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Quantitative [18F]-Naf-PET-MRI Analysis for the Evaluation of Dynamic Bone Turnover in a Patient with Facetogenic Low Back Pain
Published on: August 8, 2019
A physiological skeletal model for radionuclide and stable element biokinetics in children and adults
1Radiological Protection Research and Instrumentation Branch, Atomic Energy of Canada Limited, Chalk River Laboratories, Chalk River, ON K0J 1J0, Canada. richardr@aecl.ca
Insights
A new physiological skeletal model (PSM) accurately simulates radionuclide and element behavior in bones, especially in children. This improved model enhances understanding of skeletal contaminants and cancer risks.
Area of Science:
- Biophysics
- Radiological Science
- Toxicology
Background:
- Existing skeletal models lack anatomical and physiological accuracy.
- Modeling skeletal uptake and clearance of bone-seeking contaminants is crucial for risk assessment.
Purpose of the Study:
- To describe a novel physiological skeletal model (PSM).
- To accurately represent skeletal uptake, retention, and clearance of radionuclides and elements.
- To account for age-dependent differences in bone turnover, particularly in children.
Main Methods:
- Developed a compartmental model incorporating organic and inorganic bone material.
- Included quiescent bone surfaces, forming bone surfaces, and the lacuno-canaliculi system.
- Incorporated a tertiary mineralization phase via bone fluids.
- Selected biokinetic parameters based on physiological and anatomical criteria.
Main Results:
- The PSM uniquely models bone fluid mineralization.
- Model parameters are based on realistic mass transfers and bone remodeling half-times.
- Evaluated model parameter values for adults.
Conclusions:
- The PSM offers a more anatomically and physiologically accurate representation of skeletal biokinetics compared to existing models.
- This model improves the assessment of cancer risk from bone-seeking contaminants.
- The PSM is particularly valuable for modeling children's greater susceptibility to skeletal contaminants.
Abstract:
A physiological skeletal model (PSM) is described that represents the skeletal uptake, retention, and clearance of both bone-surface-seeking and bone-volume-seeking radionuclides and stable elements. A key objective of the PSM is to model the higher skeletal growth and bone turnover in infants and children (compared to adults) in order to account for their greater uptake and cancer risk from bone-seeking contaminants such as lead and plutonium. The PSM is a compartmental model that allows for the incorporation of organic and inorganic material in the bone volume via quiescent bone surfaces, forming bone surfaces and the lacuno-canaliculi system. The model uniquely incorporates a tertiary phase of mineralization via bone fluids. The PSM's structural concepts and biokinetic parameters--such as realistic mass transfers, organ and tissue masses, and bone remodeling half-times--are selected mainly on the basis of physiological and anatomical criteria. For brevity, model parameter values are evaluated for adults only. The PSM is an improvement on existing skeletal models that are based more on compartment structures and pathways that rendered good fits to biokinetic data rather than on being anatomically and physiologically accurate.
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