150 million atoms Dopamine D1 Receptor [11C]SCH23390 [11C]NNC112 Transporter Amyloid PET probes available at NIRS (as of October 2008) 1600 1992 14 Automated comprehensive radiopharmaceutical production system Neural Receptor NH N Drug Evaluation O O OH For the purpose of imaging the proliferation of a malignant tumor, we developed [11C]S-dThd by using a thymidine derivative . We performed imaging on C6 tumor-bearing mice and succeeded in acquiring an image of highproliferation tissues such as the tumor and the bone marrow. Since the tumor uptake of [11C]SdThd was observed to be significantly high, this probe is expected to be a potential novel tumor imaging probe, which can be used with an effectiveness greater than that observed with [18F]FLT. This NIRS-developed probe is going to proceed to clinical research. Face-down [11C]Oseltamivir 11 C CH3 O NH2 EtO [11C]S-dThd H N O For the purpose of investigating the behavior of R ○ Tamiflu (Oseltamivir)—an influenza drug—in the brain, we established an effective production method for it and succeeded in the fully automated synthesis of [11C]Oseltamivir for the first time in the world. The success of this system was realized in the use of the versatile automated synthesis system. We utilized an animal PET machine to measure the uptake of this probe in young and adult rats, and found that radioactivity concentration in the brain of the young rats is higher than that observed in that of adult rats. This molecular probe helps in revealing the side-effects of R ○ Tamiflu administration. Sideways Brain Automated ↑ Dispensing Delivery -via an automated transfer system Normal Alzheimer’s Disease [11C]MP4A image of the human brain [11C]S-dThd image of C6 tumor-bearing mouse (Tumor on the right shoulder) Young rat Adult rat [11C]Oseltamivir image in the rat brain MOLECULAR IMAGING CENTER P9 Safety Assurance, Ethics, and Regulatory Sciences Molecular Imaging Sponsored by the Ministry of Education, Culture, Sports, Science and Technology, Japan Research Base for PET Diagnosis Clinical Trials Clinical Research Pharmaceutical Affairs Law and GCP Ethical guidelines for Clinical Research ( Standards for the Implementation of Clinical Trials on Pharmaceutical Products ) Ethical guidelines for Human Genome and Genetic Analyses Research Ethical guidelines for Epidemiological Research, etc. ・Report to the Ministry of Health, Labour, and Welfare ・Approval by the institutional review board ・Permission of the director of the institute ・Informed consent of the subject ・Adverse event reporting to the Ministry of Health, Labour, and Welfare ・Compensation for injury ・Monitoring and audit ・Investigation by the Ministry of Health, Labour, and Welfare ・Register research programs in the database of private sectors ・Approval by the ethics committee ・Permission of the director of the institute ・Informed consent of the subject ・Adverse event reporting to the Ministry of Health, Labour, and Welfare ・Compensation for injury ・Education and Training of researchers and ethical committee members ・Investigation by the Ministry of Health, Labour, and Welfare Microdose Clinical Trials Managing Conflicts of Interest ・Monitoring radiation exposure in human subjects and handling of radioisotopes Guidelines for Conflicts of Interest Management The Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT) launched the “Molecular Imaging Research Program” as one of the research programs in the field of life sciences that reflect social needs. This program aims to apply PET and other imaging methods to innovate through drug discovery as well as to promote technological development for diagnosis and therapy evaluation. MEXT publicly sought for “Research Base for Exploring New Drugs” and ”Research Base for PET Diagnosis,” which are leading research institutes. Consequently, NIRS was adopted as the “Research Base for PET Diagnosis.” The Molecular Imaging Center, NIRS, as a Research Base, is destined to promote and develop PET fundamental technology, such as that establishing the largest molecular probe library of the world and the development of synthesis technology for super-high specific radioactivity, while taking measures to promote the dissemination of research results. Further, in addition to therapy evaluation methods, we aim at developing diagnostic analysis and diagnostic modality methods for a variety of diseases. Molecular Imaging Research Program Research Base for PET Diagnosis Research Base for Exploring New Drugs Cooperation NIRS RIKEN ・Development of innovative molecular probes ・Development of a synthetic method for ・Labeling molecular probes with ultra-high Personal Information Protection molecular probes ・Identification of new drug candidates specific radioactive isotopes ・Development of an automated synthesis Laws on protecting personal information that is maintained by independent administrative institutions and other sectors system for medium half-life radionuclides Innovation in Drug Discovery Innovation in Diagnosis All Japan-nationwide commitment Acts, Laws, and Guidelines Compliance Safety of Subjects Exposed to Radiation Contribution to development of novel healthcare technology Among all molecular imaging studies being conducted, those involving human participants should be regulated by the laws