2008, Vol. 19 Issue (8): 551-554    DOI:
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99Tcm-HYNIC-Octreotide的标记及其在脑膜瘤诊断中的初步应用
王胜军,汪 静,邓敬兰,曾 瑾,王喜青,王云雅,梁晓燕
第四军医大学西京医院核医学科,陕西 西安 710032
Preliminary clinical application of HYNIC-Octreotide labeled with 99Tcm in the diagnosis of meningioma
WANG Sheng-jun, WANG Jing, DENG Jing-lan, ZENG Jin, WANG Xi-qing, WANG Yun-ya, LIANG Xiao-yan
Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, China
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摘要 目的:建立99Tcm标记HYNIC-Octreotide的最佳方法,评价该显像剂用于临床的可能性。方法: 以SnCl2为还原剂,按间接法标记99Tcm-HYNIC-Octreotide。观察标记物的体内、体外稳定性。对6只实验用大耳白兔、3名健康志愿者及3名后来经病理证实的脑膜瘤患者初步进行了生长抑素受体显像。结果: 99Tcm-HYNIC-Octreotide的标记率为97.8%±0.55%。99Tcm-HYNIC-Octreotide的体内、体外稳定性:①静置稳定性:静置4h标记率仍达90%以上。②半胱氨酸置换试验:游离99Tcm随半胱氨酸的增加而缓慢上升,当半胱氨酸达200mmol/L时,99Tcm-HYNIC-Octreotide分子中约23%的99Tcm的被置换出。③血清结合试验:24h 99Tcm-HYNIC-Octreotide与蛋白结合率为17.04%±0.01%。99Tcm-HYNIC-Octreotide显像结果:①正常兔及正常人99Tcm-HYNIC-Octreotide体内分布特点:膀胱和肾脏最浓,其次是肝脏,鼻黏膜轻度浓聚,颅脑、双肺、肠道内未见明显核素浓聚。②3名脑膜瘤患者放射性核素明显浓聚,注射显像剂4h后肿瘤放射性计数与本底放射性计数的比值(T/NT)为5.36。结论:99Tcm标记HYNIC-Octreotide方法可行,标记率和放化纯高,稳定性好。初步临床显像证明99Tcm-HYNIC-Octreotide是一种具有潜力的诊断脑膜瘤的生长抑素受体显像剂。
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王胜军
汪静
邓敬兰
曾瑾
王喜青
王云雅
梁晓燕
关键词 脑膜瘤放射性核素显像    
AbstractObjective: To develop a method to label HYNIC-Octreotide with 99Tcm indirectly and evaluate its potential as a clinical imaging agent. Methods: SnCl2 as a reducing agent was adopted to label HYNIC-Octreotide with 99Tcm indirectly, to observe the stability of the labeled drugs; 6 rabbits, 3 healthy volunteers and 3 patients with meningioma were examined by this somatostatin receptor agent. Results: The label rate of 99Tcm-HYNIC-Octreotide was 97.8%±0.55%. The stability of the labeled drugs: ①The stability after 4 hours were above 90%. ②The replace test of cysteine: with the increase of cysteine, free 99Tcm was found to raise slowly, about 23% free 99Tcm was break away from 99Tcm-HYNIC-Octreotide when the concentration of cysteine was up to 200mmol/L. ③Plasma binding: the rate of 99Tcm-HYNIC-Octreotide combined with plasma is 17.04%±0.01% for 24 hours. ①Character of distribution with the radionuclide drug in rabbits and volunteers: Intense uptake was found in bladder and kidney, moderate uptake in liver, mild uptake in mucous membrane of nose, no obvious uptake in brain, lung and intestinal tract. ②Intense uptake was found in 3 patients with meningioma, the average value of T/NT was 5.36 after 4 hours. Conclusions: This method to label HYNIC-Octreotide with 99Tcm is promising; it has a high label rate and stability. 99Tcm-HYNIC-Octreotide has a potential as an agent imaging to meningioma.
Key wordsMeningioma    Radionuclide imaging
收稿日期: 2008-02-22     
:  R739.45  
  R817.4  
通讯作者: 汪静   
引用本文:   
王胜军;汪 静;邓敬兰;曾 瑾;王喜青;王云雅;梁晓燕. 99Tcm-HYNIC-Octreotide的标记及其在脑膜瘤诊断中的初步应用[J]. , 2008, 19(8): 551-554.
WANG Sheng-jun;WANG Jing;DENG Jing-lan;ZENG Jin;WANG Xi-qing;WANG Yun-ya;LIANG Xiao-yan. Preliminary clinical application of HYNIC-Octreotide labeled with 99Tcm in the diagnosis of meningioma. , 2008, 19(8): 551-554.
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