RT Journal Article SR Electronic T1 In Vivo 3-Dimensional Radiopharmaceutical-Excited Fluorescence Tomography JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 169 OP 174 DO 10.2967/jnumed.116.180596 VO 58 IS 1 A1 Zhenhua Hu A1 Mingxuan Zhao A1 Yawei Qu A1 Xiaojun Zhang A1 Mingru Zhang A1 Muhan Liu A1 Hongbo Guo A1 Zeyu Zhang A1 Jing Wang A1 Weidong Yang A1 Jie Tian YR 2017 UL http://jnm.snmjournals.org/content/58/1/169.abstract AB Cerenkov luminescence imaging can image radiopharmaceuticals using a high-sensitivity charge-coupled device camera. However, Cerenkov luminescence emitted from the radiopharmaceuticals is weak and has low penetration depth in biologic tissues, which severely limits the sensitivity and accuracy of Cerenkov luminescence imaging. This study presents 3-dimensional (3D) radiopharmaceutical-excited fluorescence tomography (REFT) using europium oxide (EO) nanoparticles, which enhances the Cerenkov luminescence signal intensity, improves the penetration depth, and obtains more accurate 3D distribution of radiopharmaceuticals. Methods: The enhanced optical signals of various radiopharmaceuticals (including Na131I, 18F-FDG, 68GaCl3, Na99mTcO4) by EO nanoparticles were detected in vitro. The location and 3D distribution of the radiopharmaceuticals of REFT were then reconstructed and compared with those of Cerenkov luminescence tomography through the experiments with the phantom, artificial source–implanted mouse models, and mice bearing hepatocellular carcinomas. Results: The mixture of 68GaCl3 and EO nanoparticles possessed the strongest optical signals compared with the other mixtures. The in vitro phantom and implanted mouse studies showed that REFT revealed more accurate 3D distribution of 68GaCl3. REFT can detect more tumors than small-animal PET in hepatocellular carcinoma–bearing mice and achieved more accurate 3D distribution information than Cerenkov luminescence tomography. Conclusion: REFT with EO nanoparticles significantly improves accuracy of localization of radiopharmaceuticals and can precisely localize the tumor in vivo.