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Introduction: Cyclodextrin (CD)-based supramolecular interactions have been proposed as nanocarriers for drug delivery. We previously explored the use of these supramolecular interactions to perform targeted hepatic radioembolization. In a two-step procedure the appropriate location of the diagnostic pre-targeting vector can first be confirmed, after which the therapeutic vector will be targeted through multivalent host-guest interactions. Such a procedure would prevent therapeutic errors that come from a mismatch between diagnostic and therapeutic procedures. In the current study we explored the use of dual-isotope imaging to assess the in vivo stability of the formed complex and individual components., Methods: Dual-isotope imaging of the host and guest vectors was performed after labeling of the pre-targeted guest vector, being adamantane (Ad) functionalized macro-aggregated albumin (MAA) particles, with technetium-99 m ( 99m Tc-MAA-Ad). The host vector, Cy5 0.5 CD 9 PIBMA 39 , was labeled with indium-111 ( 111 In-Cy5 0.5 CD 9 PIBMA 39 ). The in situ stability of both the individual vectors and the resulting [MAA-Ad- 111 In-Cy5 0.5 CD 9 PIBMA 39 ] complexes was studied over 44 h at 37 °C in a serum protein-containing buffer. In vivo, the host vector 111 In-Cy5 0.5 CD 9 PIBMA 39 was administered two hours after local deposition of 99m Tc-MAA-Ad in mice. Dual-isotope SPECT imaging and quantitative biodistribution studies were performed between 2 and 44 h post intravenous host vector administration., Results: The individual vectors portrayed <5% dissociation of the radioisotope over the course of 20 h. Dissociation of [MAA-Ad- 111 In-Cy5 0.5 CD 9 PIBMA 39 ] complexes remained within a 10-20% range after incubation in serum. In vivo dual-isotope SPECT imaging of host-guest interactions revealed co-localization of the tracer components. Quantitative assessment of the biodistribution revealed that the hepatic accumulation of the host vector nearly doubled between 2 h and 44 h post-injection (from 14.9 ± 6.1%ID/g to 26.2 ± 2.1%ID/g)., Conclusions: Assessment of intra-hepatic host-guest complexation was successfully achieved using dual isotope multiplexing, underlining the complex stability that was found in situ (up to 44 h in serum). Overall, the results obtained in this study highlight the potential of supramolecular chemistry as a versatile platform that could advance the field of nanomedicine., (Copyright © 2018 Elsevier B.V. All rights reserved.)