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Published in: European Journal of Nuclear Medicine and Molecular Imaging 6/2006

01-06-2006 | Short communication

How few cancer cells can be detected by positron emission tomography? A frequent question addressed by an in vitro study

Authors: Barbara M. Fischer, Minna W. B. Olsen, Carsten D. Ley, Thomas L. Klausen, Jann Mortensen, Liselotte Højgaard, Paul E. G. Kristjansen

Published in: European Journal of Nuclear Medicine and Molecular Imaging | Issue 6/2006

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Abstract

Purpose

Positron emission tomography (PET) has gained widespread use in cancer diagnosis and treatment, but how many malignant cells are required for a tumour to be detected by PET?

Methods

Three human cancer cell lines [glioblastoma and two subtypes of small cell lung cancer (SCLC)] in concentrations from 104 to 107 were seeded on six-well plates or plastic tubes and treated with [18F]fluorodeoxy-glucose (FDG) in vitro. FDG retention was measured in a PET/CT scanner and in a calibrated well counter. The clinical situation was simulated using a cylinder phantom with a background concentration of FDG.

Results

The theoretical detection limit was found to be around 105 malignant cells. In a cylinder phantom the detection limit was increased by a factor of 10. The FDG retention by the glioblastoma cell line was significantly higher than the activity of the SCLC cell line. FDG retention measured by PET and a gamma counter was closely correlated to the number of cells and a linear relationship was found.

Discussion

The detection limit of PET is in the magnitude of 105 to 106 malignant cells. The experimental set-up was robust and well suited as a platform for further investigations of factors influencing the detection limit of PET.
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Metadata
Title
How few cancer cells can be detected by positron emission tomography? A frequent question addressed by an in vitro study
Authors
Barbara M. Fischer
Minna W. B. Olsen
Carsten D. Ley
Thomas L. Klausen
Jann Mortensen
Liselotte Højgaard
Paul E. G. Kristjansen
Publication date
01-06-2006
Publisher
Springer-Verlag
Published in
European Journal of Nuclear Medicine and Molecular Imaging / Issue 6/2006
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-005-0038-6

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