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18F-FES and 18F-FDG micro-PET/CT imaging for the evaluation of nanovectorized radiotherapy with 188Re in a murine model of endometrial cancer

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12/06/2015 10:37 Oasis, The Online Abstract Submission System

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Control/Tracking Number: 2015-S-188-EANM Activity: Scientific Programme

Current Date/Time: 6/12/2015 3:33:47 AM

18F-FES and 18F-FDG micro-PET/CT imaging for the evaluation of nanovectorized radiotherapy with 188Re in a murine model of endometrial cancer.

Author Block: C. Lefebvre-Lacoeuille1,2,3, A. Genin1,3, F. Bouchet1,4, N. Chouin5,6, A. Croué1, L. Preisser1,7, F.

Hindré2,8,1, P. Descamps1,3, O. F. Couturier1,2,4, F. Lacoeuille1,2,4;

1LUNAM Université, Angers, FRANCE, 2Inserm UMRS_1066 MINT, Angers, FRANCE, 3Department of Obstetrics and Gynaecology, CHU Angers, Angers, FRANCE, 4Nuclear Medicine Department, CHU Angers, Angers, FRANCE, 5LUNAM Université, Nantes, FRANCE, 6AMaROC, ONIRIS, Nantes, FRANCE, 7Inserm U892, Angers, FRANCE, 8PRIMEX Plateforme de Radiobiologie et d'Imagerie Expérimentale, Angers, FRANCE.

Abstract:

Aim: To evaluate changes in tumour glycolysis measured by positron emission tomography (PET) with [18F]fluoro- desoxyglucose ([18F]-FDG) and in steroid hormone receptor expression measured by PET with 16α-[18F]fluoro-17β- oestradiol ([18F]-FES) following internal radiotherapy with nanoparticles loaded with rhenium-188 (LNC-188Re-SSS) in a preclinical murine model of human endometrial cancer. Materials and methods: Ishikawa endometrial carcinoma cell lines were implanted subcutaneously in nude mice (n=10). D28 after inoculation, mice (n=5) were treated with an intra-tumor injection of LNC-188Re-SSS. Treatment efficiency in the LNC-188Re-SSS group was compared to control group (n=5) in term of tumour growth assessed by clinical palpation and micro-PET/CT imaging. For each mouse, two [18F]-FDG and two [18F]-FES micro-PET/CT were performed on separate imaging days, at baseline before therapy, and two weeks later.

Results: Fourteen days after treatment with LNC-188Re-SSS, tumour progression was significantly inhibited compared to the control group (p<0.006). [18F]-FDG uptake remained stable in the treated group (p=0.9) and was significantly lower than in control group (p=0.03), in which [18F]-FDG tumour uptake increased significantly (p=0.003). An excellent correlation was observed between [18F]-FDG tumour uptake and tumour volume (r=0.88, p=0.0016). At baseline focal [18F]-FES uptake corresponding to the known subcutaneous tumour were observed in both group of mice, and after treatment no significant [18F]-FES uptake difference was observed between the treated and untreated groups (p=0.75).

The [18F]-FES tumor uptake was not correlated with the tumour volume (r=0.1613, p=0.68). A significant correlation was found between tumour ERα-score, measured by immunohistochemistry, and [18F]-FES uptake (r=0.6821, p=0.043).

Conclusion: Because after treatment, significant changes in tumour uptake was observed only with [18F]FDG and not with [18F]-FES, [18F]-FES does not appear to be able to monitor the therapeutic effect of internal radiation with LNC- 188Re-SSS.

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Topic (Complete): 601 Preclinical Imaging

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12/06/2015 10:37 Oasis, The Online Abstract Submission System

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Disclosures (Complete):

I or one of my co-authors hold a position as an employee, consultant, assessor or advisor for a

pharmaceutical, device or biotechnology company. If yes, please specify name/position/company, if not please state "Nothing to disclose" : Nothing to disclose

I or one of my co-authors receive support from a pharmaceutical, device or biotechnology company. If yes, please specify name/position/company/which project and whether support is in kind or monetary. If not, please state “Nothing to disclose”. : Nothing to disclose

I or one of my co-authors hold property rights/patents for (radio)pharmaceuticals, medical devices or medical consulting firms. If yes, please specify name/position/company, if not please state : Dr Franck Lacoeuille and Dr François Hindré are co-inventors of a patent for a radiopharmaceutical (Applicant Cyclopharma Laboratoires)

I or one of my co-authors have written articles for (radio)pharmaceutical, med. device, biotechnology or consulting companies during the last 5 yrs. If yes, specify name/position/company/article/journal & co-authors.If not state "Nothing to disclose" : Nothing to disclose

I herewith declare, that I submitted all relevant information above to the best of my knowledge : True

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Presentation Preference (Complete): Oral or Poster Status: Complete

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