[124I]-iododeoxyuridine imaging tumor proliferation

Journal Article · Wed May 01 04:00:00 EDT 1996 · Journal of Nuclear Medicine

OSTI ID:447747

Blasberg, R; Roelcke, U; Weinreich, R ^[1]

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1. and others

Quantitative imaging of tissue proliferation could identify the regions of tumor that are most rapidly dividing, provide spatial information for radiation treatment planning and stereotactic biopsies, and provide an earlier measure of treatment response than CT or MR, or FDG PET. Carrier-free [124I]-labeled sodium iodide was produced at Essen Univ., and [124I]-IUdR was synthesized at PSI by a reaction with 2-deoxyuridine in an iodogen coated reaction vial; radiochemical yield varied from 51-71%. [124I]-IUdR was injected i.v. in 10 patients with primary brain tumors and sequential scans were obtained 0-60 min and at 24 hrs (1 hr scan) with a Siemens ECAT 933/04-16 tomograph. The PET and MR images were registered to each other using the Pellizzari algorithm. The IUdR-DNA incorporation constant (Ki) was calculated from ROI time-activity data and the metabolite corrected blood curve. Tumor proliferation was independently assessed by BUdR immunohistochemistry (labeling index) on tissue samples obtained at surgery. Mean tumor activity 24 hrs after [124I]-IUdR administration ranged from 1.9 - 22.1 nCi/cc and Ki ranged from 3.4 - 28.6 {mu}l/min/g. Normal brain activity ranged from 0.74 - 2.2 nCi/cc and Ki was 2.0 {plus_minus} 1.0 {mu}l/min/g, respectively. The expected relationship between Ki and tumor grade was observed, and a good correlation was observed between Ki and tumor grade was observed, and a good correlation was observed between Ki and labeling index of random surgical tumor specimens in 7 evaluable patients (r=0.86). In higher grade tumors there was marked variation in IUdR activity and Ki, suggesting a wide range of proliferative activity within the tumor. Ki in low grade tumors was low and more uniform. The potential for [124I]-IUdR PET imaging of tumor proliferation was shown to be feasible, despite low injection doses (0.75-1.6 mCi), rapid clearance of [124I]-IUdR from blood, and a low fraction of detectable emission (only 23% of decay is {beta}{sup +}).

• OSTI ID: 447747
• Report Number(s): CONF-960659--
• Journal Information: Journal of Nuclear Medicine, Journal Name: Journal of Nuclear Medicine Journal Issue: Suppl.5 Vol. 37; ISSN 0161-5505; ISSN JNMEAQ
• Country of Publication: United States
• Language: English

Related Subjects

55 BIOLOGY AND MEDICINE
BASIC STUDIES
CELL PROLIFERATION
CLEARANCE
DIAGNOSTIC TECHNIQUES
DNA
DOSES
IMAGES
IODINE 124
IODODEOXYURIDINE
NEOPLASMS
PATIENTS
POSITRON COMPUTED TOMOGRAPHY
TRACER TECHNIQUES
TUMOR CELLS
UPTAKE