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Related Experiment Videos

Imaging thrombi with radiolabelled fragment E1.

L C Knight1

  • 1Temple University School of Medicine and Hospital, Philadelphia.

Nuclear Medicine Communications
|October 1, 1988
PubMed
Summary

Fragment E1, a fibrin fragment, effectively localizes in venous thrombi. This radiolabeled compound shows rapid blood clearance and high thrombus-to-blood ratios, making it a promising diagnostic tool for deep-vein thrombosis.

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Area of Science:

  • Biochemistry
  • Radiopharmacology
  • Thrombosis Research

Background:

  • Fragment E1 is derived from human fibrin, specifically its N-terminal regions.
  • It possesses unique binding sites that interact with fibrin polymers, not fibrin monomer or fibrinogen.

Purpose of the Study:

  • To evaluate the efficacy of radioiodine-labeled Fragment E1 as a thrombus-localizing agent.
  • To assess the diagnostic potential of Fragment E1 in visualizing deep-venous thrombi.

Main Methods:

  • Controlled plasmin digestion of cross-linked fibrin to produce Fragment E1.
  • Radioiodination of Fragment E1 (123I-labelled) for in vivo studies.
  • Animal models (pigs) and human clinical trials for thrombus visualization.

Main Results:

  • Fragment E1 demonstrated significant localization in venous thrombi in a pig model, achieving high thrombus/blood ratios (up to 100:1).
  • Human trials showed visualization of deep-venous thrombi within 30 minutes using 123I-labelled Fragment E1.
  • The compound exhibits rapid blood clearance, enhancing early thrombus detection, and its uptake is unaffected by heparin.

Conclusions:

  • 123I-labelled Fragment E1 is a highly promising radiopharmaceutical for effective thrombus localization.
  • Its rapid blood disappearance and specific binding contribute to high thrombus-to-blood ratios, aiding early diagnosis.

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