and ethical norms to the highest extent in order to assure the safety of the participants. In Japan, clinical trials conducted among at new drug application for marketing authorization are conducted under strict legal monitoring. Clinical researches conducted without the intention of new-drug application are regulated by the guidelines issued by the Japanese government such as Ethical guidelines for Clinical Research, Ethical guidelines for Human Genome and Genetic Analysis Research, and Ethical guidelines for Epidemiological Research, and so on. In any types of clinical researches, approval from the ethical committee and informed consents of the subjects are required. In addition, clinical trials aiming at marketing authorization are required to be registered to the regulatory authority and have them investigate the trial. Further, management of the Conflict of Interest (COI) and the protection of personal information are needed. In the clinical researches administrating radioisotope to humans, radiological protection of human subjects are absolutely necessary. In a “microdose clinical trial”, extremely small amount of candidate compound labeled with radioisotopes are administered to humans and phamacokinetics /phamacodynamics data of the compound is obtained. In 2008, Guidelines for the microdose clinical trial were published in Japan by the Ministry of Health, Labour, and Welfare. This guideline is the first to state the policy of the nation with respect to radiological protection of human subjects. The National Institute of Radiological Sciences has established strict monitoring system for radiological protection of research subjects since decades before the governmental guideline was issued, then it has contributed considerably to the compilation of the guideline. In future, we will collaborate with greater number of research institutions to develop research governance framework in view of radiological protection, learning more from the international frameworks. The “Microdose clinical trial” guideline has made a breakthrough of applying molecular imaging methodology that utilizes PET and SPECT to new drug development. From the perspective of the pharmaceutical industry, new drugs are developed to a greater extent in foreign countries than in Japan. This situation is referred to as “hollowingout of the clinical trials” or “drug lag” and has been considered to be a serious problem. However, the microdose clinical trial marks a turning point since the entire process of drug development from the initial screening to the later approval application process, can be brought back to Japan. Further, molecular imaging technology is expected to be applied with a higher frequency at the later stages of drug discovery. Molecular imaging methodology is essential not only from the aspect of drug discovery but also in the field of brain imaging studies, which have been promoted globally. We are involved with the ethical and social issues related to such cutting-edge research so as to promote public understanding science of these field. MOLECULAR IMAGING CENTER P10 Universities Research institutes Pharmaceutical companies Clinical application and popularization Medical device industries Advancement of science and technology Promotion of Health on a Nationwide Basis Fostering of Human Resources and Collaboration with Academia and Business Concerns Fostering human resources in the research field of molecular imaging is one of the important missions of the NIRS as the Research Base for PET Diagnosis. NIRS continues to hire postdoctoral fellows and technical staff who are expected to become promised specialists with expert knowledge. In addition, Tohoku University, which entered into a basic collaboration with NIRS on molecular imaging, started a new graduate program for molecular imaging in FY2006. This “Molecular Imaging Education Course,” has been effective as a foster program. Currently, several students belonging to the workforce are involved in research activities at NIRS. Furthermore, the MEXT molecular imaging research program supports collaborative research projects with academic and industrial sectors. The projects are intended to take advantage to the greatest possible extent of the fundamental technologies and equipments of NIRS, which have been maintained with the budget of MEXT, and to deliver prospective foresight on the clinical application of PET imaging; the titles of these projects are “Development of New Molecular Probes Targeting a Cancer Cell-Specific Membrane Protein” (principal site: J-Pharma Co., Ltd.), “Development of Therapeutic Approaches and Monitoring Technologies toward Tauopathic Dementia (principal site: Kyoto University), and "Development of Diagnostic Methods for Refractory Tumors including Mesothelioma" (principal site: Juntendo University School of Medicine). MOLECULAR IMAGING CENTER P11 "Visualize" Cancers Diagnostic Imaging Group The Diagnostic Imaging Group conducts research on functional imaging of cancer with emphasis on positron emission tomography (PET) imaging. During the process of carcinogenesis and cancer progression, cancer cells acquire various novel characteristics. If these characteristics can be evaluated by imaging, we can clarify properties of individual cancers directly