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Title: Digital superimposition of emission tomography and X-CT images for immunoscintigraphy

Conference · · J. Nucl. Med.; (United States)
OSTI ID:6644295

In immunoscintigraphy (IS), single photon emission tomography (SPET) provides an accurate space localization of any uptake area but is affected by the lack of anatomical landmarks. The authors developed a technique where precise anatomical data are linked to the distribution of a tracer in SPET transverse slices. Twenty-two patients essentially bearing gastro-intestinal cancers were referred for IS after injection of an anti-CEA mouse monoclonal antibody (Mab) labelled with Iodine-131, SPET transverse slices were immediately analyzed. In the case of the presence of uptake areas which could correspond to a tumor site, the level of the transverse planes was marked on the patient's skin; corresponding X-CT scanner slices were performed, and using a magnetic tape transferred to the Nuclear Medicine computer system (Sopha Medical). An abdomen-like phantom was used to define the best conditions for the digital superimposition of SPET and X-CT images, using an original color scale. The method was useful for 7 patients. The uptake of the Mab was clearly confirmed in 1 case of left colon cancer and 3 cases of hepatic metastasis (HM), was ruled out in 1 case of HM and 1 case of gastric cancer, and remained doubtful in 1 case of HM associated with steatosis. They believe that this method increases the clinical specificity of IS and can be extended to any isotope study providing valuable functional information which has to be coupled with accurate morphological data.

Research Organization:
Institut G. Roussy and INSERM U66, Villejuif
OSTI ID:
6644295
Report Number(s):
CONF-850611-
Journal Information:
J. Nucl. Med.; (United States), Vol. 26:5; Conference: 32. annual meeting of the Society of Nuclear Medicine, Houston, TX, USA, 2 Jun 1985
Country of Publication:
United States
Language:
English

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