PET With 62Cu-ATSM and 62Cu-PTSM Is a Useful Imaging Tool for Hypoxia and Perfusion in Pulmonary Lesions
Author(s) -
Tian Zhang,
Shiva K. Das,
Diane Fels,
Katherine Hansen,
Terence Z. Wong,
Mark W. Dewhirst,
Gordana Vlahovic
Publication year - 2013
Publication title -
american journal of roentgenology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.294
H-Index - 196
eISSN - 1546-3141
pISSN - 0361-803X
DOI - 10.2214/ajr.12.9698
Subject(s) - hypoxia (environmental) , medicine , perfusion , pet imaging , nuclear medicine , lung , perfusion scanning , tumor hypoxia , radiology , cancer research , positron emission tomography , radiation therapy , chemistry , oxygen , organic chemistry
Hypoxia is a characteristic of many tumors and portends a worse prognosis in lung, cervical, prostate, and rectal cancers. Unlike the others, lung cancers present a unique challenge in measuring hypoxia, with invasive biopsies and higher rates of complications. Noninvasive imaging studies detecting hypoxia using isotopes of copper-diacetyl-bis(N4-methylthiosemicarbazone) ((62)Cu-ATSM) have predicted prognosis and treatment outcomes in some small feasibility trials. These images, however, may not identify all areas of hypoxia. Hence, we hypothesize that the addition of another PET imaging agent, copper-pyruvaldehyde-bis(N4-methylthiosemicarbazone) ((62)Cu-PTSM), which can detect areas of perfusion, can augment the information obtained in (62)Cu-ATSM PET scans.
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