related to treatment, such as malignant grade of tumors, sensitivity or resistance to treatment, and expression of therapeutic target molecules. This could enable the formulation of therapy plans on the basis of these characteristics and to judge or predict the effectiveness of therapy from changes in these characteristics by treatment, and to contribute for the so-called personalized medicine. Although many kinds of PET probes, such as 18F-fluorodeoxyglucose (FDG), 11C-methionine (Met), 18F-fluorothymidine (FLT), and Cu-ATSM, have already been developed and clinically applied, it is expected that development of new probes will be necessary for the more precise characterization of caners. In our group, in addition to the research on cancer characterization using PET probes that are already available, we conduct researches associated with the following areas: (1) exploration of novel targets of tumor imaging, (2) development of radiolabeled probes to detect new targets, and (3) development of sensitive imaging methods using functional imaging techniques such as PET. The goal of this Group is to make clinical contributions in the management of cancer patients, including heavy particle therapy conducted at the NIRS. Group Leader: Tsuneo Saga Clinical Diagnosis Team Molecular Diagnosis Team Biomolecule Team "Diagnose" Cancers "Portray" Cancers "Explore" Cancers The Clinical Diagnosis Team conducts clinical research on functional imaging methods for tumors, mainly based around PET, with the aim of contributing to the cancer treatment including heavy particle therapy of cancers. By conducting clinical research using PET probes, including FDG, a glucose metabolism marker that is widely used around the world; Met, an amino-acid metabolism marker; FLT, a cell proliferation marker; and Cu-ATSM, a marker of hypoxia that induce resistance to treatment, the Team is clarifying the functional roles of each probe to be used as biomarkers. In addition, the Team is promoting the clinical application of PET probes being developed at NIRS. By using various cancer imaging probes, we can clarify characteristics of cancer that are important for the treatment planning and monitoring of treatment, including malignant grade, presence or absence of therapeutic target expression, responsiveness to treatment, and so on, and we are expecting for the contribution for the better management of cancer patients by cancer molecular imaging. The Molecular Diagnosis Team engages in basic research on the development of imaging methods using specific molecular markers, focusing on the design and evaluation of PET molecular probes, for the visualization of changes in biomolecules associated with disease, especially tumors, and the utilization of these methods for diagnosis. One of the most important factors to be considered while designing molecular probes is the biological phenomenon that is chosen as the target. As we acquire a deeper understanding of the characteristics of tumor cells, for instance, the mechanisms of cell carcinogenesis and the pathways governing metabolism in tumor cells, we discover new targets for the development of molecular probes. Another important factor to be considered is the elucidation of the characteristics of existing diagnostic products. We bring back critical findings gained in clinical research to bench and study them to understand the fundamentals of real cancer. In addition, the Team grapples with the development of imaging methods useful for the development of new treatment methods, such as reporter-gene imaging systems. The Biomolecule Team aims to elucidate and clarify the functions of molecular targets for tumor imaging and also enable their imaging. We believe that non-invasive imaging of tumorassociated molecular targets will contribute to early tumor detection and treatment planning. We conduct research by initially performing functional screening of genes related to tumorcell proliferation and performing proteomic analysis on the blood of cancer patients and healthy individuals in the search for molecular targets. Thereafter, through analyses of the functions of the target molecules and their expression in tumors, we investigate their usefulness as molecular imaging targets. Moreover, we develop antibody-imaging methods for target molecules of mesothelioma, gastrointestinal stromal tumors, and so on. In addition, we have succeeded in imaging animal models such as a tumor-cell-transplanted mouse model and are currently pursuing improvements for clinical applications. Autoradiography A A Before treatment Cu-ATSM Immediately after treatment A B B B C D E GeneX FDG Ki67 ACTB MIP image 3 months after treatment FLT-PET images of two cases of lung cancer: The whole-body image of the first case (left) shows increased FDG uptake in the cancer in the right lung. The panel on the right (second case) shows the temporal decline in the uptake of FLT in the lesion in the left lung resulting from treatment. A: High Cu-ATSM, Low FDG B: Low Cu-ATSM High FDG The distribution of Cu-ATSM in this tumor differs from that of FDG. This is probably because Cu-ATSM tends to get concentrated in areas that contain fewer proliferating cells and blood vessels, and are thus more resistant to treatment. Protein expression of a new