RT Journal Article SR Electronic T1 Imaging the intratumoral distribution of an EGFR-targeting antibody in a tumor mouse model using high-resolution focusing pinhole SPECT JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1566 OP 1566 VO 50 IS supplement 2 A1 Erwin Blezer A1 Ruud Ramakers A1 Jeroen van den Brakel A1 Judith Oprins A1 Frans van der Have A1 Guus van Dongen A1 Wim Bleeker A1 Freek Beekman YR 2009 UL http://jnm.snmjournals.org/content/50/supplement_2/1566.abstract AB 1566 Objectives Many tumor-targeting therapeutic human monoclonal antibodies (HMab) are evaluated in preclinical animal research. However the in vivo visualization of the intratumoral distribution may be hampered by resolution issues. A sub-half-mm resolution SPECT system with focused collimation was used to explore the tumor distribution of HMab directed to the Epidermal Growth Factor Receptor (EGFR). Methods 111In labeled EGFR-blocking HMab (Genmab, clone 2F8-IgG4, specific activity 0.5 MBq/µg, purity > 99%, immunoreactivity > 90%) were injected (t=0, i.v., 5 mg/kg, ~ 35 MBq) in SCID mice with subcutaneous A431 xenograft tumors of 1 ml. Whole body and local tumor SPECT images (U-SPECT-II, MIlabs, the Netherlands; 111In resolution 0.4 mm; Van der Have et al, JNM in press) were acquired at t=0 and 48 hrs, followed by CT (U-CT, MILabs). Results At t=0 111In-HMab were only present in the blood whereas at 48 hrs they were mainly located in the tumor with residual traces in blood and kidneys. This confirms the idea that antibody and 111In are internalized after tumor cell binding. High resolution tumor images showed that 111In-HMab were mainly located in the outer tumor rim confirming microscopic observations. Conclusions 111In labeled EGFR antibodies showed selective tumor uptake 48 hrs after administration. High resolution SPECT imaging revealed intratumoral distribution differences. High resolution SPECT imaging is a powerful tool to correlate antibody distribution with histological tumor features.