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Research ArticleClinical Investigations

68Ga-NOTA-Aca-BBN(7–14) PET/CT in Healthy Volunteers and Glioma Patients

Jingjing Zhang, Deling Li, Lixin Lang, Zhaohui Zhu, Ling Wang, Peilin Wu, Gang Niu, Fang Li and Xiaoyuan Chen
Journal of Nuclear Medicine January 2016, 57 (1) 9-14; DOI: https://doi.org/10.2967/jnumed.115.165316
Jingjing Zhang
1Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2Laboratory of Molecular Imaging and Nanomedicine, National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, Maryland; and
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Deling Li
3Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
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Lixin Lang
2Laboratory of Molecular Imaging and Nanomedicine, National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, Maryland; and
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Zhaohui Zhu
1Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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Ling Wang
1Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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Peilin Wu
1Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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Gang Niu
2Laboratory of Molecular Imaging and Nanomedicine, National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, Maryland; and
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Fang Li
1Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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Xiaoyuan Chen
2Laboratory of Molecular Imaging and Nanomedicine, National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, Maryland; and
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  • Article
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  • FIGURE 1.
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    FIGURE 1.

    (A) Schematic structure of 68Ga-BBN. (B) Representative maximum-intensity-projection torso images of healthy volunteer at different time points after intravenous injection of 68Ga-BBN. Main regions with prominent 68Ga-BBN uptake are pancreas, kidneys, urinary ducts, and bladder.

  • FIGURE 2.
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    FIGURE 2.

    Representative 68Ga-BBN PET/CT images (left), MR images (middle), and immunohistochemically stained tissue samples (right) of patients with gliomas of different grades. (A) A 5-y-old girl with space-occupying lesion in cerebellar lobe diagnosed as pilocytic astrocytoma, WHO grade I. Lesion had SUVmax of 2.35 and SUVmean of 1.31, showed enhancement on T1-weighted MRI, and stained positively for GRPR. (B) A 4-y-old girl with multiple space-occupying lesions diagnosed as WHO grade II astrocytoma. Lesions had SUVmax of 2.05 and SUVmean of 1.45, were identified by contrast-enhanced T1-weighted MRI, and stained positively for GRPR. (C) A 14-y-old boy with space-occupying lesion in thalamic connections of temporal lobe diagnosed as WHO grade III anaplastic oligoastrocytoma. Lesion had SUVmax of 1.98 and SUVmean of 1.08, showed enhancement on T1-weighted MRI, and stained positively for GRPR. (D) A 44-y-old man with space-occupying lesion in left temporal lobe diagnosed as WHO grade IV glioblastoma multiforme. Lesion had SUVmax of 1.95 and SUVmean of 0.98, showed enhancement on T2-weighted MRI, and stained positively for GRPR.

  • FIGURE 3.
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    FIGURE 3.

    Correlation of SUVmax (A) and SUVmean (B) as determined by 68Ga-BBN PET with GRPR expression level as determined by immunohistochemical staining (r2 = 0.71, P < 0.001, for SUVmax and r2 = 0.54, P < 0.01, for SUVmean).

Tables

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    TABLE 1

    Patient Demographics

    Patient no.Age (y)SexWHO gradeHistologyLocationMRI findings
    112MIGangliogliomaThird ventricleHeterogeneous, intense
    239MIIIAnaplastic oligoastrocytomaRight frontalHeterogeneous, intense
    314MIIIAnaplastic oligoastrocytomaThalamus, temporal lobeHeterogeneous, intense
    44FIIAstrocytomaSeller areaHeterogeneous, intense
    55MIIPilocytic astrocytoma with necrosisSeller areaHeterogeneous, moderate
    65FIPilocytic astrocytomaCerebellar lobeHeterogeneous, moderate
    733FIPilocytic astrocytomaSeller areaHeterogeneous, intense
    834MIIIAnaplastic oligoastrocytomaFrontal lobeHeterogeneous, moderate
    937MIVGlioblastoma multiformeFrontal lobeHeterogeneous, intense
    1034FIIOligoastrocytomaLeft frontalNot applicable
    1112MIPilocytic astrocytomaSeller areaHomogeneous, intense
    1244MIVGlioblastoma multiformeLeft temporal lobeHomogeneous, intense
    • View popup
    TABLE 2