mesothelioma marker candidate (showing high-level expression in sarcomatoid mesothelioma (C) and no expression in normal mesothelial cell and other tumors) Mouse tumor model electroporated with pFHC-RFP Liver MRI(T2WI) 62 Cu-ATSM Case of uterine cervical cancer: Inhomogeneous uptake of 62CuATSM (yellow arrows) is observed in the tumor detected by MRI (red arrows), indicating heterogeneous nature of tumor hypoxia. MOLECULAR IMAGING CENTER P 14 (The entire body: Fluorescence) (Tumor: T2W MRI) (Tumor:Fluorescence) We successfully captured the expression of the ferritin heavy chain by MRI. This expression phenomenon is expected to be utilized in developing a reporter for gene therapy. Imaging with an antibody that recognizes a tumor marker overexpressed in mesothelioma (tumor indicated by the arrow) MOLECULAR IMAGING CENTER P15 Molecular Neuroimaging Group The Molecular Neuroimaging Group focuses on neuropsychiatric disorders, including schizophrenia, mood disorders, and Alzheimer’ s disease. Our group adopts both basic and clinical approaches to better understand pathological conditions and to develop methods for earlier diagnosis and more effective treatment strategies. Positron emission tomography (PET) and magnetic resonance imaging (MRI) are used for research with both animal models and humans, contributing to the development of novel drugs and treatment methods by establishing molecular parameters and imaging biomarkers for neuropsychiatric disorders. Group Leader: Tetsuya Suhara Molecular Neurobiology Team System Neurochemistry Team Clinical Research for Neuropsychiatric disease Molecular Approach to Living Models Molecules Connecting Functions The Clinical Neuroimaging Team is conducting clinical studies on neuropsychiatric diseases including dementia, depression, schizophrenia, etc., using PET and MRI in order to elucidate their pathophysiology and develop methods for their early diagnosis and treatment evaluation. PET is a tool to quantitatively image in vivo functions of central nervous system, e.g., neuroreceptor functions, using various radiopharmaceuticals. Using this tool, the Team is aiming to understand the pathophysiology of psychiatric and neurological diseases in an integrated manner in conjunction with brain functions and anatomical information obtained from MRI. Our research focuses on providing clarification on the kinetics of radiotracer in the brain, the establishment of quantitative measurement and imaging methods, construction of a central nervous function database using PET, and study the relationship between such data and brain function information obtained from MRI. On the basis of these activities, we are attempting the elucidation of the pathophysiology of psychiatric and neurological diseases by PET measurements on the central nervous functions. We are also utilizing PET technique to evaluate the therapeutic effects of psychotropic drugs, i.e., to investigate mechanisms of pharmacological action and to determine optimum dose for clinical practice. Neurological diseases are causally linked to core pathologies exemplified by the accumulation of proteinaceous aggregates, which trigger a cascade of molecular and cellular abnormalities leading to aberrant neurotransmissions and consequent symptomatic manifestations. Using PET and other cutting-edge imaging techniques, we conduct exhaustive in vivo monitoring of genetically engineered mice that model the 2 hallmark fibrillar lesions in Alzheimer’s disease, senile plaques and neurofibrillary tangles, and this approach enables the pursuit of the cascade from the fibrillogenesis to disordered neurotransmissions. Our Team was the first to successfully visualize senile plaques in mouse models by PET. This technology is now applied to the development of new diagnostic and therapeutic agents targeting the Alzheimer’s disease pathogenesis. In addition, the Team is dedicated to elucidate the molecular basis of protective and aggressive roles played by the neuroimmune system in diverse neurological conditions, with the aim of therapeutically regulating neuropathologies. Our small-animal imaging research is also focusing on the molecular etiology of psychiatric diseases by reversely tracing the cascade from phenotypic and functional alterations to pathological culprits. The interactions between heredity and the environment are a critical factor for the acquisition of higher brain functioning as well as the related psychiatric or neurological disorders. In essence, the development of treatment drugs and methods should be conducted in line with our understanding of the conditions surrounding the disease and the operating principles of brain function. It becomes possible to accelerate the advancement of the medical and pharmaceutical sciences by comparing primate models with humans and patients since the brain of a primate has a structure homologous to that of a human being and is highly differentiated. We elucidate the processes of brain function maturation and pathophysiological processes by studying primate models in terms of "where (localization and sites of action)," "how (mechanism of molecular action)," and "what (symptoms and effects of function)." Using PET, which can monitor the living brain as a whole, as our main tool, we achieve an unified