TY - JOUR T1 - Mapping Radiation Injury and Recovery in Bone Marrow Using <sup>18</sup>F-FLT PET/CT and USPIO MRI in a Rat Model JF - Journal of Nuclear Medicine JO - J Nucl Med SP - 266 LP - 271 DO - 10.2967/jnumed.115.158121 VL - 57 IS - 2 AU - David A. Rendon AU - Khushali Kotedia AU - Solmaz F. Afshar AU - Jyotinder N. Punia AU - Omaima M. Sabek AU - Beverly A. Shirkey AU - Janice A. Zawaski AU - M. Waleed Gaber Y1 - 2016/02/01 UR - http://jnm.snmjournals.org/content/57/2/266.abstract N2 - We present and test the use of multimodality imaging as a topological tool to map the amount of the body exposed to ionizing radiation and the location of exposure, which are important indicators of survival and recovery. To achieve our goal, PET/CT imaging with 3′-deoxy-3′-18F-fluorothymidine (18F-FLT) was used to measure cellular proliferation in bone marrow (BM), whereas MRI using ultra-small superparamagnetic iron oxide (USPIO) particles provided noninvasive information on radiation-induced vascular damage. Methods: Animals were x-ray–irradiated at a dose of 7.5 Gy with 1 of 3 radiation schemes—whole-body irradiation, half-body shielding (HBS), or 1-leg shielding (1LS)—and imaged repeatedly. The spatial information from the CT scan was used to segment the region corresponding to BM from the PET scan using algorithms developed in-house, allowing for quantification of proliferating cells, and BM blood volume was estimated by measuring the changes in the T2 relaxation rates (ΔR2) collected from MR scans. Results: 18F-FLT PET/CT imaging differentiated irradiated from unirradiated BM regions. Two days after irradiation, proliferation of 1LS animals was significantly lower than sham (P = 0.0001, femurs; P &lt; 0.0001, tibias) and returned to sham levels by day 10 (P = 0.6344, femurs; P = 0.3962, tibias). The degree of shielding affected proliferation recovery, showing an increase in the irradiated BM of the femurs, but not the tibias, of HBS animals when compared with 1LS (P = 0.0310, femurs; P = 0.5832, tibias). MRI of irradiated spines detected radiation-induced BM vascular damage, measured by the significant increase in ΔR2 2 d after whole-body irradiation (P = 0.0022) and HBS (P = 0.0003) with a decreasing trend of values, returning to levels close to baseline over 10 d. Our data were corroborated using γ-counting and histopathology. Conclusion: We demonstrated that 18F-FLT PET/CT and USPIO MRI are valuable tools in mapping regional radiation exposure and the effects of radiation on BM. Analysis of the 18F-FLT signal allowed for a clear demarcation of exposed BM regions and elucidated the kinetics of BM recovery, whereas USPIO MRI was used to assess vascular damage and recovery. ER -