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AbstractAbstract
[en] Aim. - The U.M.R. 484 I.N.S.E.R.M. develops a 'cartilage imaging strategy' with the 99mTc-N.T.P. 15-5 tracer that selectively binds to cartilage proteoglycans, allowing a highly specific cartilage imaging. Since chondro-genic tumours are characterized by the presence of cartilaginous matrix, we hypothesized that the 99mTc-N.T.P. 15-5 tracer would allow chondrosarcoma imaging, which is currently lacking in clinics. In the rat model of grade II para-tibial chondrosarcoma, we evaluated the relevance of 99mTc-N.T.P. 15-5 imaging for an early and specific diagnosis of chondrosarcoma. Methods. - 99mTc-N.T.P. 15-5 longitudinal imaging of animals was performed during two months after para-tibial ortho-topic tumour implantation in the right paw, the left being used as control. At regular intervals, animals were submitted to 99mTc-M.D.P. bone imaging, the only examination used for SPECT diagnosis of chondrosarcoma in patients. Tumour volume was monitored for two months when the tumours became palpable, with the two perpendicular diameters measured. For both cartilage and bone imaging, the scans were considered positive when areas of tracer uptake were present at sites consistent with the sites of inoculation. For each animal, positive scans were analyzed at each stage using the semiquantitative method of the target to background ratio (T.B.R.), with the target R.O.I. being delineated over the tumour and background R.O.I. over vertebra and muscle. T.B.R. time-course was followed as a function of tumour growth.At study ending, each animal was sacrificed for histopathological control. Results. - 99mTc-N.T.P. 15-5 scans were positive in 100% of the animals at very early stage (three days) after implantation, while no palpable nor measurable tumour could be assessed. Quantitative analysis of 99mTc-N.T.P. 15-5 scans evidenced a significant uptake of the tracer at the implantation site at early stage. The time-course of T.B.R. ratios was closely related to tumour growth. It should be high lightened that 99mTc-M.D.P. bone scans were negative during the whole study. Conclusion. - These experimental results underlined the potential of 99mTc-N.T.P. 15-5 imaging for both the early and specific diagnosis of grade II chondrosarcoma at molecular level. These results appeared of high interest when one considers the clinical context of chondrosarcoma imaging, where a specific SPECT diagnosis is of real need. (authors)
Primary Subject
Source
5. France - Australia nuclear medicine symposium, the role of nuclear medicine in melanoma and neuro-inflammation; Clermont-Ferrand (France); 26 Oct 2007; Available from doi: http://dx.doi.org/10.1016/j.mednuc.2007.12.002
Record Type
Journal Article
Literature Type
Conference
Journal
Medecine Nucleaire. Imagerie Fonctionnelle et Metabolique; ISSN 0928-1258;
; CODEN MNIMEX; v. 32(no.2); p. 125-126

Country of publication
ANIMALS, BETA DECAY RADIOISOTOPES, BETA-MINUS DECAY RADIOISOTOPES, COMPUTERIZED TOMOGRAPHY, DIAGNOSTIC TECHNIQUES, DISEASES, EMISSION COMPUTED TOMOGRAPHY, HOURS LIVING RADIOISOTOPES, INTERMEDIATE MASS NUCLEI, INTERNAL CONVERSION RADIOISOTOPES, ISOMERIC TRANSITION ISOTOPES, ISOTOPE APPLICATIONS, ISOTOPES, MAMMALS, NEOPLASMS, NUCLEI, ODD-EVEN NUCLEI, RADIOISOTOPES, RODENTS, TECHNETIUM ISOTOPES, TOMOGRAPHY, VERTEBRATES, YEARS LIVING RADIOISOTOPES
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