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Click on one of the links below to quickly find the desired subject
matter
1) Patents
2) Publications
3)
History of Human Serum Albumin Microsphere Development
4)
History of I-125 Seed Development
This page was updated
12/16/2006
1) PATENTS:
[As an employee
of 3M Company until 2001 these were assigned to 3M]
U.S.
Patent life is 17 years.
e-mail
Dave Kubiatowicz at
for questions & comments.
4,509,506
"Shielding Device For Radioactive [I-125] Seed", DC
Windorski and D. O. Kubiatowicz, 4/9/85 [Abstract: This invention describes
a method of packaging radioactive iodine-125 Seeds carried in absorbable
suture within a curved tube of dense material having two open ends.
This placement is both convenient for the physician and useful in
preventing unwanted release of radiation.]
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4,323,055
"Radioactive Iodine [I-125] Seed" D.O. Kubiatowicz,
April 6, 1982 [Abstract: This invention discloses an improvement in the
design of radioactive iodine-125 Seeds in which the isotope is carried on
an elongated silver rod sealed within a (e.g.) titanium
container. Seeds made in this way are easier to assemble. They
also have increased radiopacity, potential for improved dosimetry
calculation and offer a more reproducible calibration. I-125 Seeds are
used largely for treatment of prostate cancer]
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4,208,398
"Technetium [Tc-99m] labeled Complexes, Production and Use
Thereof", D.O. Kubiatowicz and T.F. Bolles, June 17, 1980 [Abstract:
This invention describes chemical complexes of the radioactive metastable
isotope technetium-99m where the complexing agents are selected from
certain water-soluble mercaptans (e.g. -SH) These complexes are
pharmacologically suited to the performance of kidney structure
studies. 3M sold this patent to Hoffman-LaRoche, Inc]
3,758,678
"Biodegradable Radioactive Polysaccharide Particles",
T.W. Lindsay and D.O. Kubiatowicz, September 11, 1973 [Abstract: This
invention describes the manufacture of substantially spherical particles
having a smooth outer surface and consisting essentially of solid,
cold-water insoluble parenterally metabolizable radioactive
polysaccharide. There particles are useful in diagnosis and therapy,
are easier to handle than prior art materials, and are cleared from the
body in a more predictable fashion.]
3,707,353
"Radioactive Labeling Kit", D.O. Kubiatowicz, December 26,
1972 [Abstract: This invention describes a glass vial
"kit" which facilitates "tagging" biodegradable human
serum albumin microspheres with radioactive technitium-99m and the
like. The invention advanced the prior art in being more convenient
and consisting of a single contained unit. The "kit" was non-radioactive as shipped and
was made radioactive in the hospital when needed. Tc-99m labeled
microspheres were used for diagnostic lung imaging.]
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Labeling Kit |
Minneapolis Tribune article from 9/11/1972 describing
the Kit as winning one of the prestigious "IR-100" Awards
in Chicago |
At IR-100 Awards the evening of 9/21/1972 from left to
right: Dave Kubiatowicz, Ivan M. Grotenhuis; Dr. Roger L.
Evans and Dr. John P. Ryan |
3,663,686
"Biodegradable Radioactive Particles" .M. Grotenhuis and
D.O. Kubiatowicz, 5/16/72 [Abstract: Particles, preferably
substantially spherical particles having a smooth outer surface and
essentially void-free interior are produced, consisting essentially of
solid, cold-water insoluble vehicle comprising a physiologically acceptable,
parenterally metabolizable radioactive protein, said particles being
substantially non-leachable upon short term exposure to cold water.
The particles can be administered parenterally for diagnostic,
prophylactic or therapeutic purposes. On administration in this way,
they are broken down or solubilized by the body fluids over a
predeterminable period ranging from minutes to several days, whereupon the
radioisotopic material is excreted from the body thus limitining exposure
to the radiation.]
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2) PUBLICATIONS:
(abstracts and refereed articles)
1.
"Two-Dimensional Dose Distribution Of I-125 Seeds." C.C. Ling,
M.C. Schell, E.D. Yorke, B.B. Palos, D.O. Kubiatowicz, MEDICAL PHYSICS 12,
652(1985)
2.
"Measurement of Dose Distribution Around Fletcher-Suit-Delclos
Colpostat Using a Therados Radiation Field Analyzer (RFA-3)." C.C.
Ling, I.J. Spiro, D.O. Kubiatowicz, J.G. Gergen, R.K. Peksens,
J.D. Bennett, and W.F. Gagnon, MEDICAL PHYSICS 11,326 (1984)
3.
