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General Clinical Specialties: GastroenterologyStomach, Esophagus and Pancreas |
1 Radiology, The Johns Hopkins Medical Institutions, Baltimore, Maryland
157
Objectives: Non-invasive imaging of pancreatic exocrine function remains a critical unmet clinical need. We compared the biodistribution of 14C-acetate and 3H-L-methionine under fasting conditions in rats to determine which of these agents is more suitable for exocrine pancreatic imaging.
Methods: Eight female Lewis rats were divided into 2 groups (acetate group: n=4, methionine group: n=4). Each rat was fasted overnight, but had free access to water. 14C-acetate or 3H-L-methionine (5uCi per rat) were injected into the tail veins after anesthesia with a ketamine/acepromazine cocktail. The animals were sacrificed 30 minutes after the tracer injection. Pancreas, other major organs and blood were removed for beta-counting. Tracer uptake was determined by percentage injected dose (%ID)/(gram of tissue)x(kilogram of body weight) from the biodistribution study.
Results: The mean tracer uptake of pancreas in the acetate group and the methionine group was 0.24±0.12 and 0.41±0.15, respectively (P=0.25). However, the mean %ID/g of pancreas normalized to %ID/g of liver in the acetate group and the methionine group was 8.55±5.09 and 1.67±0.64, respectively (P<0.05). Background blood activity levels were 0.01±0.00 (acetate group) and 0.03±0.01 (methionine group), and the mean %ID/g of pancreas normalized to %ID/g of blood was 16.35±6.76 (acetate group) and 15.04±7.26 (methionine group).
Conclusions: Although both of these tracers had high absolute uptake in the exocrine pancreas, with high pancreas/blood uptake ratios, 14C-acetate appears more suitable and advantageous than 3H-L-methionine. This suggests that 11C-acetate would be preferable as an exocrine pancreatic imaging agent due to its superior target/background contrast, especially between the pancreas and the liver.
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