understanding of brain function on the molecular, neuronal, synaptic, and system levels in order to propose objective methods of diagnosis and innovative methods of treatment. Dopamine D2 receptor Occupancy (%) Figure of Brain, Shape of Mind Clinical Neuroimaging Team ・Vehicle 100 ・Aβantibody Dopamine D2 receptor Serotonintransporter [11C]FLB457-PET [11C]DASB-PET 80 ・Amyloid 70 60 Side-effect No side-effect 40 Optimum dose 6∼9mg/day 20 0 0 5 10 15 Dosage (mg/day) 20 Dose-receptor occupancy curve for the sustained-release antipsychotic agent paliperidone measured by PET. The optimal dose of the drug was identified. ・Activated glia ・Senile plaque model mouse 1 week after vaccination Mouse PET images after vaccine therapy. The side injected with antibody exhibits activation of immunocompetent glial cells and a greater reduction in senile plaques than the side injected with the carrier solvent. Normal mouse Tau tg mouse PET Marmoset coronal PET images showing the distribution of dopamine D2 receptors and serotonin transporters. ・Brain permeability Where (Localization) ・Selectivity How (Mechanisms) What (Effects) Autoradiography Treatment Deposition of amyloid in mild cognitive disorder. Amyloid deposition is observed in the parietal cortex. MOLECULAR IMAGING CENTER P16 Activation of glial cells in a mouse model of neurofibrilary tangle formation (tau Tg mouse; right panels) relative to a wild-type control (left panels). Atrophy of the hippocampus (encompassed by dotted lines) is consequent to the neural death. Understand clinical conditions PET is useful for investigating the sites and modes of action and the efficacy of centrally acting drugs within living subjects and is expected to contribute to drug discovery. MOLECULAR IMAGING CENTER P17 "Investigate" Molecules with Molecules Molecular Probe Group The Molecular Probe Group conducts research on the molecular probes that are essential for molecular imaging with PET. In the group, we specifically focus on the development of probes using in-house expertise: the probes under development target the evaluation of oxidative stress, which is suspected to contribute to various diseases, as well as evaluation of tumor malignancy and the assessment of both tumor characteristics and drug-efflux transporter functions. In addition to short half-life nuclides, we develop and produce medium half-life nuclides such as 76Br and 124I, and metal nuclides such as 61,64Cu, 63Zn, 62Zn/62Cu generator. Further, in order to develop molecular probes efficiently, we investigate novel labeling techniques and rapid synthesis methods, improve useful reaction intermediates, conduct research into labeling techniques with theoretical specific activity through mass separation, and develop novel apparatus for the synthesis of molecular probes. Currently, we are focusing on strengthening these fundamental techniques and facilities to provide a foundation for the Molecular Imaging Research Program, applying molecular probes that are efficient for imaging of bodily functions, and expanding the list of probes. The probes already developed are produced under a production facility system adhering to good manufacturing practice (GMP) standards and constantly delivered to other research groups and the Research Center for Charged Particle Therapy Hospital. Further, these achievements are intended to be used as a molecular probe library by a wide range of researchers from both outside and inside the country. We are now dedicated to applying these achievements for the benefit of society. Group Leader: Toshimitsu Fukumura Radiochemistry Team Probe Research Team "Illuminate" Molecules "Create" Molecules The main mission of the Radiochemistry Team is pursuing research and development for the efficient production of diverse and high-quality molecular probes through the design of new labeling reactions and developing new methods of synthesis for high-specific activity and radiochemical yield. One novel synthesis method produced and developed by the Team has been a PET ligand with a [18F] fluorobenzene ring formed by the reaction of [18F] F- with a newly labeled precursor diphenyliodonium salt with various substituents in its benzene rings. We established a production method for the labeled intermediates [11C] nitromethane, [11C] methyl chloride, etc. with a stable and reproducible yield, and developed new labeling reactions using these molecules for application in probe development and production. Further, in addition to existing PET ligands, we are producing probes with high specific activity, using labeled intermediates of ultra-high specific activity. Using these probes, we have visualized bindings not previously observed in tests using probes with normal specific activity. For the development and advancement of molecular imaging, the creation of excellent probes is essential. The Probe Research Team either invents or selects measurement principles for the accurate capture of targeted vital functions and molecules and designs molecular probes. Probes are then developed in the same manner as new drugs, by evaluation and verification in animals and humans on the basis of defined measurement principles. By assuming a kinetic strategy that especially utilizes metabolism, the team has developed uniquely creative and