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Journal of Nuclear Medicine

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Research ArticleFocus on Molecular Imaging

Imaging the Folate Receptor on Cancer Cells with 99mTc-Etarfolatide: Properties, Clinical Use, and Future Potential of Folate Receptor Imaging

Alan H. Maurer, Philip Elsinga, Stefano Fanti, Binh Nguyen, Wim J.G. Oyen and Wolfgang A. Weber
Journal of Nuclear Medicine May 2014, 55 (5) 701-704; DOI: https://doi.org/10.2967/jnumed.113.133074
Alan H. Maurer
1Department of Radiology, Temple University Hospital and School of Medicine, Philadelphia, Pennsylvania
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Philip Elsinga
2Department of Nuclear Medicine and Molecular Imaging, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Stefano Fanti
3Department of Nuclear Medicine, Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy
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Binh Nguyen
4Clinical Development, Endocyte Inc., West Lafayette, Indiana
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Wim J.G. Oyen
5Department of Nuclear Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; and
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Wolfgang A. Weber
6Molecular Imaging and Therapy Service, Memorial Sloan-Kettering Cancer Center, New York, New York
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    FIGURE 1.

    99mTc-etarfolatide biodistribution pattern (1 h after injection) after folate preinjection in healthy volunteers. In absence of folate preinjection, 99mTc-etarfolatide uptake is seen in liver, kidney, spleen, bladder, and bone marrow. This background organ activity is decreased with preinjected folate.

  • FIGURE 2.
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    FIGURE 2.

    (A) Whole-body planar images obtained approximately 1 h after 99mTc-etarfolatide administration in lung cancer patient. (B) 99mTc-etarfolatide SPECT images were manually fused to patient’s prior CT images. SPECT/CT transaxial fusion images delineate tumor in left lower lobe (single arrow), with diffuse pleural spread of tumor and pericardial metastasis (triple arrows). 99mTc-etarfolatide uptake in inflammatory lesions such as benign osteophytes can be seen (double arrows).

  • FIGURE 3.
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    FIGURE 3.

    (A) Whole-body planar 99mTc-etarfolatide study for known pulmonary nodule obtained approximately 1 h after 99mTc-etarfolatide administration. As with other imaging agents, planar 2-dimensional imaging lacks image contrast and sensitivity for detecting 99mTc-etarfolatide binding to small pulmonary nodule in left lower lobe. (B) 99mTc-etarfolatide SPECT images with maximum intensity projection (upper right), transaxial (upper left), sagittal (lower left), and coronal (lower right) were manually fused to patient’s prior CT images, allowing for better anatomic localization and confirmation of FR binding to pulmonary nodule in this biopsy-proven non–small cell lung cancer.

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Journal of Nuclear Medicine: 55 (5)
Journal of Nuclear Medicine
Vol. 55, Issue 5
May 1, 2014
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Imaging the Folate Receptor on Cancer Cells with 99mTc-Etarfolatide: Properties, Clinical Use, and Future Potential of Folate Receptor Imaging
Alan H. Maurer, Philip Elsinga, Stefano Fanti, Binh Nguyen, Wim J.G. Oyen, Wolfgang A. Weber
Journal of Nuclear Medicine May 2014, 55 (5) 701-704; DOI: 10.2967/jnumed.113.133074

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Imaging the Folate Receptor on Cancer Cells with 99mTc-Etarfolatide: Properties, Clinical Use, and Future Potential of Folate Receptor Imaging
Alan H. Maurer, Philip Elsinga, Stefano Fanti, Binh Nguyen, Wim J.G. Oyen, Wolfgang A. Weber
Journal of Nuclear Medicine May 2014, 55 (5) 701-704; DOI: 10.2967/jnumed.113.133074
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  • Article
    • Abstract
    • FOLATE RECEPTOR AND CANCER
    • FR EXPRESSION ASSESSMENT
    • 99MTC-ETARFOLATIDE CHARACTERISTICS
    • 99MTC-ETARFOLATIDE IN CLINICAL TRIALS
    • 99MTC-ETARFOLATIDE IMAGING
    • PET FR IMAGING
    • POTENTIAL FUTURE APPLICATION OF 99MTC-ETARFOLATIDE IMAGING
    • CONCLUSION
    • DISCLOSURE
    • Footnotes
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More in this TOC Section

  • From Genome to Phenome: Opportunities and Challenges of Molecular Imaging
  • Imaging the Activity of Efflux Transporters at the Blood–Brain Barrier in Neurologic Diseases: Radiotracer Selection Criteria
  • Molecular Imaging of Pulmonary Fibrosis
Show more Focus on Molecular Imaging

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Keywords

  • folate receptor
  • imaging
  • 99mTc-etarfolatide
  • SPECT
  • SPECT/CT
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