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Tumor localization of radiolabeled antibodies against carcinoembryonic antigen in patients with carcinoma. [/sup 131/I-labelled anti-CEA antibodies]

Journal Article · · New Engl. J. Med.; (United States)
Purified, (/sup 131/I)-labeled goat antibodies against carcinoembryonic antigen, which have been shown to localize in human carcinoma in nude mice, were injected into 27 patients with carcinoma. Patients were scanned with a scintillation camera at various intervals. In 11 patients, radioactivity was detectable in the tumor 48 h after injection. Computerized subtraction of blood-pool radioactivity provided clearer pictures in positive cases, but in 16 patients the scans remained doubtful or negative. To study the specificity of (/sup 131/)-antibody localization, we gave some patients simultaneous injections of (/sup 125/)-labeled normal IgG. Both isotopes were measured by means of scintillation counting in tumors and normal tissues recovered after surgery. The results demonstrated that only the anti-CEA antibodies localized in tumors. However, the total antibody-derived radioactivity in the tumor was only about 0.001 of the injected dose. We conclude that, despite the present demonstration of specificity, this method of tumor detection is not yet clinically useful.
Research Organization:
Univ. of Lausanne, Switzerland
OSTI ID:
5130567
Journal Information:
New Engl. J. Med.; (United States), Journal Name: New Engl. J. Med.; (United States) Vol. 303:1; ISSN NEJMA
Country of Publication:
United States
Language:
English

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