Preoperative characterisation of clear-cell renal carcinoma using iodine-124-labelled antibody chimeric G250 (124I-cG250) and PET in patients with renal masses: a phase I trial
- 1Memorial Sloan-Kettering Cancer Center, New York, NY, USA. chaitanya.divgi@uphs.upenn.edu
- 0Memorial Sloan-Kettering Cancer Center, New York, NY, USA. chaitanya.divgi@uphs.upenn.edu
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View abstract on PubMed
Summary
This summary is machine-generated.Iodine-124-labelled antibody chimeric G250 (124I-cG250) PET accurately identifies clear-cell renal carcinoma. This imaging technique helps stratify patients, predict tumor aggressiveness, and guide treatment decisions for kidney cancer.
Area Of Science
- Oncology
- Nuclear Medicine
- Radiopharmaceuticals
Background
- Preoperative tumor identification is crucial for effective renal cancer treatment.
- Carbonic anhydrase-IX is over-expressed in clear-cell renal carcinomas.
- Chimeric G250 antibody targets carbonic anhydrase-IX.
Purpose Of The Study
- To evaluate the efficacy of iodine-124-labelled antibody chimeric G250 ((124)I-cG250) PET in predicting clear-cell renal carcinoma.
- To assess the diagnostic accuracy of (124)I-cG250 PET for identifying the most common and aggressive renal tumor type.
Main Methods
- A pilot study involving 26 patients with renal masses scheduled for surgery.
- Patients received a single intravenous infusion of (124)I-cG250.
- Abdominal PET and CT scans were performed before surgery, with results graded for antibody uptake.
Main Results
- (124)I-cG250 PET accurately identified 15 out of 16 clear-cell carcinomas (94% sensitivity).
- All nine non-clear-cell renal masses were negative for the tracer (100% specificity).
- The study demonstrated high sensitivity (94%) and specificity (100%) for clear-cell renal carcinoma detection.
Conclusions
- PET imaging with (124)I-cG250 accurately identifies clear-cell renal carcinoma.
- A negative scan suggests a less aggressive tumor phenotype, aiding in treatment stratification.
- (124)I-cG250 PET can assist in differentiating tumor types and guiding clinical management.
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