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OtherBASIC SCIENCE INVESTIGATIONS

Choline PET for Monitoring Early Tumor Response to Photodynamic Therapy

Baowei Fei, Hesheng Wang, Chunying Wu and Song-mao Chiu
Journal of Nuclear Medicine January 2010, 51 (1) 130-138; DOI: https://doi.org/10.2967/jnumed.109.067579
Baowei Fei
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Hesheng Wang
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Chunying Wu
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Song-mao Chiu
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  • FIGURE 1. 
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    FIGURE 1. 

    Photographs of tumor-bearing mouse before PDT (A), 1 d after PDT (B), and 1 mo after PDT (C). CWR22 tumor (arrow) showed rapid response 1 d after treatment but had disappeared 1 mo after therapy.

  • FIGURE 2. 
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    FIGURE 2. 

    Transverse small-animal PET images of 2 PC-3 tumors (arrows). Images of treated tumor before PDT (A) and 48 h after PDT (C) show that 11C-choline uptake of treated tumor had decreased 48 h after PDT. Images of control tumor before PDT (B) and 48 h after PDT (D) show slightly increased 11C-choline uptake 48 h after PDT. Quantitative analysis results of 11C-choline uptake in treated and control tumors confirmed our visual inspection; these results are shown in Figure 3.

  • FIGURE 3. 
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    FIGURE 3. 

    Time–activity curves of 11C-choline in PDT-treated PC-3 tumors (n = 4) (A) and in control tumors (n = 4) (B) of same mice before PDT and 48 h after PDT. Uptake of 11C-choline was measured as %ID/g. Error bars represent SEs.

  • FIGURE 4. 
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    FIGURE 4. 

    Histologic images of treated and control PC-3 tumors at 48 h after PDT. Inflammatory response with edema was observed in treated tumor (A) but was not seen in control tumor (B). Rectangular areas on A and B are magnified and shown in C and D, respectively. In C, massive areas of treated tissue were damaged by PDT; however, control tumor cells remained intact (D).

  • FIGURE 5. 
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    FIGURE 5. 

    Pc 4-PDT–induced changes in 11C-choline uptake as function of post-PDT incubation time (5, 30, and 45 min). Activity of 11C-choline in PC-3 cells was measured by γ-counter, and unit was counted per minute (CPM). Each data point represents 3 wells of cells, and error bars are SD.

Tables

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    TABLE 1

    PSA Values (ng/mL) of Treated Mice and 11C-Choline Uptake of Treated Tumors (CWR22) Before PDT and 48 Hours After PDT

    Mouse ID
    ParameterM1M2
    PSA
     Before44.666.6
     24 h34.841.8
     48 h28.129.3
    %ID/g
     Before12.5 ± 1.519.0 ± 1.9
     48 h9.5 ± 1.87.8 ± 1.3
     %ID/g response−24.1%−59.2%
    • Uptake was measured by %ID/g. Numbers are means ± SDs of measurements at 7 frames (5, 15, 25, 35, 45, 53, and 57 min).

    • View popup
    TABLE 2

    11C-Choline Uptake of PDT-Treated and Control Tumors (PC-3) Before PDT and 48 Hours After PDT

    Mouse ID
    ParameterM3M4M5M6
    Treated tumors
     Before10.2 ± 0.921.2 ± 1.822.2 ± 1.617.3 ± 2.6
     48 h6.4 ± 0.412.2 ± 2.313.0 ± 1.612.1 ± 1.5
     %ID/g response−37.3%−42.5%−41.5%−30.0%
    Control tumors
     Before12.9 ± 0.522.5 ± 1.323.1 ± 3.219.5 ± 1.7
     48 h17.0 ± 0.427.5 ± 2.534.4 ± 3.626.3 ± 2.2
     %ID/g response32.3%22.3%48.8%34.9%
    • Numbers are %ID/g. Means ± SDs of %ID/g were calculated at 7 frames (5, 15, 25, 35, 45, 53, and 57 min). Each mouse (M3–M6) had 2 tumors; one was treated and other served as control.

    • View popup
    TABLE 3

    PSA Values (ng/mL) of PDT-Treated Mice and 11C-Choline Uptake of Treated Tumors (CWR22) Before PDT and 24 Hours After PDT

    Mouse ID
    ParameterM7M8M9M10M11
    PSA
     Before27.448.420.443.6NA
     24 h26.434.514.335.5NA
    %ID/g
     Before16.2 ± 3.614.2 ± 2.415.1 ± 3.817.7 ± 1.723.6 ± 2.3
     24 h1.0 ± 0.24.6 ± 0.37.2 ± 1.14.2 ± 0.84.2 ± 1.0
     %ID/g response−94.1%−67.3%−52.2%−76.0%−82.0%
    • Uptake was measured as %ID/g. Numbers are means ± SDs at 7 frames (5, 15, 25, 35, 45, 53, and 57 min). PSA was not available (NA) for mouse M11.

    • View popup
    TABLE 4

    11C-Choline Uptake of Treated and Control Tumors (PC-3) Before PDT and 1 Hour After PDT

    Mouse ID
    ParameterM12M13M14M15
    Treated tumors
     Before11.9 ± 1.313.6 ± 1.924.9 ± 2.923.3 ± 3.8
     1 h11.0 ± 0.78.5 ± 1.214.7 ± 3.017.6 ± 3.0
     %ID/g response−8.1%−37.3%−41.0%−24.4%
    Control tumors
     Before14.7 ± 1.919.4 ± 2.721.2 ± 2.927.4 ± 5.3
     1 h16.4 ± 1.023.9 ± 1.926.6 ± 1.323.7 ± 1.2
     %ID/g response11.6%23.2%25.8%−13.3%
    • Numbers represent %ID/g and %ID/g response. Means ± SDs were calculated from 7 frames (5, 15, 25, 35, 45, 53, and 57 min).

    • View popup
    TABLE 5

    Cell Viability Test at Various Times After PDT

    Time after PDT (min)Dish no.TotalViableNonviableNonviable %
    30120019373.5%
    220019821.0%
    320019642.0%
    45422421773.1%
    5235225104.3%
    6452430224.9%
    60720820352.4%
    825024462.4%
    927326851.8%
    45010227210177.5%
    11230212187.8%
    12213193209.4%
    No PDT4501321120741.9%
    1432231572.2%
    1520319852.5%
    • Cell cultures were stained with trypan blue solution. Unstained (viable) and stained (nonviable) cells were counted for each dish (nos. 1–15). Percentages of nonviable cells were calculated for both treated and control dishes.

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Journal of Nuclear Medicine: 51 (1)
Journal of Nuclear Medicine
Vol. 51, Issue 1
January 2010
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Choline PET for Monitoring Early Tumor Response to Photodynamic Therapy
Baowei Fei, Hesheng Wang, Chunying Wu, Song-mao Chiu
Journal of Nuclear Medicine Jan 2010, 51 (1) 130-138; DOI: 10.2967/jnumed.109.067579

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Choline PET for Monitoring Early Tumor Response to Photodynamic Therapy
Baowei Fei, Hesheng Wang, Chunying Wu, Song-mao Chiu
Journal of Nuclear Medicine Jan 2010, 51 (1) 130-138; DOI: 10.2967/jnumed.109.067579
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