Intraoperative imaging of positron emission tomographic radiotracers using cerenkov luminescence emissions Journal Article


Authors: Holland, J. P.; Normand, G.; Ruggiero, A.; Lewis, J. S.; Grimm, J.
Article Title: Intraoperative imaging of positron emission tomographic radiotracers using cerenkov luminescence emissions
Abstract: Imaging the location and extent of cancer provides invaluable information before, during, and after surgery. The majority of "image-guided" methods that use, for example, positron emission tomography (PET) involve preoperative imaging and do not provide real-time information during surgery. It is now well established that the inherent optical emissions (Cerenkov radiation) from various β-emitting radionuclides can be visualized by Cerenkov luminescence imaging (CLI). Here we report the full characterization of CLI using the positron-emitting radiotracer 89Zr-DFO-trastuzumab for target-specific, quantitative imaging of HER2/neu-positive tumors in vivo. We also provide the first demonstration of the feasibility of using CLI for true image-guided, intraoperative surgical resection of tumors. Analysis of optical CLIs provided accurate, quantitative information on radiotracer biodistribution and tissue uptake that correlated well with the concordant PET images. CLI, PET, and biodistribution studies revealed target-specific uptake of 89Zr-DFO-trastuzumab in BT-474 (HER2/neu positive) versus MDA-MB-468 (HER2/neu negative) xenografts in the same mice. Competitive inhibition (blocking) studies followed by CLI also confirmed the in vivo immunoreactivity and specificity of 89Zr-DFO-trastuzumab for HER2/neu. Overall, these results strongly support the continued development of CLI as a preclinical and possible clinical tool for use in molecular imaging and surgical procedures for accurately defining tumor margins. © 2011 Decker Publishing.
Keywords: positron emission tomography; molecular imaging; monoclonal antibodies; luminescence; tumors; surgery; in-vivo; quantitative imaging; radioactive tracers; surgical resection; trastuzumab; electrons; zirconium; positrons; intra-operative; image-guided; pet images; surgical procedures; competitive inhibition; positron emission; cerenkov; biodistributions; cerenkov radiation; clinical tools; immunoreactivities; luminescence emission; luminescence imaging; optical emissions; quantitative information; real-time information; tomographic
Journal Title: Molecular Imaging
Volume: 10
Issue: 3
ISSN: 1535-3508
Publisher: Sage Publications, Inc.  
Date Published: 2011-06-01
Start Page: 177
End Page: 186
Language: English
DOI: 10.2310/7290.2010.00047
PROVIDER: scopus
PMCID: PMC3083828
PUBMED: 21496448
DOI/URL:
Notes: --- - "Export Date: 23 June 2011" - "Source: Scopus"
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  1. Jason Philip Holland
    31 Holland
  2. Jan Grimm
    93 Grimm
  3. Jason S Lewis
    456 Lewis