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Molecular Imaging Research

The Department of Molecular Imaging (the 'Department'), includes PET-CT and general Nuclear Medicine and provides functional imaging using radiopharmaceuticals (or tracers).

A hallmark of the Department has been its translation of a research tool (PET) to an indispensable imaging modality for medical and surgical specialties. The introduction of PET heralded strong collaborations with surgical oncologists - cardiothoracic, neurosurgical, upper gastrointestinal, colorectal, melanoma and orthopaedic surgeons - which pioneered the way that cancer was managed within Australia and internationally. The PET radiochemistry facilities have now enabled the production of new PET radiopharamceuticals for cancer and diseases of the nervous system, in particular, the neurodegenerative disorders including the dementias. These tracers are being translated into clinical care on a daily basis.

The Department has a strong track record for performing high quality basic science, animal, clinical and translational research, which is reflected in its continued success in achieving funding from peak granting bodies including the National Health and Medical Research Council (NHMRC), Australian Research Council (ARC), and Cancer Institute of NSW. Staff have published in leading medical, medical imaging and biomedical informatics journals as well as presenting research data at national and international meetings. The Department is also actively involved in teaching and academic supervision of medical professionals, university students, postdoctoral fellows and it also conducts visits for high school students from all over NSW.

The major workload of the Department is in PET-CT and there is high-end infrastructure including a 128-slice PET-CT scanner with time-of-flight (TOF) / high definition reconstruction and continuous bed motion (Biograph Vision Edge) and a Total Body PET-CT scanner (Biograph Vision Quadra). The Biograph Vision Edge was installed in 2019 and was the 1st in Australia and the Southern Hemisphere. The Biograph Quadra was installed in 2021 and was the 1st in Australia and the second of its kind installed in the world.

The Department's scanners have been validated for numerous national and international clinical trials, where the Department has also acted as a 'Core PET Lab'. Since January 2018, the Department has maintained internationally recognised validation of its PET-CT scanners by the Society for Nuclear Medicine and Molecular Imaging (SNMMI) as part of their Clinical Trials Network PET-CT Scanner Validation Program. In 2019, the PET 'hot lab' was redesigned and upgraded to accommodate multiple PET radiophamaceuticals and an automated dispensing system. In 2021, renovation work commenced in PET - improving the workflow and patient experience. This work will continue in 2023 and beyond in addition to the planned expansion as part of the RPA Redevelopment. Work is also ongoing to expand and improve the existing PET radiochemistry, production, and QC laboratories. This work is expected to be completed in 2024, which will be the cyclotron's 21st year of routine operation. General Nuclear Medicine has a SPECT-CT scanner and 2 ECAMS and also provides radionuclide therapy, so called 'theranostics' which is beginning to have an increasing role in cancer.

The Department has successful research collaborations with individuals and groups at leading academic and research institutes including: University of Sydney, University of New South Wales, University of Wollongong, Macquarie University, Neuroscience Research Australia (NeuRA), Sendai University in Japan, and a number of Universities in China.

Selected Grants

Amount awarded Grant and project details
$787,069 NHMRC, 2019-2024
PETReA: Phase 3 evaluation of PET-guided, response adapted therapy in patients with previously untreated, high tumour burden follicular lymphoma.
Investigators: Trotman J, Fulham M, Pettit A, Opat S, Johnston A, Badoux X, Ritchie D, Lenton D, Presgrave P.
$770,482 ARC, 2024-2027
Enhancing multidisciplinary team meetings via AI-enabled data assimilation.
Investigators: Kim J, Industry Partner –  RPA Department of Molecular Imaging
$49,280 Tour De Cure, 2023-2024
Artificial intelligence in total-body PET-CT radiomics for early prediction of metastatic disease in soft tissue sarcomas.
Investigators: Bi L, Industry Partner –  RPA Department of Molecular Imaging

