Nanoparticles in Diagnostics & Imaging + Tissue Engineering Flashcards
medical diagnosis = process of determining what?
which disease/ condition explains a persons symptoms and signs
Why are nanoparticles used in imaging?
Overcome limitations of small molecules
What are some examples of small molecules used in clinical practice?
FDG, iodinated molecules, chelated gadolinium
whats FDG used for?
PET scan
what are iodinated small mols used for?
CT scan
whats chelated gadolinium used for?
MRI
What are some limitations of small molecules as imaging agents?
Low signal intensity, poor stability, nonspecific interactions, rapid clearance
What advantages do nanoparticles have as imaging agents?
Increased signal intensity, stable imaging signals, can coat with multiple ligands
What is PET imaging used for?
Detecting cancer metastasis
How do PET scans work?
Detects pairs of gamma rays emitted indirectly by
a positron- emitting radionuclide
What is CT imaging used for?
Preventive medicine, screening for disease, colonography, heart scans
How do CT scans work?
computer generation of X-RAY measurements to produce a cross-sectional (tomographic) images
What is MRI imaging used for?
Preoperative staging of rectal and prostate cancer
How do MRI scans work?
strong magnetic fields, magnetic field gradients, and radio waves to generate images of the organs in the body
why do we use nanoparticles in IMAGING?
high avidity as they can be coated with multiple ligands
allow multiple bond interactions
= nanoparticle accumulation at tumour site
= increase signal-to-noise ratio
longer circluation
= allows repeated imaging
why is NP use in imaging -> increased signal-to-noise ratio useful?
allows cancerous tissue to be better highlighted relative to adjacent normal tissue
What is the meaning of high avidity in nanoparticles?
They can be coated with multiple copies of ligands
what is the photoacaoutic/ optoacoustic effect?
formation of sound waves following light absorption in material sample
What is the rationale for using nanoparticles in DIAGNOSTICS?
Can be taken up by cells
Can be targeted to different diseases sites - EPR/active
DDS can be used for theranostic applications
what can you do to NPs for active targeting?
attach moieties to surface - antibodies/ fragments
What is the active ingredient in a pregnancy test that gives the indicator strip its colour?
Gold nanoparticles
What is the hormone detected in a pregnancy test?
Human chorionic gonadotropin (hCG)
What is hCG?
Peptide polymer of 244 amino acids, excreted in urine after fertilized egg implants in uterus, detected with 99% accuracy
What are the components of a pregnancy test?
Plastic housing, absorbent tip, immunoassay strip, gold nanoparticles, monoclonal antibodies
when are gold NP’s used?
diagnostic
testing for pregnancy
attached with monoclonal antibody for hCG
once attach n travelled = strip activated
What are gold nanoparticles?
Active ingredient in pregnancy test, appear red due to interaction with light, give indicator strip its color, monoclonal antibodies: designed to identify hCG, attach themselves to gold is hCG present, move up strip until reach indicator
What is the clinical use of iron oxide nanoparticles (SPIONS)?
MRI contrast agents used in clinic
what are SPIONS
Small nanomaterials consisting of iron oxide core crystals surrounded by a stabilising polymer or polysaccharide shell
2 most commonly studied iron oxides have been
magnetite (Fe2O4) and maghemite (g-Fe2O3)
T/F no need to use ionising radiation w MRI?
true
what are MRI contrast agents?
group of contrast media used to improve visibility of internal body structure in MRI
what is the most common MRI contrast agents?
gadolinium-based OMNISCAN
what drug classification are MRI contrast agents known as?
T1 or T2 agents
How are SPIONs used as contrast agents for MRI of infection and inflammation?
Phagocytosis by macrophages of injected SPIONs -> hypo-intensity of macrophage-infiltrated tissues in contrast-enhanced MR images.
SPIONs as contrast agents are useful for the in vivo MRI detection of macrophage infiltration.
Why are most nanoparticle imaging agents not cleared renally?
They are larger than 10 nm
how can spion use/ detection of macrophage infiltration be useful?
SPIONs used as MRI contrast agents can be used to detect inflammation and infection therefore help used to detect severe arthritis and osteomyelitis
- inflammation of bone/bone marrow
What is osteomyelitis?
Inflammation of bone or bone marrow, usually due to infection.
What can SPIONs be used to detect?
Why is it particularly a good marker?
Active infection in patients with septic arthritis and osteomyelitis.
MRI signal intensity of tissue
Returns to normal value after successful treatment.
What is the importance of the MRI signal intensity of the tissue returning to its un-enhanced value?
It indicates successful treatment of the infection.
What is the ability of SPION-enhanced MRI?
provides the ability to distinguish the inflamed pancreas of type 1 diabetes mellitus patients from that of normal control subjects, a finding that was based on the infiltration of the pancreatic islets by macrophages.
What is SPECT/CT?
Single photon emission computed topography where two different types of scans are taken and the images or pictures from each are fused or merged together.
what can SPECT/CT be used for?
identifying tumours (lumps) and alzheimer’s disease
Why is a SPECT/CT scan better than trasiitonal imaging methds?
Provides more precise information on body function and can identify tumours and Alzheimers disease.
T/F
spect is a non-invasive nuclear imaging test
true
it uses radioactive tracers that are injected into blood
what is administered in SPECT/CT?
MWNT-DPTA[111In]
IV
What 2 radio-filled carbon nanotubes are used in lung imaging?
SWNT filled with Iodine 125.
Glycosylated SWNT
What are quantum dots?
Tiny semiconducting particles with diameters of 2-10 nm.
can be excited to fluoresce.
name examples of quantum dots?
cadmium selenide (high tox!)
fluorescent NPs
What determines the color of light emitted from quantum dots?
The size of the particle
What colour do smaller quantum dots appear?
blue
What colour do larger quantum dots appear?
red
cadmium selenide PK effects
A semiconducting material used to make quantum dots.
=toxic
what are quantum dots used for?
cancer diagnosis
sentinel lymph nodes (SLN) mapping
What is a sentinel lymph node?
first lymph node/s to which cancer cells are most likely to spread from a primary tumour
how are sentinel lymph nodes (SLN) detected?
using near-infrared (NIR) fluorescent quantum dots