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Rare Earth Elements: therapeutic and diagnostic applications in modern medicine

Authors:
  • Center of Mineral Technology
Editorial
Clinical and Medical Reports
Clin Med Rep, 2018 doi: 10.15761/CMR.1000139 Volume 2(1): 1-2
ISSN: 2516-5283
Rare earth elements: erapeutic and diagnostic
applications in modern medicine
EC Giese*
Center for Mineral Technology, CETEM, Av Pedro Calmon 900, CEP 21941 908, Rio de Janeiro, Brazil
*Correspondence to: EC Giese, Center for Mineral Technology, CETEM,
Av Pedro Calmon 900, CEP 21941 908, Rio de Janeiro, Brazil, E-mail:
ellengiese@gmail.com
Received: December 03, 2018; Accepted: December 12, 2018; Published:
December 14, 2018
e rare earth elements (REE) are a group of metals comprised
of fourteen lanthanide elements [lanthanum (La), cerium (Ce),
praseodymium (Pr), neodymium (Nd), promethium (Pm), samarium
(Sm), europium (Eu), gadolinium (Gd), terbium (Tb), dysprosium
(Dy), holmium (Ho), erbium (Er), thulium (Tm), ytterbium (Yb),
lutetium (Lu)] , yttrium (Y) and scandium (Sc) [1]. eir unique
physical and chemical properties have rendered them indispensable
for a growing number of high-tech technologies as high-performance
permanent magnets, magnetic resonance image scanning systems,
superconductors and laser technology [2,3].
Lanthanides are also used in many health and medical applications,
such as in anti-tumor agent, kidney dialysis medicine and surgical
equipment. Due to their optical properties, REE has been used in many
imaging techniques such as computed tomography scans, magnetic
resonance image (MRI), positron emission tomography (PET) imaging
and X-rays [4,5]. e medical applications of REE are summarized in
(Table 1).
Gadolinium is the most used REE in medical diagnosis in the
MRI. Gd (III) ions enhance MRI images and have also been used
in intravenous radio-contrast agents to improve the sensitivity and
specicity of diagnostic images. In this technique, it is possible to
visualize the morphology of the body with a very high resolution once
Gd (III) ions are the best paramagnetic compounds of the periodic
table. e contrast of the images is dependent on magnetic relaxation of
the nuclei, and this relaxation can be enhanced by Gd (III) ions, which
improves the contrast in magnetic resonance imaging scans with very
low toxicity [6,7].
Besides, a considerable variety of luminescent bioassays and sensors
also have been developed based on lanthanides that preserve a relatively
long-lived emission. Living tissue researchers rely on the Europium
for the sensitive luminescence in molecular genetics to mark specic
strands of DNA when attached as a tag to complex biochemicals [8].
Nowadays, rare earth elements have also been considered on the anti-
cancer treatment because of their therapeutic radioisotopes, especially
as agents in radioimmunotherapy and photodynamic therapy [9]
e use of REE into health and medical applications is now well
established. However, much of the future of diagnostic imaging analysis
could depend on these paramagnetic elements. Demand for REE is
expected to exceed its supply soon. It also considers the possibility of
reclaiming the used or worn out REE and reutilizing them; highlighting
some companies that have started to recycle the elements, those
derived from medical use as well, reducing the demand for newly
mined elements. e recycle of REE will be imperative to continue the
advancement of RMI and radioisotopes technologies. e future holds
many new innovative ideas.
References
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rare earth metals from monazite mineral: A review. Minerals Engineering 79: 102-115.
2. Riba JR, López-Torres C, Romeral L, Garcia A (2016) Rare-earth-free propulsion
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3. Cui J, Kramer M, Zhou L, Liu F, Sellmyer D (2018) Current progress and future
challenges in rare-earth-free permanent magnets. Acta Materialia 158: 118-137.
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REE Medical applications
La Lanthanum oxide nanoparticles can be used for MRI [10]
Ce Cerium-doped lutetium orthosilicate is a scintillator that has been mainly used for
PET imaging, a type of test that reveals tissue and organ function [11]
Pr Praseodymium oxide nanoparticles have been used in radiotherapy techniques [12]
Nd Neodymium has been used in lasers as crystals and is employed in the treatment of
skin cancers, as well as laser hair removal [13]
Sm A radioisotope Sm-153 has been used to treat severe pain in patients whose tumors
have advanced into bone tissues [14]
Eu
Europium presents bioapplications due to its optical properties as nanoprobes with
an emphasis on their heterogeneous/homogeneous biodetection as well as in vitro
and in vivo bioimaging [15]
Gd Gadolinium enhances MRI images of tumors, and its magnetic properties are also
of use in intravenous radio-contrast agents in MRI scans [6]
Tb A radioisotope Tb-149 has been used in targeted cancer therapy [16]
Dy A radioisotope Dy-165 has been employed in the treatment of rheumatoid knee
eusions [17]
Ho Holmium based solid-state lasers have been used for non-invasive medical
procedures for treating cancers and kidney stones [18]
Er Erbium-based lasers have been used in medical and dental practice [19]
Tm A radioisotope Tm-167 has been used as power sources in portable X-ray devices
[20]
Yb A radioisotope Yb-176 can be used to produce Lu-177 which is known to be a
promising radioisotope for a medical application [21]
Lu Lutetium is being researched for its potential uses in targeted radiotherapy, for the
advancement of new cancer therapies as prostate cancer [22]
Table 1. Medicine applications of rare earth elements
Giese EC (2018) Rare earth elements: erapeutic and diagnostic applications in modern medicine
Volume 2(1): 2-2
Clin Med Rep, 2018 doi: 10.15761/CMR.1000139
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Europium (III) chelates for DNA labeling. Inorganic Chemistry 45: 4088-4096.
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Evaluation of cerium doped lutetium oxyorthosilicate (LSO) scintillation crystal for
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radioactive praseodymium oxide as a multifunctional agent in nuclear medicine:
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metastatic bone disease. Reviews in Urology 6: 3-12. [Crossref]
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From fundamentals to bioapplications. Coordination Chemistry Reviews 378: 104-120.
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cancer therapy: the potential role of terbium-149. Nuclear Medicine Communications
17: 40-47.
17. English RJ, Zalutsky M, Venkatesan P, Sledge CB (1986) Therapeutic application of
Dysprosium-165-FHMA in the treatment of rheumatoid knee eusions. Journal of
Nuclear Medicine Technology 14: 18-20.
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Holmium: YAG laser for intracorporeal lithotripsy. Medical Journal Armed Forces
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dentistry. Journal of the Laser and Health Academy 2012. [Crossref]
20. Scholz KL, Sodd VJ, Blue JW (1976) Production of Thulium- 167 for medical use by
irradiation of lutetium, hafnium, tantalum, and tungsten with 590-MeV protons. The
International Journal of Applied Radiation and Isotopes 27: 263-266. [Crossref]
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168Yb and 176Yb for industrial and medical applications. Journal of Nuclear Science
and Technology 6: 111-116. [Crossref]
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PSMA radionuclide therapy for men with prostate cancer: a review of the current
literature and discussion of practical aspects of therapy. Journal of Medical Radiation
Sciences 64: 52-60. [Crossref]
Copyright: ©2018 Jlalia Z. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original author and source are credited.
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