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Journal of Nuclear Medicine Technology

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OtherCONTINUING EDUCATION

Molecular Imaging: 18F-FDG PET and a Whole Lot More

Todd E. Peterson and H. Charles Manning
Journal of Nuclear Medicine Technology September 2009, 37 (3) 151-161; DOI: https://doi.org/10.2967/jnmt.109.062729
Todd E. Peterson
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H. Charles Manning
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    FIGURE 1. 

    Examples of synthetic approaches to preparing molecular imaging agents: direct labeling (A) and labeling through linker (B).

  • FIGURE 2. 
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    FIGURE 2. 

    Noninvasive imaging assessment of response to EGFR blockade with cetuximab in CRC xenograft–bearing mice. Treated and untreated cohorts bearing DiFi xenograft tumors were simultaneously imaged with NIR800-EGF, NIR700-annexin-V, and 18F-FLT PET. After cetuximab treatment, mice bearing DiFi tumors, compared with untreated controls (CTL), exhibited significantly reduced NIR800-EGF uptake (A) and increased NIR700-annexin-V uptake (B). No statistical difference in 18F-FLT uptake was observed between treated and untreated mice (C). (D–I) Representative NIR800-EGF, NIR700-annexin-V, and 18F-FLT PET images collected from individual control (D, F, and H) and treated (E, G, and I) mice. Strong agreement between imaging metrics of response and standard immunohistochemistry was observed. Tumors from control (J) and treated (K) animals exhibited similar levels of total EGFR. Treated animals (M), compared with untreated cohorts (L), exhibited elevated caspase 3 staining. No discernible difference in Ki67 staining was observed between tumors from control (N) and treated cohorts (O). T = tumor; K = kidney. (Reprinted with permission of (24).)

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    TABLE 1

    Comparison of Molecular Imaging Modalities

    ModalitySignalClinicalPreclinical (rodent)Sensitivity*QuantificationAcquisition time (s)
    PET11C, 18F, 64Cu, 68GaYesYes1Very good10s−100s
    SPECT99mTc, 123I, 111In, 177LuYesYes10−1−10−2Good100s−1,000s
    FluorescenceFluorescent proteins, fluorochromes, quantum dotsPotentialYes10−2−1†Poor to fair†1–10
    BLILuciferaseNoYes1–102†Poor to fair†1–10
    MRIGadolinium, SPIO, USPIO, 19FPotentialYes10−5Fair100s−1,000s
    MRSEndogenous compounds, hyperpolarized 13CYesYes<10−5Fair100s−1,000s
    UltrasoundMicrobubblesPotentialYes‡Poor<1
    • ↵* Relative to PET.

    • ↵† Depth-dependent.

    • ↵‡ Not well characterized.

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Journal of Nuclear Medicine Technology: 37 (3)
Journal of Nuclear Medicine Technology
Vol. 37, Issue 3
September 2009
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Molecular Imaging: 18F-FDG PET and a Whole Lot More
Todd E. Peterson, H. Charles Manning
Journal of Nuclear Medicine Technology Sep 2009, 37 (3) 151-161; DOI: 10.2967/jnmt.109.062729

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Molecular Imaging: 18F-FDG PET and a Whole Lot More
Todd E. Peterson, H. Charles Manning
Journal of Nuclear Medicine Technology Sep 2009, 37 (3) 151-161; DOI: 10.2967/jnmt.109.062729
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  • Article
    • Abstract
    • HOW CAN MOLECULAR IMAGING BE USED?
    • MOLECULAR IMAGING MODALITIES
    • MOLECULAR IMAGING AGENTS
    • MULTIPLE IMAGING READOUTS: POTENTIAL FOR IMPROVED CHARACTERIZATION
    • IMPACT OF MOLECULAR IMAGING ON CLINICAL PRACTICE
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