"Physical Dosimetry of I-125 Seeds of a New Design For Interstitial
Implant." C.C. Ling, E.D. Yorke, I.J. Spiro, D.O. Kubiatowicz, D.
Bennett, INT. J. RADIATION ONCOLOGY BIOL. PHYS. 9, 1747
(1983)
4.
(ABSTRACT) "Dosimetric Comparison of Two I-125 Seed Designs." C.
Ling, T. Fewell, D.O. Kubiatowicz, J.A. Roseland, M.C. Etter, in MEDICAL
PHYSICS 8, 570 (1981)
5.
"Calibration of Cesium-137 Brachytherapy Sources." D.O.
Kubiatowicz, in RECENT ADVANCES IN BRACHYTHERAPY PHYSICS, edited by D.R.
Shearer (American Institute of Physics, New York, NY, 1981) p 57.
6.
"Room Temperature Radioassay for B-12 With Oyster Toadfish (Opsanus
tau) Serum as Binder." D.S. Ithakissios, D.O. Kubiatowicz and J.H.
Wicks, CLIN. CHEM. 26, 323 (1980)
7.
"Localization of Low Molecular Weight 99m-Tc-Labeled
Dimercaptodicarboxylic Acids in Kidney Tissue." D.O. Kubiatowicz,
T.F. Bolles, J.C. Nora and D.S. Ithakissios, J. PHARM. SCI. 68, 621 (1979)
8.
"Semi-automated T-3 Uptake Test That Uses Magnetic Albumin
Microparticles." D.O. Kubiatowicz, D.S. Ithakissios, J.H. Wicks, and
P.E. Heerwald, J. NUCL. MED.,19,854 (1978)
9.
"Immune and Non-Immune T-4 Uptake Test That Uses Magnetic Albumin
Microparticles." D.S. Ithakissios, D.O. Kubiatowicz,
DC Windorski and J.H. Wicks, CLIN. CHEM. ACTA. 84 (1978)
10.
"Use of Protein Containing Magnetic Microparticles in
Radioassays." D.S. Ithakissios and D.O. Kubiatowicz, CLIN. CHEM. 23,
2072 (1977)
11.
"Binding Proteins From Fish Sera and Intrinsic Factor Compared in
Vitamin B-12 Radioassay." D.S. Ithakissios, D.O. Kubiatowicz,
DC Windorski and J.H. Wicks, CLIN. CHEM. 23, 2043 (1977)
12.
(ABSTRACT) "Additional Observations on the Binding of B-12 to Oyster
Toadfish Serum and Development of a Radioassay for B-12. D.O.
Kubiatowicz.", D.S. Ithakissios, J.H. Wicks, D.C. Windorski and B.
Hapke, presented at the Proceedings of the 3rd Annual Meeting of the
Clinical Radioassay Society, P 30 (1977)
13.
(ABSTRACT) "Radioassay of Vitamin B-12 Using Fish Serum Binding
Proteins." D.S. Ithakissios, D.O. Kubiatowicz, J.H. Wicks, DC
Windorski and B. Hapke, in CLIN. CHEM. 23, 1124 (1977)
14.
(ABSTRACT) "Preparation of Composite Protein Magnetic Microparticles
and Their Utilization in Radioassays." D.O. Kubiatowicz and D.S.
Ithakissios, in CLIN. CHEM. 23, 1163 (1977)
15.
(ABSTRACT) "Thyroxin Radioassays Utilizing
Albumin Magnetic Microparticles."
D.S. Ithakissios and D.O. Kubiatowicz, in J. NUCL. MED., 18, 622
(1977)
16.
"Vitamin B-12 Radioassay with Oyster Toadfish (Opsanus tau) Serum as
Binder." D.O. Kubiatowicz, Dionyssis S. Ithakissios and DC Windorski,
CLIN. CHEM., 23, 1037 (1977)
17.
(ABSTRACT) "Evaluation of Kidney Imaging Agent 99m-Tc
Dimercaptosuccinic Acid and Two Higher Homologs in Mice."
D.O. Kubiatowicz, T.F. Bolles, and J.C. Nora, presented at the
Central Chapter, Nuclear Medicine Society Meeting; Minneapolis, MN in October 17-19, 1974)
18.
"Tc-99m Labeled Albumin (Human) Microspheres (15-30 um): Their
Preparation, Properties and Uses." T.F. Bolles, D.O. Kubiatowicz, R.L.
