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A Dual Radiologic Contrast Agent Protocol for 18F-FDG and 18F-FLT PET/CT Imaging of Mice Bearing Abdominal Tumors

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Abstract

Purpose

The aim of the study was to improve abdominal tumor detection by use of a dual radiologic contrast protocol.

Procedures

eXia160® (Benitio international) was mixed with 2-deoxy-2-[18F]fluoro-d-glucose or 3′-[18F]fluoro-3′-deoxythymidine for intravenous (IV) injections. Omnipaque® 300 (GE healthcare) was used for intraperitoneal (IP) injections. Positron emission tomography/computed tomography (PET/CT) scans were acquired on a Siemens Biograph® equipped with point spread function reconstruction. The optimal concentration and injection schedule of IP contrast agent was studied in 12 mice. The impact of IP contrast media on PET quantitative accuracy was investigated by phantom studies and by imaging six mice before and after IP injection of Omnipaque®. The impact of a dual contrast media protocol on tumor delineation and quantitation was evaluated in 15 tumor-bearing mice using ex vivo counting as the reference.

Results

The optimal sequence was a mixture of tracer plus IV contrast agent followed by 1 mL of IP contrast agent (20 mg iodine/mL) administered 10 min before PET/CT acquisition. Phantom studies showed that the use of a 20-mg iodine/mL concentration of Omnipaque® led to a 4.8% overestimation of radioactivity concentration, as compared to saline. This was confirmed by animal studies that demonstrated a 4.3% overestimation. Tumor detection was excellent and correlation between PET/CT quantitative data and ex vivo counting was good (r 2 = 0.91, slope = 0.7).

Conclusions

A dual radiologic contrast protocol is useful in PET/CT scanning of mice bearing abdominal tumors. Contrast agents used in this manner lead to a small but acceptable overestimation of quantitative PET data.

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Acknowledgments

This work was supported and by a Fellowship from the Fondation de France, and by a grant from the French Ligue contre le cancer, Comité du Calvados. The authors thank Emily Hong, Jason Callahan, David Binns and Mark Scalzo for their help during animals PET acquisitions and ex vivo counting and the animal technologists and research assistants (Kerry Ardley, Rachel Walker, Susan Jackson, Jeannette Valentan, Ekaterina Bogatyreva and Laura Kirby) from the Centre for Molecular Imaging for animal care and tracer injections. Dr. Aide is indebted to Dr. Lerouge for her continuous support during this work.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Correspondence to Nicolas Aide.

Additional information

A dual radiologic contrast protocol, which includes a mixture of tracer plus long-lasting intravenous contrast agent followed by intraperitoneal contrast agent, is described that provides better anatomical separation and delineation of abdominal tumors for PET/CT scanning of mice.

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Aide, N., Kinross, K., Beauregard, JM. et al. A Dual Radiologic Contrast Agent Protocol for 18F-FDG and 18F-FLT PET/CT Imaging of Mice Bearing Abdominal Tumors. Mol Imaging Biol 13, 518–525 (2011). https://doi.org/10.1007/s11307-010-0378-x

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