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Research ArticleCLINICAL INVESTIGATIONS

Integrin Receptor Imaging of Breast Cancer: A Proof-of-Concept Study to Evaluate 99mTc-NC100692

Tore Bach-Gansmo, Rimma Danielsson, Ariel Saracco, Brigitte Wilczek, Trond V. Bogsrud, Anne Fangberget, Åse Tangerud and Derek Tobin
Journal of Nuclear Medicine September 2006, 47 (9) 1434-1439;
Tore Bach-Gansmo
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Rimma Danielsson
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Ariel Saracco
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Brigitte Wilczek
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Trond V. Bogsrud
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Anne Fangberget
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Åse Tangerud
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Derek Tobin
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Figures

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  • FIGURE 1. 
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    FIGURE 1. 

    Patient 1: Infiltrative ductal carcinoma (8 mm). Lateral projection.

  • FIGURE 2. 
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    FIGURE 2. 

    Patient 3: Infiltrative ductal carcinoma (10 mm), with surrounding ductal carcinoma in situ. Frontal projection.

  • FIGURE 3. 
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    FIGURE 3. 

    Patient 14: Large infiltrative ductal carcinoma (35 mm) (large arrow) with uptake in axillary lymph nodes (small arrow). Frontal projection.

  • FIGURE 4. 
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    FIGURE 4. 

    Patient 10: Diffuse, heterogeneous uptake in fibrocystic disease, with no focal pathology. Lateral projection.

  • FIGURE 5. 
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    FIGURE 5. 

    Patient 19: Intense uptake in infected cyst. SPECT, coronal projection.

Tables

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    TABLE 1

    Clinical Laboratory Parameters

    Serum biochemistryHematologyUrine analysis
    CreatinineHematocritBilirubin
    Urea nitrogenHemoglobinProtein
    Uric acidRBCKetone
    Bilirubin (total, direct, indirect)WBCOccult blood
    WBC differential countSpecific gravity
    Protein (total)pH
    AlbuminCoagulation parametersMicroscopy
    ASAT
    ALATProtrombin time
    Alkaline phosphatasesActivated partial tromboplastin time
    γ-GT
    Chloride
    Calcium
    Phosphorus
    Bicarbonate
    LD
    CPK
    Amylase
    Glucose
    Sodium
    Potassium
    • RBC = red blood cell count; WBC = white blood cell count; ASAT = aspartate aminotransferase; ALAT = alanine aminotransferase; γ-GT = γ-glutamyltransferase; LD = lactate dehydrogenase; CPK = creatine phosphokinase.

    • Physical examination included general appearance, cardiovascular, lung, and abdominal examination, motor function, cranial nerves (II–XII), and reflexes (biceps, triceps, patellar, ankle).

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    TABLE 2

    Characteristics of Malignant Lesions

    Lesion size (mm)Visual uptake grading
    Patient no.PathologyUS*XMM†SMM‡
    1IDC8453
    2IDC20553
    3IDC (+ DCIS)10 (+ 12)553
    4L: DCIS10413,
    R: IDC25553
    DCIS§2.5
    5ILC × 220, 235, 35, 53, 3
    ILC§11112
    6IDC (+ DCIS)14 (+ 10)553
    7IDC6551
    8IDC7553
    9IDC × 2 (widely DCIS)12, 145, 45, 53, 3
    10IDC (+ DCIS)40553
    11ILC20553
    12IDC28553
    13IDC (+ DCIS)40553
    14IDC35553
    15IDC (+ DCIS)40553
    16IDC40553
    ILC40343
    • ↵* US: 5-scale grading, where grade 3 = indeterminate and grade 5 = malignant.

    • ↵† XMM: findings are graded according to BIRADS, where grade 1 = negative, grade 2 = benign finding, grade 3 = probably benign finding, grade 4 = suspicious abnormality (biopsy should be considered), and grade 5 = highly suggestive of malignancy.

    • ↵‡ SMM with NC100692 administration (study drug): 3-grade scale, where grade 1 = no obvious uptake, grade 2 = uncertain/heterogeneous uptake, and grade 3 = focal lesion uptake.

    • ↵§ Lesions were found during histopathologic examination but were not observed by any imaging modality.

    • BIRADS = Breast Imaging Reporting and Data System; IDC = infiltrative ductal carcinoma; ILC = infiltrative lobular carcinoma; DCIS = ductal carcinoma in situ.

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    TABLE 3

    Characteristics of Benign Lesions

    Visual uptake grading
    Patient no.DiagnosisUS*XMM†SMM‡
    10Fibrocystic changes, other (fat)No lesionNo lesion2
    13Fibrocystic changes221
    174 Fibrocystic changes222 (FNAC)§, 3 others
    18Fibroadenoma221
    19Infectious cyst223
    20Fibroadenoma321
    • ↵* US: 5-scale grading, where grade 2 = benign finding and grade 3 = indeterminate.

    • ↵† XMM: findings are graded according to BIRADS, where grade 1 = negative, grade 2 = benign finding, grade 3 = probably benign finding, grade 4 = suspicious abnormality (biopsy should be considered), and grade 5 = highly suggestive of malignancy.

    • ↵‡ SMM with NC100692 administration (study drug): 3-grade scale, where grade 1 = no obvious uptake, grade 2 = uncertain/heterogeneous uptake, and grade 3 = focal lesion uptake.

    • ↵§ FNAC = lesion had fine-needle aspiration cytology before scintigraphy.

    • BIRADS = Breast Imaging Reporting and Data System.

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Journal of Nuclear Medicine: 47 (9)
Journal of Nuclear Medicine
Vol. 47, Issue 9
September 2006
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Integrin Receptor Imaging of Breast Cancer: A Proof-of-Concept Study to Evaluate 99mTc-NC100692
Tore Bach-Gansmo, Rimma Danielsson, Ariel Saracco, Brigitte Wilczek, Trond V. Bogsrud, Anne Fangberget, Åse Tangerud, Derek Tobin
Journal of Nuclear Medicine Sep 2006, 47 (9) 1434-1439;

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Integrin Receptor Imaging of Breast Cancer: A Proof-of-Concept Study to Evaluate 99mTc-NC100692
Tore Bach-Gansmo, Rimma Danielsson, Ariel Saracco, Brigitte Wilczek, Trond V. Bogsrud, Anne Fangberget, Åse Tangerud, Derek Tobin
Journal of Nuclear Medicine Sep 2006, 47 (9) 1434-1439;
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