RT Journal Article SR Electronic T1 Multimodal Molecular Imaging of Integrin αvβ3 for In Vivo Detection of Pancreatic Cancer JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 446 OP 451 DO 10.2967/jnumed.113.129619 VO 55 IS 3 A1 Trajkovic-Arsic, Marija A1 Mohajerani, Pouyan A1 Sarantopoulos, Athanasios A1 Kalideris, Evdokia A1 Steiger, Katja A1 Esposito, Irene A1 Ma, Xiaopeng A1 Themelis, George A1 Burton, Neal A1 Michalski, Christoph W. A1 Kleeff, Jörg A1 Stangl, Stefan A1 Beer, Ambros J. A1 Pohle, Karolin A1 Wester, Hans-Jürgen A1 Schmid, Roland M. A1 Braren, Rickmer A1 Ntziachristos, Vasilis A1 Siveke, Jens T. YR 2014 UL http://jnm.snmjournals.org/content/55/3/446.abstract AB Pancreatic ductal adenocarcinoma (PDAC) is a lethal disease. Late detection of then nonresectable or metastasized tumors emphasizes the need for novel imaging approaches. Here, we report on so far nonexploited potentials of αvβ3 integrin–targeted molecular imaging technologies for detection of PDAC using genetically engineered mouse models. Methods: Immunohistochemistry and Western blot were used for characterization of αvβ3 expression in murine and human PDAC. We applied IntegriSense 680 fluorescence molecular tomography, intraoperative fluorescence imaging, and 68Ga-NODAGA-RGD PET for αvβ3 integrin molecular in vivo imaging of spontaneous PDAC occurring in Ptf1a+/Cre;Kras+/LSL-G12D;p53LoxP/LoxP mice. (NODAGA is 1,4,7-triazacyclononane-1,4-bis[acetic acid]-7-[2-glutaric acid] and RGD is arginine-glycine-aspartic acid.) Results: αvβ3 integrin is expressed in tumor cells of human and murine PDAC. IntegriSense fluorescence molecular tomography and 68Ga-NODAGA-RGD PET enabled faithful visualization of PDAC. Furthermore, intraoperative optical imaging with IntegriSense 680 allowed good delineation of tumor borders. Conclusion: Imaging approaches targeting αvβ3 integrin expand the potential of molecular imaging for identification of αvβ3-positive PDAC with potential implications in early detection, fluorescence-guided surgery, and therapy monitoring.