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Research ArticleBasic Science Investigations

Dual-Modality Image-Guided Surgery of Prostate Cancer with a Radiolabeled Fluorescent Anti-PSMA Monoclonal Antibody

Susanne Lütje, Mark Rijpkema, Gerben M. Franssen, Giulio Fracasso, Wijnand Helfrich, Annemarie Eek, Wim J. Oyen, Marco Colombatti and Otto C. Boerman
Journal of Nuclear Medicine June 2014, 55 (6) 995-1001; DOI: https://doi.org/10.2967/jnumed.114.138180
Susanne Lütje
1Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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Mark Rijpkema
1Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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Gerben M. Franssen
1Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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Giulio Fracasso
2Department of Pathology and Diagnostics, University of Verona, Verona, Italy; and
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Wijnand Helfrich
3Department of Surgery, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands
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Annemarie Eek
1Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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Wim J. Oyen
1Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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Marco Colombatti
2Department of Pathology and Diagnostics, University of Verona, Verona, Italy; and
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Otto C. Boerman
1Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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  • FIGURE 1.
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    FIGURE 1.

    (A) Biodistribution of 111In-DTPA-D2B-IRDye800CW (0.55 MBq, 2.0 μg/mouse) in mice with subcutaneous PSMA-positive LNCaP and PSMA-negative PC3 xenografts at several time points after injection. Excess of unlabeled D2B IgG (300 μg/mouse) was coinjected in one group of mice as negative control. LNCaP-to-PC3 tumor ratios at 48 h after injection were 2.5 ± 0.7. (B) PSMA-positive and PSMA-negative tumor-to-blood ratios at several time points after injection of 111In-DTPA-D2B-IRDye800CW. (C) For illustration purposes, NIRF image of a mouse bearing a PSMA-positive LNCaP tumor on right flank (green arrow) and a PSMA-negative PC3 tumor on the left flank (blue arrow) at 48 h after intravenous injection of dual-labeled 111In-DTPA-D2B-IRDye800CW. *P < 0.0001 on t testing. **P < 0.0001 on t testing. ***P < 0.0001 on t testing. p = photons; p.i. = after injection; sr = steradian; xs = excess.

  • FIGURE 2.
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    FIGURE 2.

    Dual-modality fluorescence and micro-SPECT/CT imaging with dual-labeled 111In-DTPA-D2B-IRDye800CW at 48 h after injection in a mouse with an intraperitoneally growing LS174T-PSMA tumor. Shown are NIRF image (acquisition time, 5 min) (A), corresponding micro-SPECT/CT image with mouse supine (B), and NIRF image of muscle sample (top) and tumor (bottom) after resection (C). Green arrows indicate the PSMA-positive tumor. p = photons; sr = steradian.

  • FIGURE 3.
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    FIGURE 3.

    Dual-modality fluorescence and micro-SPECT/CT imaging with dual-labeled 111In-DTPA-D2B-IRDye800CW at 48 h after injection in a mouse with several intraperitoneal LS174T-PSMA tumors located at different depths in the peritoneal cavity. NIRF image (acquisition time, 5 min) (A) and corresponding micro-SPECT/CT images in supine (B) and left lateral (C) positions show limited penetration depth of NIRF imaging. Arrows indicate 2 tumors superficial enough to be visualized with fluorescence imaging. Tumors deeper inside peritoneal cavity are not visualized.

  • FIGURE 4.
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    FIGURE 4.

    Dual-modality fluorescence and micro-SPECT/CT imaging with dual-labeled 111In-DTPA-D2B-IRDye800CW at 48 h after injection in mouse with intraperitoneally growing LS174T-PSMA tumors. Shown are micro-SPECT/CT image of 3 intraperitoneal PSMA-positive tumors (green and blue arrows) (A), merged photograph and NIRF image of mouse before resection of 3 tumors (B), micro-SPECT/CT image after resection of tumors (C), merged photograph and NIRF image of mouse after resection of tumors (D), merged photograph and optical fluorescence image of tumors after resection (E), and biodistribution of 111In-DTPA-D2B-IRDye800CW in mice with intraperitoneal LS174T-PSMA tumors (F). p = photons; p.i. = after injection; sr = steradian.

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Journal of Nuclear Medicine: 55 (6)
Journal of Nuclear Medicine
Vol. 55, Issue 6
June 1, 2014
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Dual-Modality Image-Guided Surgery of Prostate Cancer with a Radiolabeled Fluorescent Anti-PSMA Monoclonal Antibody
Susanne Lütje, Mark Rijpkema, Gerben M. Franssen, Giulio Fracasso, Wijnand Helfrich, Annemarie Eek, Wim J. Oyen, Marco Colombatti, Otto C. Boerman
Journal of Nuclear Medicine Jun 2014, 55 (6) 995-1001; DOI: 10.2967/jnumed.114.138180

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Dual-Modality Image-Guided Surgery of Prostate Cancer with a Radiolabeled Fluorescent Anti-PSMA Monoclonal Antibody
Susanne Lütje, Mark Rijpkema, Gerben M. Franssen, Giulio Fracasso, Wijnand Helfrich, Annemarie Eek, Wim J. Oyen, Marco Colombatti, Otto C. Boerman
Journal of Nuclear Medicine Jun 2014, 55 (6) 995-1001; DOI: 10.2967/jnumed.114.138180
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Keywords

  • prostate cancer
  • PSMA
  • dual-modality imaging
  • fluorescence imaging
  • IRDye800CW
  • D2B IgG
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