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OtherBASIC SCIENCE INVESTIGATIONS

An Imaging Comparison of 64Cu-ATSM and 60Cu-ATSM in Cancer of the Uterine Cervix

Jason S. Lewis, Richard Laforest, Farrokh Dehdashti, Perry W. Grigsby, Michael J. Welch and Barry A. Siegel
Journal of Nuclear Medicine July 2008, 49 (7) 1177-1182; DOI: https://doi.org/10.2967/jnumed.108.051326
Jason S. Lewis
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Richard Laforest
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Farrokh Dehdashti
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Perry W. Grigsby
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Michael J. Welch
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Barry A. Siegel
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  • FIGURE 1. 
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    FIGURE 1. 

    Activity ratios of hot cylinders to background, with cylinders of 8-, 12-, 16-, and 25-mm diameter for 64Cu and 60Cu (without and with cascade coincidence subtraction [CS]). Ratios of hot cylinder to uniform area in A are averages within cylinder and in B are peak values. Values were normalized to expected ratio of 9.87 to be equal to 1.

  • FIGURE 2. 
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    FIGURE 2. 

    Correlation of 60Cu-ATSM uptake (without and with cascade subtraction [CS]) and 64Cu-ATSM uptake in 10 patients with cervical cancer. Results are expressed as T/M ratios. Good correlation between uptakes of these 2 radiotracers was found. This analysis was performed to demonstrate that similar T/M ratios can be obtained with both nuclides and that applying 60Cu cascade coincidence correction improves comparability of measured T/M ratios. Linear regressions were determined by setting y-intercept to zero and slope derived from least-square minimization.

  • FIGURE 3. 
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    FIGURE 3. 

    (A) Transaxial CT (top left) and 18F-FDG PET (top right) images of pelvis show intense 18F-FDG uptake within known cervical tumor at site of cervical mass seen on CT. Transaxial 30- to 60-min summed images of 60Cu-ATSM PET (bottom left) and 64Cu-ATSM PET (bottom right) of pelvis at same level demonstrate mildly increased uptake within known primary cervical tumor. There are similar patterns of 60Cu-ATSM and 64Cu-ATSM uptake within tumor. (B) Transaxial coregistered 18F-FDG PET/CT (top left) and 18F-FDG PET (top right) images of pelvis show intense 18F-FDG uptake within known cervical tumor at site of cervical mass seen on CT. Transaxial 30- to 60-min summed images of 60Cu-ATSM PET (bottom left) and 64Cu-ATSM PET (bottom right) of pelvis at same level demonstrate markedly increased uptake within known primary cervical tumor. There are similar patterns of 60Cu-ATSM and 64Cu-ATSM uptake within tumor.

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    TABLE 1

    Summary of Patient Demographics and Imaging Comparison Results

    Age (y)First scanDays between copper-ATSM scans60Cu activity injected64Cu activity injectedT/M ratio
    Patient no.StageMBqmCiMBqmCi60Cu60Cu(CS)64Cu
    165IIIA60Cu751814.082122.23.56.04.4
    277IIB64Cu93529.591824.85.76.37.2
    333IB164Cu752914.385523.15.36.35.9
    459IIIB64Cu662917.092525.06.27.37.4
    579IIIB60Cu171419.392525.03.64.74.9
    646IIIB64Cu974020.092525.07.28.89.2
    743IIIB60Cu559216.090724.58.110.210.4
    860IIB64Cu72045.592525.07.99.88.4
    945IB264Cu62857.791024.66.67.78.6
    1055IIB60Cu12226.089524.25.05.97.1
    Mean ± SD5.9 ± 1.67.3 ± 1.87.3 ± 1.9
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Journal of Nuclear Medicine: 49 (7)
Journal of Nuclear Medicine
Vol. 49, Issue 7
July 2008
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An Imaging Comparison of 64Cu-ATSM and 60Cu-ATSM in Cancer of the Uterine Cervix
Jason S. Lewis, Richard Laforest, Farrokh Dehdashti, Perry W. Grigsby, Michael J. Welch, Barry A. Siegel
Journal of Nuclear Medicine Jul 2008, 49 (7) 1177-1182; DOI: 10.2967/jnumed.108.051326

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An Imaging Comparison of 64Cu-ATSM and 60Cu-ATSM in Cancer of the Uterine Cervix
Jason S. Lewis, Richard Laforest, Farrokh Dehdashti, Perry W. Grigsby, Michael J. Welch, Barry A. Siegel
Journal of Nuclear Medicine Jul 2008, 49 (7) 1177-1182; DOI: 10.2967/jnumed.108.051326
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