excellent probes; these probes are clearly distinct from the probes developed by other research institutes. This active employment of metabolism enables both measurements of metabolic rate and the tracking of metabolite kinetics. In developing this strategy, we also promote the accumulation and establishment of a theoretical basis for kinetics in probe design. Currently, measurements of stress conditions and defensive function against foreign materials, both of which are located upstream of many causes of disease, are desired, and we are developing probes that quantitatively capture the biomolecules playing roles in these processes. Examples of such probes recently developed by our group are provided below. Radionuclide, Fluorescent group, etc. b 18 CH 3 R1 R2 N N N 11 N H 3 11C NH HO N N O d c Br Radioactive nuclide Labeled intermediate Labeling reaction High-specific radioactivity Precursor OCOCH 3 a 14 CH 3 FH2 C N O S OH Radioactive probes recently developed: a: Cerebral acetylcholine esterase, b: Drug efflux pump (MRP1), c: Oxidative stress, d: DNA synthesis capacity Molecular probe Radiopharmaceutical Production Team Production System Team Produce Safe Molecules Produce Molecules Safely In order to apply PET molecular probes to clinical applications, it is important to establish satisfactory regular production procedures for the safe administration into human subjects. The Radiopharmaceutical Production Team regularly produces a wide variety of PET probes used in clinical molecular diagnoses, such as cancer, central nervous system disorders and also for basic researches and cooperates with other teams/groups in (1) development of production methods for the continuous production of probes with high radioactivity/specific radioactivity and efficient purity, (2) establishment of fast and reliable quality control methods to ensure adequate quality of PET probe, (3) evaluation of toxicity and safety of molecular probes using acute toxicity and other tests, and (4) estimation of human radiation-absorbed dose from biodistribution data in animals. Moreover, the Team is conducting contract analyses of several PET probes including [18F]FDG preparations produced in greater than 80 PET facilities in Japan, which contributes to the safety use of PET probe throughout the country. The Production System Team develops automatic synthesis systems and other production systems for PET molecular probes for use in molecular imaging. The production of PET probes is not performed manually but remotely using automated synthesis systems to avoid radioactive exposure to the individuals and professionals handling these operations due to the large volumes of radioactive materials that are essentially used in the early stages of probe production because of the short half-life of radionuclides. The NIRS divides this apparatus into units and develops universal multipurpose systems of producing various molecular probes by interchanging these units as well as new units for the synthesis of various drug agents. Furthermore, the Team has developed vertical irradiation system for the production of 124I, 76Br, and 64Cu, necessary for the development of molecular probes with medium half-life radionuclides. Currently, the Team is developing technologies for the removal, separation, and refinement of irradiated targets and production systems for molecular probes with medium half-life radionuclides. GMP oriented automated production system for the production of PET radiopharmaceuticals (see P.8) Radionuclide production Automated radiosynthesis Automated quality control testing Automated dispensing PET study Schematic diagram of PET radio-pharmaceutical production In order to reduce human errors and operator exposure to radiation, the production is under system control. MOLECULAR IMAGING CENTER P18 Various drug agents are synthesized within a single system by incorporating a synthesis unit (right) into a multi-purpose system body (left). MOLECULAR IMAGING CENTER P19 Magnetic Resonance Molecular Imaging Team Biosignal Physiology Team "Track" Signals "Understand" Signals The Magnetic Resonance Molecular Imaging Team conducts research into imaging living cells and molecular activity contributing to the discovery/treatment of diseases and drug development. By combining high-magnetic field MRI with fluorescent and radiation imaging techniques, the Team develops new cellular and molecular imaging methods for research in animals, from mice to primates, and in a wide range of fields including oncology, neuroscience and regenerative medicine. Examples of such efforts are the development of a contrast medium that can detect cellular and molecular activity with high precision and resolution, and also the development of drug delivery system (DDS) technology that can simultaneously discover and initiate treatment of a disease. With this fundamental research, the Team is striving to develop “patient-friendly” imaging that promotes the early detection and treatment of diseases. "Measure" Signals Biophysics Group The Biophysics Group develops methods for imaging molecular behavior in the living body, that is invisible to the naked eye. High-sensitivity positron emission tomography (PET), high-resolution magnetic resonance imaging (MRI), and widely informative