Evans, I.M. Grotenhuis and J.C. Nora, SYMPOSIUM ON RADIOPHARMACEUTICALS
AND LABELED COMPOUNDS, INTERNATIONAL ATOMIC ENERGY AGENCY, VIENNA,
151(1973)
19.
(ABSTRACT) "Technetium-Mercaptide Complexes and Their Potential
Application as a Liver Specific Agent." R.A. Jackson, T.F. Bolles,
D.O. Kubiatowicz, G.E. Krejcarek, in J. NUCL. MED., 14,411 (1973)
[Top]
3) HISTORY
OF HUMAN SERUM ALBUMIN MICROSPHERE DEVELOPMENT
The paragraphs and references below are excerpted from Chapter 30
"Albumin Microspheres: Current Methods of Preparation and Use"
by Buck A. Rhodes and Theodore F. Bolles pp 282-291 in the book Radiopharmaceuticals,
edited by Gopal Subramanian, PhD., Buck A. Rhodes, PhD., James F. Cooper,
Pharm. D, Vincent J. Sodd, PhD, Soc Nucl Medicine, Inc., 1975
The idea of using microspheres "two to three times the diameter of
capillaries" to study circulation apparently originated with
physiologists interested in blood flow through arteriovenous
communications (1, 2). The earliest investigators used spores; later
investigators used wax or glass beads. The particles were injected
intra-arterially, and venous outflow was collected and sieved so that the
shunted particles could be retrieved and counted. To eliminate the problem
of having to filter the spheres from the blood and count them one by one,
Emmenegger, et al (3) produced the First radiolabeled microspheres. They
placed wax microspheres in a nuclear reactor to produce radiosodium from
the natural traces of sodium in wax. To eliminate the problems caused by
using particles with specific gravities grossly different from blood, Doby
(4) developed agar microspheres. In addition to these developments, two
other lines of research were also in the background that ultimately led to
the idea of albumin microspheres.
The first was the development of inert radiolabeled particles for blood
flow studies. Ceramic radiolabeled microspheres were developed by Lahr and
Ryan (5). The first lung scans were performed by Haynie (6) and Ariel (7)
using these microspheres. Later, radiolabeled carbonized resin
microspheres (8) were developed that more closely matched the density of
the blood.
However, since these microspheres were not biodegradable, investigators
began a second approach, searching for a biodegradable particle. This led
to the development of 131-I-macroaggregated albumin (9) and its
introduction as a lung-scanning radiopharmaceutical (10).
The concept of how to make albumin microspheres originated in
experiments by Evans (11) and Grotenhuis and Kubiatowicz (12). who
demonstrated that protein solutions dispersed in oil and then heated
produced solid, spheroidized protein panicles. At the suggestion of Wagner
this principle was applied to human serum albumin to produce microspheres
that could be used in clinical studies in man (13). While the 3M Company
developed albumin microspheres as a commercial radiopharmaceutical (14).
investigators at the Johns Hopkins Medical Institutions (15, 16). Baylor
College of Medicine (17, 18). and other institutions established the
clinical usefulness of the microspheres as a lung-scanning agent and as a
tracer that could be used to study circulatory problems previously limited
to animals or specimens of human organs (19, 20).
The concept of how to label the preformed albumin microspheres with
short-lived tracers just before their use originated in experiments at 3M
(11) and Johns Hopkins (21) which demonstrated that inorganic precipitates
occluded within the matrix of the spheroidized protein would exchange
radioactive ions in solution. Iron hydroxide was first used as the
occluded precipitate (11, 22). Subsequently. Stern suggested the use of
the thiosulfate method for 99mTc labeling, and that procedure was later
adapted (12) to non-iron-containing microspheres (23). This method proved
to be clinically useful (24) and was used through 1974 in the commercial
kits developed by Kubiatowicz (12, 14). Later, methods were developed for
labeling iron-free microspheres with 113mIn (25) and 203Pb (26). Returning
to the principle of adding inorganic salts to the microspheres, Berger and
Johannsen (27) demonstrated that microspheres could be rapidly labeled
with 99mTc following pretreatment of the particles with stannous chloride.
References
1. Prinzmetal M. Simkin B. Bergman HL. et al: Studies of the coronary
circulation. Am Heart J 33: 420-422, 1947
2 Doby T Arteriovenous shunt measurements. Letter " to the editor.
J Nucl Med 14: 247, 1973
3. Emmenegger N. Wurlimann A, and Bucher K; A simple method of
producing radioactive spheres for f the investigation of circulatory
problems. Helv Physiol Pharmacol Acta 9: 254-258. 1951
4. Doby T: Method for the quantitative estimation of anteriovenous
anastomoses in organs. Acta Med Acad Set Hung 3: 201-205, 1952
5. Lahr TN and Ryan JP: Medical uses of ceramic microspheres. Presented
at the Central Chapter Meeting of the Nuclear Medical Society. Rochester.