Our Publications

2023

Clarke AJ, Manser D, Fleischer R, Fulham M, Ahmed RM. Pearls & Oy-sters: Huntington Disease Presenting as Primary Progressive Aphasia: A Case of Semantics. Neurology. 2023 Aug 29;101(9):414-417. doi: 10.1212/WNL.0000000000207428. Epub 2023 May 18.
Dunkerton S, Penninkilampi R, Beadnall H, Fulham M, Colebatch A, Jankelowitz S, Ahmed R, Thayer Z, Halmagyi M, Abadir E. Erdheim-Chester disease presenting as precipitous cognitive decline. Pract Neurol. 2023 Feb;23(1):91-92. doi: 10.1136/pn-2022-003504. Epub 2022 Oct 25.
Luckett PH, Chen C, Gordon BA, Wisch J, Berman SB, Chhatwal JP, Cruchaga C, Fagan AM, Farlow MR, Fox NC, Jucker M, Levin J, Masters CL, Mori H, Noble JM, Salloway S, Schofield PR, Brickman AM, Brooks WS, Cash DM, Fulham MJ, Ghetti B, Jack CR Jr, Vöglein J, Klunk WE, Koeppe R, Su Y, Weiner M, Wang Q, Marcus D, Koudelis D, Joseph-Mathurin N, Cash L, Hornbeck R, Xiong C, Perrin RJ, Karch CM, Hassenstab J, McDade E, Morris JC, Benzinger TLS, Bateman RJ, Ances BM; Dominantly Inherited Alzheimer Network (DIAN). Biomarker clustering in autosomal dominant Alzheimer's disease. Alzheimers Dement. 2023 Jan;19(1):274-284. doi: 10.1002/alz.12661. Epub 2022 Apr 1.
McKay NS, Gordon BA, Hornbeck RC, Dincer A, Flores S, Keefe SJ, Joseph-Mathurin N, Jack CR, Koeppe R, Millar PR, Ances BM, Chen CD, Daniels A, Hobbs DA, Jackson K, Koudelis D, Massoumzadeh P, McCullough A, Nickels ML, Rahmani F, Swisher L, Wang Q, Allegri RF, Berman SB, Brickman AM, Brooks WS, Cash DM, Chhatwal JP, Day GS, Farlow MR, la Fougère C, Fox NC, Fulham M, Ghetti B, Graff-Radford N, Ikeuchi T, Klunk W, Lee JH, Levin J, Martins R, Masters CL, McConathy J, Mori H, Noble JM, Reischl G, Rowe C, Salloway S, Sanchez-Valle R, Schofield PR, Shimada H, Shoji M, Su Y, Suzuki K, Vöglein J, Yakushev I, Cruchaga C, Hassenstab J, Karch C, McDade E, Perrin RJ, Xiong C, Morris JC, Bateman RJ, Benzinger TLS; Dominantly Inherited Alzheimer Network. Positron emission tomography and magnetic resonance imaging methods and datasets within the Dominantly Inherited Alzheimer Network (DIAN). Nat Neurosci. 2023 Aug;26(8):1449-1460. doi: 10.1038/s41593-023-01359-8. Epub 2023 Jul 10.
Rahmani F, Brier MR, Gordon BA, McKay N, Flores S, Keefe S, Hornbeck R, Ances B, Joseph-Mathurin N, Xiong C, Wang G, Raji CA, Libre-Guerra JJ, Perrin RJ, McDade E, Daniels A, Karch C, Day GS, Brickman AM, Fulham M, Jack CR Jr, la La Fougère C, Reischl G, Schofield PR, Oh H, Levin J, Vöglein J, Cash DM, Yakushev I, Ikeuchi T, Klunk WE, Morris JC, Bateman RJ, Benzinger TLS; Dominantly Inherited Alzheimer Network (DIAN). T1 and FLAIR signal intensities are related to tau pathology in dominantly inherited Alzheimer disease. Hum Brain Mapp. 2023 Dec 15;44(18):6375-6387. doi: 10.1002/hbm.26514. Epub 2023 Oct 23.
Trotman J, Presgrave P, Carradice DP, Lenton DS, Gandhi MK, Cochrane T, Badoux X, Carlson J, Nkhoma G, Butcher B, Nikpour A, Fulham M, Johnston AM. Lenalidomide Consolidation Added to Rituximab Maintenance Therapy in Patients Remaining PET Positive After Treatment for Relapsed Follicular Lymphoma: A Phase 2 Australasian Leukaemia & Lymphoma Group NHL26 Study. Hemasphere. 2023 Feb 21;7(3):e836. doi: 10.1097/HS9.0000000000000836.
Wongso H, Ono M, Yamasaki T, Kumata K, Higuchi M, Zhang MR, Fulham MJ, Katsifis A, Keller PA. Synthesis and structure-activity relationship (SAR) studies of 1,2,3-triazole, amide, and ester-based benzothiazole derivatives as potential molecular probes for tau protein. RSC Med Chem. 2023 Jan 27;14(5):858-868. doi: 10.1039/d2md00358a.
Xia T, Fu X, Fulham M, Wang Y, Feng D, Kim J. CT-based Radiogenomics Framework for COVID-19 Using ACE2 Imaging Representations. J Digit Imaging. 2023 Dec;36(6):2356-2366. doi: 10.1007/s10278-023-00895-w. Epub 2023 Aug 8.
Xue Y, Bi L, Peng Y, Fulham M, Feng DD, Kim J. PET Synthesis via self-supervised adaptive residual estimation generative adversarial network. IEEE Transactions on Radiation and Plasma Medical Sciences. 2023:1-1.

Our Presentations

2023

Bi L, Fulham M, Song S, Feng DD, Kim J. Hyper-connected transformer network for multi-modality PET-CT segmentation.   In: 45th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC 2023); 2023 24-27 July 2023; Sydney (NSW), Australia.
Eberl, S. Radioisotope Production and Molecular Imaging - Physics. In: TGA Educational Workshop; 3 May 2023; Sirius Building, Department of Health and Ageing, Canberra (ACT), Australia.
Henderson, D. Radiopharmaceutical Production Unit (RPU) at RPA, Radiopharmaceutical Scientists (RPS), Quality and Regulations. In: TGA Educational Workshop; 3 May 2023; Sirius Building, Department of Health and Ageing, Canberra (ACT), Australia.
Katsifis, A. Radiopharmaceuticals in Imaging - Design, Development and Clinical Applications. In: TGA Educational Workshop; 3 May 2023; Sirius Building, Department of Health and Ageing, Canberra (ACT), Australia.
Meng M, Bi L, Fulham M, Feng D, Kim J. Merging-diverging hybrid transformer networks for survival prediction in head and neck cancer.   In: 26th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2023); 2023 Oct 8-12; Vancouver (BC), Canada. 
Meng M, Bi L, Fulham M, Feng D, Kim J. Non-iterative coarse-to-fine transformer networks for joint affine and deformable image registration. In: 26th International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI 2023); 2023 Oct 8-12; Vancouver (BC), Canada. 
Stark, D. Radiopharmaceutical Labelling and Production. In: TGA Educational Workshop; 3 May 2023; Sirius Building, Department of Health and Ageing, Canberra (ACT), Australia.