Imaging Hypoxia in Xenografted and Murine Tumors With {sup 18}F-Fluoroazomycin Arabinoside: A Comparative Study Involving MICROPET, Autoradiography, PO{sub 2}-Polarography, and Fluorescence Microscopy
- Department of Experimental Clinical Oncology, Aarhus University Hospital, Aarhus (Denmark)
- PET Centre, Aarhus University Hospital, Aarhus (Denmark)
- Department of Radiation Oncology, Radboud University Nijmegen Medical Centre, Nijmegen (Netherlands)
Purpose: Positron emission tomography (PET) allows noninvasive assessment of tumor hypoxia; however the combination of low resolution and slow tracer clearance from nonhypoxic tissue is problematic. The aim of this study was to examine the in vivo hypoxia selectivity of fluoroazomycin arabinoside ([{sup 18}F]-FAZA), a promising tracer with improved washout kinetics from oxygenated tissue. Methods and Materials: Three squamous cell carcinomas and one fibrosarcoma with widely differing spatial patterns of vascularization, hypoxia, and necrosis were grown in mice and evaluated with PET and complementary methods. Results: Eppendorf electrode measurements consistently demonstrated median PO{sub 2} values <1 mm Hg. In accordance with that, PET revealed that all tumors accumulated [{sup 18}F]-FAZA in excess of reference tissue. Next the two-dimensional spatial distribution of [{sup 18}F]-FAZA (from autoradiography) was compared with fluorescence images of the same tumor sections showing localization of the hypoxia marker pimonidazole and the perfusion marker Hoechst 33342. Pixel-by-pixel analysis of co-registered images showed a highly significant co-localization between the two hypoxia markers and an inverse correlation (except for the fibrosarcoma) between the distribution of [{sup 18}F]-FAZA and Hoechst dye. Moreover intratumoral heterogeneity in tracer distribution was clearly visible on autoradiograms, with a [{sup 18}F]-FAZA concentration approximately six times higher in poorly oxygenated areas than in vascular hot spots. Conclusions: The distribution of [{sup 18}F]-FAZA is consistent with hypoxia as the key driving force for tracer tissue retention in a selection of tumors with widely differing physiology.
- OSTI ID:
- 21039845
- Journal Information:
- International Journal of Radiation Oncology, Biology and Physics, Vol. 70, Issue 4; Other Information: DOI: 10.1016/j.ijrobp.2007.11.034; PII: S0360-3016(07)04589-0; Copyright (c) 2008 Elsevier Science B.V., Amsterdam, Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA); ISSN 0360-3016
- Country of Publication:
- United States
- Language:
- English
Similar Records
Real-time Tumor Oxygenation Changes After Single High-dose Radiation Therapy in Orthotopic and Subcutaneous Lung Cancer in Mice: Clinical Implication for Stereotactic Ablative Radiation Therapy Schedule Optimization
Correlation of FMISO simulations with pimonidazole-stained tumor xenografts: A question of O{sub 2} consumption?