Fast cancer uptake of 99mTc-labelled bombesin (99mTc BN1)

In Vivo. 2005 Nov-Dec;19(6):1071-6.

Abstract

In human blood, breakdown of gastrin-releasing peptide and other bombesin-related peptides occurs in less than 15 min. This quick enzymatic cleavage might impair the diagnostic use of labelled bombesin (BN). 99mTc-labelled bombesin (99mTc BN1) was injected intravenously and dynamic uptake data were acquired for diagnosing 26 cancers of different origin: 15 breast, 3 prostate, 5 colo-rectal, 1 pancreas, 2 small cell lung cancers and 1 gastrinoma. Background subtracted tumour uptake data were plotted against time and fitted with known mathematical functions. Twenty-three out of 26 cancers showed rapid increase of radioactivity followed by a radioactivity plateau, with some oscillations around the average plateau value. The time to 80% of max activity (T80) was the reference parameter to measure and to compare the uptake speeds. The slowest T80 was 7 min in one T1b breast cancer, gastrinoma reached T80 in 5 min and node-positive prostate cancers in 2 min. N+ breast cancers showed T80 at 3.62 +/- 0.75 min, N- breast cancers at 5.5 +/- 0.88 min (p < 0.02). When all the tumours were considered, N+ tumours showed T80 at 2.68 +/- 1.03 min and N- cancers at 5.5 +/- 0.82 min. In all the cancer types, the uptake of 99mTc BN was faster than 10 min. This result shows the ability of 99mTc BN to image tumours. The faster uptake by N+ versus N- cancers probably depends on the higher blood flow in N+ cancers.

Publication types

  • Comparative Study

MeSH terms

  • Bombesin / analogs & derivatives*
  • Breast Neoplasms / blood supply
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / metabolism
  • Carcinoma, Small Cell / blood supply
  • Carcinoma, Small Cell / diagnostic imaging
  • Carcinoma, Small Cell / metabolism
  • Colonic Neoplasms / blood supply
  • Colonic Neoplasms / diagnostic imaging
  • Colonic Neoplasms / metabolism
  • Female
  • Gastrinoma / blood supply
  • Gastrinoma / diagnostic imaging
  • Gastrinoma / metabolism
  • Humans
  • Kinetics
  • Lung Neoplasms / blood supply
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / metabolism
  • Male
  • Neoplasm Staging
  • Neoplasms / blood supply
  • Neoplasms / diagnostic imaging*
  • Neoplasms / metabolism*
  • Organotechnetium Compounds*
  • Pancreatic Neoplasms / blood supply
  • Pancreatic Neoplasms / diagnostic imaging
  • Pancreatic Neoplasms / metabolism
  • Prostatic Neoplasms / blood supply
  • Prostatic Neoplasms / diagnostic imaging
  • Prostatic Neoplasms / metabolism
  • Radionuclide Imaging
  • Radiopharmaceuticals
  • Receptors, Bombesin / metabolism
  • Rectal Neoplasms / blood supply
  • Rectal Neoplasms / diagnostic imaging
  • Rectal Neoplasms / metabolism
  • Regional Blood Flow

Substances

  • Organotechnetium Compounds
  • Radiopharmaceuticals
  • Receptors, Bombesin
  • Bombesin