Minnesota, Oct 29. 1961
6. Haynie TP. Calhoon JH, Nasjleti CE. et al: Visualization of
pulmonary infarcts and tumors by photo- scanning, J Lab Clin Med
60: 881-882, 1962
7. Ariel 1: Quoted in "Highlights" of the Society of
Nuclear Medicine Meeting. JAMA 183:32-33, 1963
8. Grotenhuis IM: Properties and uses of radiating microspheres. In
Radioactive Pharmaceuticals, Andrews GA. Kniseley, RM, Wagner HN, eds.
Chapter II. AEC Symposium Series 6. CONF-651111. Springfield. Va. National
Bureau of Standards. 1966. pp 205-209
9. Taplin GV. Dore EK. Johnson DE. et al: Colloidal radio-albumin
aggregates for organ scanning. Exhibit at 10th Annual Meeting of the
Nuclear Medicine Society, Montreal, Canada, 1963
10. Wagner HN Jr: Discussion. In Dynamic Clinical Studies with
Radioisotopes, Kniseley RM, Tauxe WN. Andersen EP. eds. USAEC Report
TID- 7678, 1964, p 225
11. Evans RL: U.S. Patent 3,663,685. issued 1972
12. Kubiatowicz DO. Grotenhuis IM: U.S. Patents 3,707,353 and
3,663,686. issued 1972
13. Rhodes BA. Zolle ". Wagner HN Jr: Properties and uses of
radioactive albumin microspheres. Clin Res 16: 245, 1968
14. Bolles TF. Kubiatowicz, DO. Evans RL, et al: 99mTc-labeled albumin
(human) microspheres (15 30 um): their preparation, properties and uses.
International Symposium on Radiopharmaceuticals, Copenhagen. Denmark 1973.
IAEA-SM-171/37. pp 151-165
15. Rhodes BA, Zolle I, Buchanan JW, et al: Radioactive microspheres
for studies of the circulation. Radiology 92: 1453-1460, 1969
16. Zolle 1. Rhodes BA, Wagner HN Jr: Preparation of metabolizable
radioactive human serum albumin microspheres for studies of the
circulation. Int J Appl Radiat Isot 21: 155- 167. 1970
17. Burdine JA, Sonnemaker RE. Ryder, LA. el al: Perfusion studies with
technettum-99m human albumin microspheres (HAM). Radiology 95:
101-107, 1970
18. Burdine JA. Ryder LA. Sonnemaker RE. et al: 99mTc-human albumin
microspheres (HAM) for lung imaging. J Nuc Med 12: 127-130,1971
19. Wagner HN Jr. Rhodes BA: Radioactive tracers in the diagnosis of
cardiovascular disease. Prog Cardiovasc Dis 15: 1-24. 1972
20. Rhodes BA: Author's reply. /J Nucl Med 14: 248, 1973
21. Zolle I: Radioactive albumin microspheres. Masters of Science
thesis. The Johns Hopkins University. 1970
22. Buchanan JW. Rhodes BA. Wagner HN Jr: Labeling albumin microspheres
with indium-113m. J Nucl Med 10: 487-490. 1969
23. Evans RL: U.S. Patent 3,663,687. issued 1972
24. Rhodes BA. Stern HS. Buchanan JW. el al: Lung scanning with
99mTc-microspheres. Radiology 99: 613-621, 1971
25. Buchanan JW, Rhodes BA, Wagner HN Jr: Labeling iron-free albumin
microspheres with indium-l 13m. J Nucl Med 12: 616-619, 1971
26. Rhodes BA: Radiopharmaceuticals for nuclear cardiology. In Cardiovascular
Nuclear Medicine. Strauss HW, James AE Jr, Pitt B, eds, St. Louis. C V
Mosby, 1974, pp36-51
27. Berger R. Johannsen B: Technelium-99m labeling of spherical human
serum albumin particles. Isotopenpraxis 7: 188-189, 1971
28. Pasqualini R, Plassio G. and Sosi S: The preparation of albumin
microspheres. J Nucl Biol Med 13: 80-84, 1969
29. Mayron LW, Lopez-Majano V, Kaplan E: Sieving of albumin
microspheres with sonification. J Nucl Med 14: 511-513. 1973
30. Zolle I, Hosain F, Rhodes BA. et al: Human serum albumin
millimicrospheres for studies of the reticuloendothelial system. J Nucl
Med 11: 379. 1970
31. Scheffel U. Rhodes BA. Natarajan TK. et al: Albumin microspheres
for study of the reticuloendothelial system. J Nucl Med 13: 498-503. 1972
[Top]
4)
history of I-125 Seed development.
