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NGA/Insulin receptor scanning

Abstract

Tc-99m-galactosyl-neoglycoalbumin (NGA) is one of the first receptor-based radiopharmaceuticals which specifically recognizes the hepatic binding protein (HBP) located on the surface of the hepatocytes. The exclusive interactin of NGA with HBP provided the basis for a kinetic model for the evaluation hepatocellular function. During the last years we have used NGA in more than 300 patients with various liver diseases including liver cirrhosis (Stages Child A to Child C), viral hepatitis, and carcinomas. In these studies, the calculated HBP densities, after i.v.-injection of Tc-99m-NGA, significantly correlated with the clinical course of the diseases. Furthermore, similar to conventional Tc-colloid, NGA provided excellent demonstration of `cold spots` for hepatic masses. In a further approach we used another hepatocyte receptor-seeking radioligand, I-123-Tyr-A14- insulin, and found, that its in vitro-binding to hepatocellular carcinomas is greatly enhanced over normal hepatic tissue. On this basis, we developed a double-tracer method using NGA and insulin in a single study. Thus, areas of `cold spots` identifying hepatic masses on NGA scans, take up I-123-Tyr-A14-insulin immediately after i.v.-injection. This was true for hepatocellular hepatomas, but not for adenocarcinomas. In conclusion, NGA/insulin receptor scanning could be a novel and save method for the demonstration of hepatocellular hepatomas. (author).
Authors:
Kurtaran, A; Virgolini, I; [1]  Angelberger, P [2] 
  1. Vienna Univ. (Austria). Abt. fuer Nuklearmedizin
  2. Ludwig Boltzmann-Institut fuer Nuklearmedizin, Vienna (Austria)
Publication Date:
Oct 01, 1994
Product Type:
Conference
Report Number:
INIS-mf-14931; CONF-9410480-
Reference Number:
SCA: 550601; PA: AIX-28:001332; EDB-97:009620; SN: 97001711737
Resource Relation:
Conference: 1. Croatian international congress of nuclear medicine, Zagreb (Croatia), 13-15 Oct 1994; Other Information: PBD: Oct 1994; Related Information: Is Part Of Abstracts of the 1st croatian international congress of nuclear medicine; PB: 28 p.
Subject:
55 BIOLOGY AND MEDICINE, BASIC STUDIES; RECEPTORS; SCINTISCANNING; INSULIN; IODINE 123; LIVER; TECHNETIUM 99
OSTI ID:
408488
Research Organizations:
Croatian Medical Association, Zagreb (Croatia); Croatian Society of Nuclear Medicine, Zagreb (Croatia)
Country of Origin:
Croatia
Language:
English
Other Identifying Numbers:
Other: ON: DE97605734; TRN: HR9600036001332
Availability:
INIS; OSTI as DE97605734
Submitting Site:
INIS
Size:
pp. 10
Announcement Date:
Jan 08, 1997

Citation Formats

Kurtaran, A, Virgolini, I, and Angelberger, P. NGA/Insulin receptor scanning. Croatia: N. p., 1994. Web.
Kurtaran, A, Virgolini, I, & Angelberger, P. NGA/Insulin receptor scanning. Croatia.
Kurtaran, A, Virgolini, I, and Angelberger, P. 1994. "NGA/Insulin receptor scanning." Croatia.
@misc{etde_408488,
title = {NGA/Insulin receptor scanning}
author = {Kurtaran, A, Virgolini, I, and Angelberger, P}
abstractNote = {Tc-99m-galactosyl-neoglycoalbumin (NGA) is one of the first receptor-based radiopharmaceuticals which specifically recognizes the hepatic binding protein (HBP) located on the surface of the hepatocytes. The exclusive interactin of NGA with HBP provided the basis for a kinetic model for the evaluation hepatocellular function. During the last years we have used NGA in more than 300 patients with various liver diseases including liver cirrhosis (Stages Child A to Child C), viral hepatitis, and carcinomas. In these studies, the calculated HBP densities, after i.v.-injection of Tc-99m-NGA, significantly correlated with the clinical course of the diseases. Furthermore, similar to conventional Tc-colloid, NGA provided excellent demonstration of `cold spots` for hepatic masses. In a further approach we used another hepatocyte receptor-seeking radioligand, I-123-Tyr-A14- insulin, and found, that its in vitro-binding to hepatocellular carcinomas is greatly enhanced over normal hepatic tissue. On this basis, we developed a double-tracer method using NGA and insulin in a single study. Thus, areas of `cold spots` identifying hepatic masses on NGA scans, take up I-123-Tyr-A14-insulin immediately after i.v.-injection. This was true for hepatocellular hepatomas, but not for adenocarcinomas. In conclusion, NGA/insulin receptor scanning could be a novel and save method for the demonstration of hepatocellular hepatomas. (author).}
place = {Croatia}
year = {1994}
month = {Oct}
}