A robotic system for (18)F-FMISO PET-guided intratumoral pO(2) measurements Journal Article


Authors: Chang, J.; Wen, B.; Kazanzides, P.; Zanzonico, P.; Finn, R. D.; Fichtinger, G.; Ling, C. C.
Article Title: A robotic system for (18)F-FMISO PET-guided intratumoral pO(2) measurements
Abstract: An image-guided robotic system was used to measure the oxygen tension (p O(2)) in rodent tumor xenografts using interstitial probes guided by tumor hypoxia PET images. Rats with ∼1 cm diameter tumors were anesthetized and immobilized in a custom-fabricated whole-body mold. Imaging was performed using a dedicated small-animal PET scanner (R4 or Focus 120 microPET) ∼2 h after the injection of the hypoxia tracer (18)F -fluoromisonidazole ((18)F -FMISO). The coordinate systems of the robot and PET were registered based on fiducial markers in the rodent bed visible on the PET images. Guided by the 3D microPET image set, measurements were performed at various locations in the tumor and compared to the corresponding (18)F -FMISO image intensity at the respective measurement points. Experiments were performed on four tumor-bearing rats with 4 (86), 3 (80), 7 (162), and 8 (235) measurement tracks (points) for each experiment. The (18)F -FMISO image intensities were inversely correlated with the measured p O(2), with a Pearson coefficient ranging from -0.14 to -0.97 for the 22 measurement tracks. The cumulative scatterplots of p O(2) versus image intensity yielded a hyperbolic relationship, with correlation coefficients of 0.52, 0.48, 0.64, and 0.73, respectively, for the four tumors. In conclusion, PET image-guided p O(2) measurement is feasible with this robot system and, more generally, this system will permit point-by-point comparison of physiological probe measurements and image voxel values as a means of validating molecularly targeted radiotracers. Although the overall data fitting suggested that (18)F -FMISO may be an effective hypoxia marker, the use of static (18)F -FMISO PET postinjection scans to guide radiotherapy might be problematic due to the observed high variation in some individual data pairs from the fitted curve, indicating potential temporal fluctuation of oxygen tension in individual voxels or possible suboptimal imaging time postadministration of hypoxia-related trapping of F18 -FMISO. © 2009 American Association of Physicists in Medicine.
Keywords: immunohistochemistry; cancer growth; nonhuman; positron emission tomography; methodology; animal; metabolism; animals; animal tissue; tumor localization; image analysis; oxygen; animal experiment; animal model; tumor xenograft; pathology; cell line, tumor; algorithms; animalia; hypoxia; algorithm; instrumentation; three dimensional imaging; imaging, three-dimensional; tumor cell line; rat; positron-emission tomography; drug derivative; neoplasms, experimental; 1 fluoro 3 (2 nitro 1 imidazolyl) 2 propanol f 18; cell hypoxia; rats; prostate adenocarcinoma; image guidance; po<sub>2</sub> measurement; robot; small animal imaging; 1 fluoro 3 (2 nitro 1 imidazolyl) 2 propanol; misonidazole; immunofluorescence test; oxygen tension; robotics; experimental neoplasm; fiber optics; nude rat; rattus; rodentia; fiber optic technology; rats, nude
Journal Title: Medical Physics
Volume: 36
Issue: 11
ISSN: 0094-2405
Publisher: American Association of Physicists in Medicine  
Date Published: 2009-11-01
Start Page: 5301
End Page: 5309
Language: English
DOI: 10.1118/1.3239491
PUBMED: 19994538
PROVIDER: scopus
PMCID: PMC2776816
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 30 November 2010" - "CODEN: MPHYA" - "Source: Scopus"
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MSK Authors
  1. Bixiu Wen
    23 Wen
  2. Jenghwa Chang
    63 Chang
  3. Pat B Zanzonico
    357 Zanzonico
  4. C Clifton Ling
    331 Ling