fluorometry measurement are the techniques effective for imaging molecules. Specifically, PET can investigate body function and dysfunction through molecular behavior after injecting various radioisotope-labeled molecules and measuring their kinetics in the living body. Furthermore, PET is so sensitive that it can detect radioisotopes even when they exist in concentrations as low as 10–9 M. One of the strengths of MRI is its high resolution, but its detection sensitivity is not as good as PET. In the Biophysics Group, we also conduct developmental research on the imaging of drug delivery systems (DDS). A DDS method utilizes probes made of nanoparticles labeled with fluorescent and magnetic substances so that their access to the target tissue can be assayed by fluorescence and their location can be determined by MRI imaging. The group includes four research teams: imaging physics, which develops the fundamental PET technology; multi-modal imaging methods, which combines MRI and fluorescent imaging; biosignal functional fusion, which aims to illustrate the relationship between molecular function and tissue function; and image analysis methods, which quantitatively analyzes bodily function from PET or MRI images. These research teams collaborate to promote the development of techniques for imaging the diagnostic biomarkers and therapyevaluation biomarkers for various diseases. Group Leader: Iwao Kanno Sub Group Leader: Hiroo Ikehira The name of our Team originates from our goal of combining imaging signals obtained from imaging techniques with molecular functions. Our research activities are roughly divided into 3 categories, namely, fundamental research, development, and clinical application. In “fundamental research,” activities consist of attempts to elucidate the mechanism of functional MRI using fluorescent microscopy and other techniques. For “development” activities, we are searching for a new measurement method to replace conventional functional MRI. For example, we are attempting to develop a novel functional MRI that conducts selective MRI measurements of the water surrounding nerve cells, in which diffusion is restricted. In “clinical application” activities, we apply various leadingedge MRI technologies into clinical practice, including MR spectroscopy, diffusion MRI, and MR elastography (hardness measurement). Through a close combination of these research activities, from molecules to tissues, from experimental animals to humans, and from basic research to clinical application, we are advancing translational research. Sensitized microscopic MRI of the brain (left) Quantum dot contrast medium capable of fluorescent and MRI imaging (middle) Adhesion to tumor cell (right) (Left) Time-lapse image of cerebral microcirculation (Green: FITC-labeled red blood cell, Red: fluorescently labeled blood plasma with Qdot 605 PEG), visualized with in vivo two-photon microscopy. Image Analysis Team Imaging Physics Team "Read" Signals "Detect" Signals The Image Analysis Team conducts research and development into methods and algorithms for quantitative molecular imaging with PET. PET scanning produces images of the distribution of an administered radioactive drug within the body. However, in molecular imaging of neuroreceptor concentration, for example, it is necessary to computationally abstract the radioactivity originating in the drug specifically bound to the target receptor from measured PET images. The Image Analysis Team is promoting the development of high-speed and highly reliable algorithms for this purpose. Although rodents are commonly used in experimental imaging, this is not always easy due to their small size. Therefore, we are also developing and validating a system for withdrawing microvolumes of blood and measuring its radioactive concentration and the imaging protocols which use this system. From these achievements, it will be possible to obtain greater amounts of molecular signal information with greater accuracy. The Imaging Physics Team has succeeded in developing a high accuracy 3-D position-sensitive radiation detector for PET (depth of interaction (DOI) detector), the first of its type in the world. Through the experimental use of this DOI detector, we produced the high-sensitive, high-resolution PET machine, namely, jPET-D4, leading to our proposal for OpenPET geometry. We are presently conducting various kinds of fundamental research into improving the quality of diagnosis and treatment using OpenPET geometry, integrating PET machines with other apparatus including diagnostic and treatment devices. This includes developmental research into new radiation sources and measurement methods to increase the precision of performance measurements accompanying the increased performance of PET machines, research into methods to improve images using radiation information gained from 3-D position sensitive radiation detectors, research into the development of detectors that make use of new light receiving elements in OpenPET, research into measuring time-of-flight γ-rays for improving PET image quality, research on OpenPET detector configuration and image reconstruction methods, and research into methods for utilizing OpenPET technology in medical therapy. count [Bq/ml] The most sensitive area is opened x10 4 