1965:
Use of iodine-125 Seeds originated at memorial Sloan-Kettering Cancer
Center where the first implant took place in 1965.
Memorial recognized the need for a low-energy brachytherapy source,
the use of which would result in reduced radiation exposure to medical
personnel, patients and their families. (1,2)
I-125
Seeds were conceived by Don Lawrence, a health Physicist in California.
He wrote and received a U.S. Patent #3,351,049 entitled
"Therapeutic Metal Seed Containing Within a Radioactive Isotope
Disposed on a Carrier and Method of Manufacture." The patent was
filed April 12, 1965 and issued November 7, 1967.
1968:
Don Lawrence organized Lawrence Soft-Ray
Corporation (LSR). Model 6701 I-125 Seeds became commercially available.
Model 6701 Seeds consisted of I-125 absorbed on two resin spheres
separated by one gold sphere X-ray marker and were encased in a welded
titanium can. Seed strength was less than 1 mCi I-125.
Model 6702 Seeds were made available some time after 1968 and were
of similar construction to the Model 6701 Seeds but without the gold
sphere. Deletion of the gold sphere was necessary to achieve the higher
I-125 activity. Seed strengths ranged from 1 to about 40 mCi I-125. Model
6701 Seeds enjoyed the majority of sales.
1975-76:
Lawrence Soft-Ray manufactured and sold I-125 Seeds in absorbable suture.
This material was useful for shallow plane implants (3,4,5,6) 3M
reintroduced the product in 1982 as Model 6720 I-125 Seeds in Carrier.
1978:
3M
Company acquired Lawrence Soft-Ray on May 8, 1978. And began marketing
I-125 Seeds.
1979:
3M
moved I-125 Seed production from Sunnyvale, CA to New Brighton, MN in May
1979
1982:
3M reintroduced I-125 Seeds in absorbable Vicryl suture.
1983:
3M replaced Model 6701 Seeds with Model 6711 I-125 Seeds having improved
X-ray visibility (silver rod instead of gold sphere). Seed strengths
ranged from .07 mCi to 1 mCi. These Seeds were protected under patent
4,323,055 issued April 6, 1982 [D.O. Kubiatowicz].
Also in 1983, 3M began assaying all production I-125 Seeds against
I-125 Seeds calibrated by the National Bureau of Standard (currently the
NIST).
1983-91:
The upper limit of Model 6711 Seed strength was
increased to 5 mCi so the Seeds could be loaded into nylon tubes and used
as an Ir-192 replacement for temporary implants in brain, breast and eye
tumors. Also during these years, techniques for the transperineal implant
of low activity Model 6711 Seeds into prostates were being developed.
1991:
3M sold (divested)
the I-125 Seed business to Medi-Physics (An Amersham subsidiary)
in April 1991.
References:
1.
Hilaris, B.S., Holt, G.J, St. Germain, Jl, "The use of Iodine-125 for
Interstitial Implants," U.S. Department of Health, Education and
Welfare Publications (FDA), 76-8022 (1975)
2.
Kim, J.H., Hilaris, B.S. "Iodine-125 Source in Interstitial Tumor
Therapy. Clinical and Biologic Consideration,"
American journal of Roentgenolgy, Radium Therapy and Nuclear
Medicine, 123, No. 1: 163-169 (1975)
3.Harter,
D.J., Delclos, L., and Johns, M.F., "Sealed Sources in Synthetic
Absorbable Suture," Radiology, 116: 721-723 (1975)
4.
Scott, W.P., "Interstitial Therapy Using Non-Absorbable (Ir-192 Nylon
Ribbon) and Absorbable (I-125 Vicryl) Suturing Techniques," American
journal of Radiology, 124: 560-564 (1975)
5.
Goode, R.L., Fee, W., Goffinet, D.R. and Martinez, A.,
"Radioactive Suture in the Treatment of Head and Neck Cancer,"
Laryngoscope, 89: 349-354 (1979)
6.
Palos, B.B., Pooler, D., Goffinet, D.R., and Martinez, A., "A
Method for Inserting I-125 Seeds into Absorbable Sutures for Permanent
Implantation in Tissue," Int. J. Radiation Oncology Biol. Phys., 6:
381-385 (1980)
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