Ziemer, S., Evans, M., Kachur, V., Shuman, L., Cardi, A., Jenkins, T., Karp, S., Alavi, A., Dolbier, R., and Koch, J.
Tumor hypoxia is an important prognostic indicator for cancer therapy outcome. EF5 {2-(2nitro- 1[H]-imidazol-1-yl)-N-(2,2,3,3,3-pentafluoropropyl)acetamide} has been employed to measure tumor hypoxia in animals and humans using immunohistochemical methods. EF5 is a lipophilic molecule designed to have a very uniform biodistribution, a feature of obvious benefit for use in PET imaging. The present study represents the first demonstration of noninvasive PET imaging of rat tumors using fluorine-18 labeled EF5. Because of the small tumor size, partial volume effects may result in underestimation of concentration of the compound. Therefore, validation of the PET data was performed by gamma counting of the imaged tissue. The tumor models studied were the Morris 7777 (Q7) hepatoma (n = 5) and the 9L glioma (n = 2) grown subcutaneously in rats. Our previous studies have demonstrated that early passage 9L tumors are not severely hypoxic and that Q7 tumors are characterized by heterogeneous regions of tumor hypoxia (i.e., Q7 tumors are usually more hypoxic than early passage 9L tumors). The seven rats were imaged in the HEAD Penn-PET scanner at various time points after administration of 50-100 µCi [sup 18]F-EF5 in 30 mg/kg carrier nonradioactive EF5. The carrier was used to ensure drug biodistribution comparable to prior studies using immunohistochemical methods. [sup 18]F-EF5 was excreted primarily via the urinary system. Images obtained 10 min following drug admin- istration demonstrated that the EF5 distributed evenly to all organ systems, including brain. Later images showed increased uptake in most Q7 tumors compared with muscle. Liver uptake remained relatively constant over the same time periods. Tumor to muscle ratios ranged from 0.82 to 1.73 (based on PET images at 120 min post injection) and 1.47 to 2.95 (based on gamma counts at ∼180 min post injection). Tumors were easily visible by 60 min post injection when the final tumor to muscle ratios... [ABSTRACT FROM AUTHOR]