111In-labeled bleomycin complex for SPECT in differentiation of high- and low-grade gliomas in nude mice
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(1.Department of Nuclear Medicine, The Affiliated Hospital, Southwest Medical University, Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province,No. 25, Taiping St., Luzhou 646000,China.2. Institute of Nuclear Science and Technology, Sichuan University, Chengdu 610000)

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R-33

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    Abstract:

    Objective In this study, the 111In-labeled bleomycin complex (111 In-BLMC) was used as a Single-Photon Emission Computed Tomography (SPECT)-tracking agent to differentiate the high-grade and low-grade gliomas innude mice. Methods Thirty-four nude mice with gliomas,induding 22 high-grade and 12 low-grade gliomas,were used inthis study.SPECT was performed 10 min after the injection of 111In-BLMC to the mice. Semi-quantitative analysis by imagingwas performed at the early and delayed phases. The 111In-BLMC early- and delayed-phase uptake indexes and retentionindexes were obtained. Results All SPECTs were positive for 111In-BLMC markers. In the high-grade glioma group, theearly- and delayed-phase 111In-BLMC uptake indexes and retention indexes were (3. 47± 1. 66) and (5. 193± 1. 49),respectively. In the low-grade glioma group, the mid-, early-, and delayed-phase 111In-BLMC uptake indexes and retentionindexes were (1. 59±1. 68) and (2. 99±1. 36), respectively, both differences were statistically significant ( P < 0. 01).When the intake index was < 1. 898, the sensitivity of diagnosis of low-grade glioma was 66. 67% and the specificity was85. 71% ( P < 0. 01); when the retention index was < 3. 155, the sensitivity of diagnosis of low-grade glioma was58. 33%,and the specificity was 63. 66% ( P < 0. 01). Conclusions 111In-BLMC-labeled glioma SPECT can provide somehelp for preoperative tumor grading. The uptake index and the retention index enable a relatively accurate judgment of the degree of malignancy of gliomas.

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History
  • Received:September 17,2018
  • Revised:
  • Adopted:
  • Online: May 10,2019
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