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作 者:张建阳[1] 冯珏[2] 李红梅[2] 李晓东[2] 贾红丽[2]
机构地区:[1]保定市第一中心医院核医学科,071000 [2]河北医科大学第二医院核医学科,石家庄050000
出 处:《中华肿瘤杂志》2011年第7期504-507,共4页Chinese Journal of Oncology
摘 要:目的比较^18F-脱氧葡萄糖(^18F-FDG)、^99Tc^m-甲氧荩异丁基异腈(^99Tc^m-MIBI)^99Tc^m-氮-二(N-2基N-2氧基二硫代氧基甲酸盐)[^99Tc^m-N(NOET))]和^99Tc^m-RGD-4CK娃像剂任NCI—H358肺癌裸鼠中的摄取,评价4种硅像剂对低代谢肺胆瘤的诊断价值。方法建立人非小细胞肺癌NCIH358细胞裸鼠移植瘤模型20只,随机分为4组,分别经尾静脉注射^18F-FDG、^99Tc^m-MIBI、^99Tc^m-N(NOErr),和^99Tc^m-RGD-4CK移像剂,进行显像和生物分布研究。结果SPECT全身平面显像显示,^18F-FDG组倚瘤小鼠胸部放射性核素明妙浓聚,与肿瘤组织部分重叠,以敛肿瘤轮廓显示不清晰;^99Tc^m-MIBI组荷瘤小鼠右前肢肿瘤处隐约显影,轮廓不清;^99Tc^m-N(NOET)2组和^99Tc^m-RGD-4CK组荷瘤小鼠右前肢肿瘤部位硅影均清晰。^18F-FDG组、^99Tc^m-MIB组。^99Tc^m-N(NOET):组和^99Tc^m-RGD-4CK组肺癌裸鼠模型显像的肿瘤勺肌肉放射性比值(T/NT)分别为1.85±0.07、0.99±0.16、2.78±2.26和3.40±0.27,生物分布的T/NT值分别为2.32±0.14、0.44±0.08、2.59±0.53和3.43±0.36,其^99Tc^m-RGD-4CK组的rf/NT值明显高于其他组(均P〈0.01)。结论^99Tc^m-RGD-4CK对人非小细胞肺癌NCI—H358细胞移植瘤的湿像效果好于^18F—FDG,在诊断低代谢的非小细胞肺癌时,^99Tc^m-RGD--4CK妊像町能比^18F—FDG显像更具优势。Objective To compare the uptake of four contrast agents: ^99Tc^m-RGD-4CK, ^99Tc^m-N (NOET)2, ^99Tc^m-MIBI and LSF-FDC in Bal B/c nude mice hearing human non-small cell lung cancer NCI- H358 and evaluate their diagnostic value in low-metabolic lung cancer. Methods ttuman bronehioloalveolar carcinoma NCI-H358 cells were subcutaneously inoculated in Bal B/c nude mice to establish mouse models bearing human lung cancer. Twenty tumor-bearing nude mice were given injection of the four contrast agent, respectively, 5 mice in each group. SPECT imaging and biodistribution of the 4 tracers in the tumor-bearing nude mice were performed. The ratios of tumor to non-tumor (T/NT) of the tracers were compared. Results The results from semi-quantification of the planar image and assessment of biodistribution showed that tumor to eontralateral muscle activity ratios (T/NT) of the four tracers had statistically significant difference between each two of the four tracer groups of tumor-bearing mice ( P 〈 0. 001 ) , with a highest value of T/NT ratio in the ^99Tc^m-RGD-4CK group. Conclusions NCI-H358 tumors show a higher uptake of ^99Tc^m-RGD-4CK than ISF-FDG. It suggests that when diagnosing a well- differentiated lung cancer such as bronchioloalveolar carcinoma, the contrast agent ^99Tc^m-RGD-dCK may be more sensitive than ISF-FDG, and it may become a promising contrast agent in tumor imaging diagnosis.
关 键 词:癌 非小细胞肺 NCI—H358细胞 ^18F-脱氧葡萄糖 ^99TC^M-甲氧基异丁基异腈 ^99Tc^m-氮-二(N-2基N-2氧基二硫代氧基甲酸盐) ^99Tc^m-RGD-4CK
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