    Biodistribution of 68Ga-BBN in Healthy Volunteers

    Time (min)
    Organ151015304560
    Brain0.23 ± 0.050.18 ± 0.050.18 ± 0.050.15 ± 0.060.15 ± 0.060.13 ± 0.050.15 ± 0.06
    Heart3.50 ± 0.592.88 ± 0.432.30 ± 0.231.85 ± 0.211.60 ± 0.181.43 ± 0.221.25 ± 0.24
    Lung1.13 ± 0.260.81 ± 0.060.70 ± 0.080.60 ± 0.180.50 ± 0.080.40 ± 0.080.43 ± 0.10
    Liver2.68 ± 0.322.18 ± 0.781.58 ± 0.211.55 ± 0.371.43 ± 0.261.33 ± 0.261.25 ± 0.17
    Spleen2.84 ± 0.302.18 ± 0.741.65 ± 0.381.53 ± 0.431.58 ± 0.361.50 ± 0.351.30 ± 0.35
    Pancreas13.59 ± 2.2919.79 ± 2.3220.05 ± 2.1120.06 ± 4.1917.15 ± 3.0013.10 ± 0.1412.70 ± 2.00
    Kidneys7.73 ± 1.036.83 ± 1.267.88 ± 3.594.88 ± 0.623.83 ± 0.633.15 ± 0.772.70 ± 0.54
    Bladder2.58 ± 1.4442.67 ± 5.5774.86 ± 5.5180.57 ± 5.7180.30 ± 6.5575.95 ± 7.2371.63 ± 5.96
    Red marrow0.50 ± 0.450.80 ± 0.240.90 ± 0.290.85 ± 0.240.78 ± 0.240.80 ± 0.410.73 ± 0.26
    Muscle0.18 ± 0.050.48 ± 0.050.53 ± 0.100.53 ± 0.100.45 ± 0.060.45 ± 0.060.40 ± 0.08
    • Data are mean SUV ± SD (n = 4).

    • View popup
    TABLE 3

    Estimated Absorbed 68Ga-BBN Dose in Healthy Volunteers

    mSv/MBq
    OrganMeanSD
    Adrenals0.000210.00004
    Brain0.000010.00001
    Breasts0.000040.00002
    Gallbladder wall0.000530.00013
    Lower large intestine wall0.005660.00121
    Small intestine0.002280.00057
    Stomach wall0.000320.00001
    Upper large intestine wall0.001740.00044
    Heart wall0.000170.00001
    Kidneys0.000580.00013
    Liver0.000320.00006
    Lungs0.000090.00003
    Muscle0.001390.00025
    Ovaries0.005300.00124
    Pancreas0.001050.00015
    Red marrow0.000980.00022
    Osteogenic cells0.000580.00011
    Skin0.000500.00001
    Spleen0.000320.00007
    Testes0.01000—
    Thymus0.001590.00177
    Thyroid0.000040.00001
    Urinary bladder wall0.307000.35559
    Uterus0.01310—
    Total body0.001500.00029
    Effective dose equivalent0.033500.00790
    Effective dose0.027600.00660
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Journal of Nuclear Medicine: 57 (1)
Journal of Nuclear Medicine
Vol. 57, Issue 1
January 1, 2016
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68Ga-NOTA-Aca-BBN(7–14) PET/CT in Healthy Volunteers and Glioma Patients
Jingjing Zhang, Deling Li, Lixin Lang, Zhaohui Zhu, Ling Wang, Peilin Wu, Gang Niu, Fang Li, Xiaoyuan Chen
Journal of Nuclear Medicine Jan 2016, 57 (1) 9-14; DOI: 10.2967/jnumed.115.165316

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68Ga-NOTA-Aca-BBN(7–14) PET/CT in Healthy Volunteers and Glioma Patients
Jingjing Zhang, Deling Li, Lixin Lang, Zhaohui Zhu, Ling Wang, Peilin Wu, Gang Niu, Fang Li, Xiaoyuan Chen
Journal of Nuclear Medicine Jan 2016, 57 (1) 9-14; DOI: 10.2967/jnumed.115.165316
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Keywords

  • BBN peptide
  • gastrin-releasing peptide receptor (GRPR)
  • 68Ga-BBN
  • PET/CT
  • glioma
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