4 2 0 30 60 The field of view time after administration [min] Temporal change of [11C] raclopride (RAC) concentration in the corpus striatum and the occipital lobe, containing high and low numbers of D2 receptors of RAC, respectively. The change in concentration differs depending on the concentration of receptors. Appropriate analysis enables quantification of receptor concentration. MOLECULAR IMAGING CENTER P20 (Right) A diffusion tensor MR image of a prostate indicating irregular water diffusion in the tumor region (brown irregular circle) and oval shape of benign hyperplasia (red circles) (Joint research: National Institute of Radiological Sciences Hospital and Chiba University) Eight-layer 3-D position sensitive radiation detector (DOI detector) The field of view is extended Schematic diagram of OpenPET apparatus MOLECULAR IMAGING CENTER P21 Multiprobe Disease diagnosis of the entire body Dynamic scan Diagnose Disease A Disease B Disease C Disease D Therapy and evaluation of disease Vision of the Future Molecular imaging, which directly visualizes the molecular functions or dysfunctions in the living body, can diagnose various diseases at the molecular level by imaging the functions of the healthy humans or the conditions of disease with the use of various molecular probes non-invasively. Current molecular imaging methods are limited by the number of diseases that can be diagnosed using a particular probe. However, in the future, for instance, in 20 years, an era is expected to arrive in which multiprobes or hybrid probes that have many functions and the apparatus that simultaneously images these multiple information streams have been developed. Then a single injection may enable the diagnosis, treatment, and evaluation of various diseases. Diagnostic Imaging Group Molecular Neuroimaging Group Molecular Probe Group Biophysics Group "Shoot" the Cancer "Examine" the State of Mind "Develop" Molecules "Navigate" Molecules The advancement of tumor imaging research is expected to enable us to evaluate various characteristics of cancer cells in the living body of model animal or even humans. Information that directly related to cancer treatment such as tumor malignancy, the probability of metastasis/relapse, and the information on the presence/absence of the target molecules for molecular-targeted therapy is essential for choosing an appropriate therapeutic strategies and also leads to the improved prognosis of cancer patients. In addition, by imaging the processes related to carcinogenesis, it may possibly lead to super-early or preclinical diagnosis and even to the prevention of carcinogenesis. Furthermore, by labeling probes with cytotoxic radioisotopes such as β-ray and α-ray emitters, cancer-specific treatment of the whole body (internal radiation therapy) will be possible. It is highly expected that molecular imaging will contribute to diagnosis, therapy, and prophylaxis of cancer to a great extent. In the near future, a number of imaging biomarkers for schizophrenic disorder, depression, and Alzheimer’s disease, for which prophylaxis and treatment are still difficult, will be identified. Further, in the case of treatment after onset, it will become possible to judge objectively how effective the treatment is by observing the behavior of these biomarkers; simultaneously, it is believed that the evaluation of novel therapy methods will be accelerated. Furthermore, research into the behavior of the mind will be promoted, and the complex mechanisms governing the functioning of the brain, which breeds the mind, will be at least partly untangled. Such mechanisms will be imaged, and it may become possible to visually confirm the health status of the mind. Since clinical research with PET first began, tracers to identify the functions of various targets have been sought. However, to date, no tracer has been developed that surpasses [18F] FDG. As molecular imaging depends on the characteristics of molecular probes, in 20 years from now, it is probable that the development of molecular probes will still be continuing actively. In addition, novel probes to measure various functions such as the expression of a gene will be developed. On the other hand, automation of the production of probes and operations with a risk of radiation exposure will be promoted further, and this may be achieved using robots in an unmanned clean room in the future. Thirty years ago, when radioisotope tomography was first realized, it took as long as an hour to obtain an image that had a resolution of a few centimeters at best. Currently, an image with a resolution of a few millimeters can be obtained with only a few minutes of measuring time. Will it be possible to develop a radioisotope imaging method that has a field-of-view as broad as the entire body and that can conduct molecular imaging at the micro level? Currently, this is possible only by examination with microscopes invasively targeting the micro level. In the future, we expect that these examinations will be conducted noninvasively using molecular technology. In other words, probes that we can currently only dream of, and measuring apparatuses with high sensitivity, high resolution, and multiple functions will be developed. MOLECULAR IMAGING CENTER P22 MOLECULAR IMAGING CENTER P23