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Brain Tumor Imaging Using p-[123I]Iodo-L-Phenylalanine and SPECT

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Book cover Methods of Cancer Diagnosis, Therapy, and Prognosis

Part of the book series: Methods of Cancer Diagnosis, Therapy and Prognosis ((HAYAT,volume 8))

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Abstract

Primary brain tumors exhibit an increased uptake of amino acids. Nuclear medicine utilizes this property of glioma for cancer imaging using radioactive amino acids. Single photon emission tomography (SPECT) using p-[123I]iodo-L-phenylalanine (IPA) is a valid method for brain tumor imaging. This chapter discusses the experience with IPA-SPECT in patients with suspected glioma or suspected progression/ recurrence of glioma. The imaging procedure, the coregistration process with nuclear magnetic resonance imaging (MRI), and potential pitfalls of image interpretation are described in detail. The clinical relevance of the results obtained in clinical studies is also discussed. The implications of quantitative analyses of the kinetics of IPA in brain tumors are reported in the light of the potential therapeutic application of radioiodinated IPA (131I-IPA).

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REFERENCES

  • DeAngelis, L.M. (2001) Brain tumors. N. Engl. J. Med. 344:114–123

    Article  PubMed  CAS  Google Scholar 

  • Hellwig, D., Ketter, R., Romeike, B.F., Sell, N., Schaefer, A., Moringlane, J.R., Kirsch, C.M., and Samnick, S. (2005) Validation of brain tumour imaging with p-[123I]iodo-L-phenylalanine and SPECT. Eur. J. Nucl. Med. Mol. Imaging 32:1041–1049

    Article  PubMed  Google Scholar 

  • Hellwig, D., Gouverneur, E., Schaefer, A., Raedle, J., Menges, M., Kirsch, C.M., and Samnick, S. (2008a) Para-[123I]iodo-L-phenylalanine in patients with pancreatic adenocarcinoma: tumour uptake, whole-body kinetics, dosimetry. Nuklearmedizin 47:220–224

    PubMed  CAS  Google Scholar 

  • Hellwig, D., Romeike, B.F., Ketter, R., Moringlane, J.R., Kirsch, C.M., and Samnick, S. (2008b) Intra-individual comparison of p-[123I]-iodo-L-phenylalanine and L-3-[ 123I]-iodo-alpha-methyl-tyrosine for SPECT imaging of gliomas. Eur. J. Nucl. Med. Mol. Imaging 35:24–31

    Article  PubMed  CAS  Google Scholar 

  • Lahoutte, T., Mertens, J., Caveliers, V., Franken, P.R., Everaert, H., and Bossuyt, A. (2003) Comparative biodistribution of iodinated amino acids in rats: selection of the optimal analog for oncologic imaging outside the brain. J. Nucl. Med. 44:1489–1494

    PubMed  CAS  Google Scholar 

  • Langen, K.J., and Broer, S. (2004) Molecular transport mechanisms of radiolabeled amino acids for PET and SPECT. J. Nucl. Med. 45:1435–1436

    PubMed  CAS  Google Scholar 

  • Matheja, P., Rickert, C., Weckesser, M., Palkovic, S., Lottgen, J., Riemann, B., Kopka, K., Kuwert, T., Wassmann, H., Paulus, W., and Schober, O. (2000) Sequential scintigraphic strategy for the differentiation of brain tumours. Eur. J. Nucl. Med. 27:550–558

    Article  PubMed  CAS  Google Scholar 

  • Pauleit, D., Floeth, F., Hamacher, K., Riemenschneider, M.J., Reifenberger, G., Müller, H.W., Zilles, K., Coenen, H.H., and Langen, K.J. (2005) O-(2-[18F]fluoroethyl)-L-tyrosine PET combined with MRI improves the diagnostic assessment of cerebral gliomas. Brain 128:678–687

    Article  PubMed  Google Scholar 

  • Romeike, B.F., Hellwig, D., Heimann, A., Kempski, O., Feiden, W., Kirsch, C.M., and Samnick, S. (2004) Action and efficacy of p-[131I]iodo-L-phenylalanine on primary human glioma cell cultures and rats with C6-gliomas. Anticancer Res. 24:3971–3976

    PubMed  CAS  Google Scholar 

  • Samnick, S., Richter, S., Romeike, B.F., Heimann, A., Feiden, W., Kempski, O., and Kirsch, C.M. (2000) Investigation of iodine-123-labelled amino acid derivatives for imaging cerebral gliomas: uptake in human glioma cells and evaluation in stereotactically implanted C6 glioma rats. Eur. J. Nucl. Med. 27:1543–1551

    Article  PubMed  CAS  Google Scholar 

  • Samnick, S., Schaefer, A., Siebert, S., Richter, S., Vollmar, B., and Kirsch, C.M. (2001) Preparation and investigation of tumor affinity, uptake kinetic and transport mechanism of iodine-123-labelled amino acid derivatives in human pancreatic carcinoma and glioblastoma cells. Nucl. Med. Biol. 28:13–23

    Article  PubMed  CAS  Google Scholar 

  • Samnick, S., Hellwig, D., Bader, J.B., Romeike, B.F., Moringlane, J.R., Feiden, W., and Kirsch, C.M. (2002) Initial evaluation of the feasibility of single photon emission tomography with p-[123I]iodo-L-phenylalanine for routine brain tumour imaging. Nucl. Med. Commun. 23:121–130

    Article  PubMed  CAS  Google Scholar 

  • Samnick, S., Romeike, B.F., Kubuschok, B., Hellwig, D., Amon, M., Feiden, W., Menger, M.D., and Kirsch, C.M. (2004) p-[123I]iodo-L-phenylalanine for detection of pancreatic cancer: basic investigations of the uptake characteristics in primary human pancreatic tumour cells and evaluation in in vivo models of human pancreatic adenocarcinoma. Eur. J. Nucl. Med. Mol. Imaging 31:532–541

    Article  PubMed  Google Scholar 

  • Vander Borght, T., Asenbaum, S., Bartenstein, P., Halldin, C., Kapucu, O., Van Laere, K., Varrone, A., and Tatsch, K. (2006) EANM procedure guidelines for brain tumour imaging using labelled amino acid analogues. Eur. J. Nucl. Med. Mol. Imaging 33:1374–1380

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Dirk Hellwig .

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Hellwig, D. (2011). Brain Tumor Imaging Using p-[123I]Iodo-L-Phenylalanine and SPECT. In: Hayat, M. (eds) Methods of Cancer Diagnosis, Therapy, and Prognosis. Methods of Cancer Diagnosis, Therapy and Prognosis, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-8665-5_18

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  • DOI: https://doi.org/10.1007/978-90-481-8665-5_18

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  • Online ISBN: 978-90-481-8665-5

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