Lesion-by-lesion comparison of computerized tomography and indium-111- labeled monoclonal antibody C110 radioimmunoscintigraphy in colorectal carcinoma: A multicenter trial Journal Article


Authors: Divgi, C. R.; McDermott, K.; Griffin, T. W.; Johnson, D. K.; Schnobrich, K. E.; Fallone, P. S.; Scott, A. M.; Hilton, S.; Cohen, A. M.; Larson, S. M.
Article Title: Lesion-by-lesion comparison of computerized tomography and indium-111- labeled monoclonal antibody C110 radioimmunoscintigraphy in colorectal carcinoma: A multicenter trial
Abstract: C110 is an anti-carcinoembryonic antigen murine IgG1 monoclonal antibody. Indium-111-labeled C110 radioimmunoscintigraphy (RIS) in colorectal cancer was studied in 51 presurgical patients at four institutions. Planar and SPECT images were obtained at least twice between 48 and 96 hr after injection of 5 mCi/5 mg of 111In-C110. Fifty-one patients had 87 biopsy-proven lesions at surgery (57 hepatic, 30 extra-hepatic). Thirty-three patients (64.7%) had positive radionuclide scans, while 32 (62.8%) had positive CT scans (p = NS). While CT was better at overall lesion detection (62.1% versus 56%, p < 0.05), radionuclide scans were better than CT for extra-hepatic disease (60% versus 46.7%, p < 0.01). Hepatic metastases (52.6%) were visualized by Mab scans to selectively concentrate radioactivity. Uptake in draining lymph nodes was a significant limitation, making evaluation of these sites difficult. Indium- 111-C110 shows selective uptake in metastatic colorectal cancer, including more than half of all hepatic lesions evaluated.
Keywords: adult; aged; major clinical study; liver neoplasms; comparative study; cancer diagnosis; carcinoembryonic antigen; tomography, x-ray computed; monoclonal antibody; colorectal carcinoma; colorectal neoplasms; liver metastasis; indium radioisotopes; drug uptake; isotope labeling; antigen detection; neoplasm metastasis; single photon emission computer tomography; indium 111; half-life; tomography, emission-computed, single-photon; middle age; radioimmunodetection; immunoscintigraphy; human; male; female; priority journal; article
Journal Title: Journal of Nuclear Medicine
Volume: 34
Issue: 10
ISSN: 0161-5505
Publisher: Society of Nuclear Medicine  
Date Published: 1993-10-01
Start Page: 1656
End Page: 1661
Language: English
PUBMED: 8410278
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 March 2019 -- Source: Scopus
Citation Impact
MSK Authors
  1. Chaitanya Divgi
    163 Divgi
  2. Alfred M Cohen
    244 Cohen
  3. Susan Hilton
    28 Hilton
  4. Steven M Larson
    959 Larson
  5. Andrew M. Scott
    62 Scott