Imaging of Lymph Node Micrometastases Using an Oncolytic Herpes Virus and [18F]FEAU PET

Autor: Hedvig Hricak, Jatin P. Shah, Sheng Gang, Peter Brader, Ronald G. Blasberg, Yuman Fong, Ziv Gil, Kaitlyn J. Kelly, Richard J. Wong
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Pathology
medicine.medical_specialty
Radiology and Medical Imaging
Sentinel lymph node
Radiology and Medical Imaging/Ultrasonography
Melanoma
Experimental

Oncology/Skin Cancers
Surgery/Head and Neck Surgery
Oncolytic herpes virus
03 medical and health sciences
Mice
0302 clinical medicine
Biopsy
medicine
Animals
Surgery/Surgical Oncology
Radiology and Medical Imaging/Computer Tomography
Lymph node
Herpesviridae
030304 developmental biology
Oncology/Prostate Cancer
0303 health sciences
Multidisciplinary
Oncology/Head and Neck Cancers
medicine.diagnostic_test
business.industry
Melanoma
Arabinofuranosyluracil
Radiology and Medical Imaging/Magnetic Resonance Imaging
medicine.disease
3. Good health
Oncolytic virus
Oncolytic Viruses
medicine.anatomical_structure
Oncology
Positron emission tomography
030220 oncology & carcinogenesis
Lymphatic Metastasis
Positron-Emission Tomography
Radiology and Medical Imaging/PET and SPECT Imaging
Surgery
Lymph
Lymph Nodes
Radiology and Medical Imaging/Radionuclide Imaging
Surgery/Pediatric Surgery
business
Research Article
Zdroj: PLoS ONE
ISSN: 1932-6203
Popis: Background In patients with melanoma, knowledge of regional lymph node status provides important information on outlook. Since lymph node status can influence treatment, surgery for sentinel lymph node (SLN) biopsy became a standard staging procedure for these patients. Current imaging modalities have a limited sensitivity for detection of micrometastases in lymph nodes and, therefore, there is a need for a better technique that can accurately identify occult SLN metastases. Methodology/Principal Findings B16-F10 murine melanoma cells were infected with replication-competent herpes simplex virus (HSV) NV1023. The presence of tumor-targeting and reporter-expressing virus was assessed by [18F]-2′-fluoro-2′-deoxy-1-β-D-β-arabinofuranosyl-5-ethyluracil ([18F]FEAU) positron emission tomography (PET) and confirmed by histochemical assays. An animal foot pad model of melanoma lymph node metastasis was established. Mice received intratumoral injections of NV1023, and 48 hours later were imaged after i.v. injection of [18F]FEAU. NV1023 successfully infected and provided high levels of lacZ transgene expression in melanoma cells. Intratumoral injection of NV1023 resulted in viral trafficking to melanoma cells that had metastasized to popliteal and inguinal lymph nodes. Presence of virus-infected tumor cells was successfully imaged with [18F]FEAU-PET, that identified 8 out of 8 tumor-positive nodes. There was no overlap between radioactivity levels (lymph node to surrounding tissue ratio) of tumor-positive and tumor-negative lymph nodes. Conclusion/Significance A new approach for imaging SLN metastases using NV1023 and [18F]FEAU-PET was successful in a murine model. Similar studies could be translated to the clinic and improve the staging and management of patients with melanoma.
Databáze: OpenAIRE