Pilot study on the feasibility of PET/CT lymphoscintigraphy with 89Zr-nanocolloidal albumin for sentinel node identification in oral cancer patients

  • Derrek A. Heuveling
  • , Annelies Van Schie
  • , Danielle J. Vugts
  • , N. Harry Hendrikse
  • , Maqsood Yaqub
  • , Otto S. Hoekstra
  • , K. Hakki Karagozoglu
  • , C. René Leemans
  • , Guus A M S Van Dongen
  • , Remco De Bree*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

34 Citations (Scopus)

Abstract

With conventional imaging techniques such as planar lymphoscintigraphy and SPECT/CT, preoperative sentinel node (SN) identification can be difficult when the SN is near the primary tumor, as is the case in floor-of-mouth carcinomas. PET/CT lymphoscintigraphy may improve the detection and localization of such SNs. Methods: In this study, the clinical feasibility of PET/ CT lymphoscintigraphy using 89Zr-nanocolloidal albumin was evaluated in 5 oral cancer patients. PET/CT lymphoscintigraphy was performed after peritumoral injection of 89Zr-nanocolloidal albumin. The routine SN procedure, including SPECT/CT using 99mTc-nanocolloidal albumin, was performed on the same patients 7-9 d after the injection of 89Zr- nanocolloidal albumin. Results: Comparison of radiocolloid distribution on PET/CT and SPECT/CT showed identical drainage patterns. Moreover, PET/ CT was able to identify additional foci near the primary tumor. Conclusion: This pilot PET/CT study on SN detection indicated that lymphoscintigraphy using 89Zr-nanocolloidal albumin is feasible. COPYRIGHT

Original languageEnglish
Pages (from-to)585-589
Number of pages5
JournalJournal of Nuclear Medicine
Volume54
Issue number4
DOIs
Publication statusPublished - 1 Apr 2013

Keywords

  • Zr
  • Head and neck cancer
  • Nanocoll
  • PET/CT
  • Sentinel node

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