Non-invasive monitoring of photodynamic therapy with 9Technetium HMPAO scintigraphy
1992

Monitoring Photodynamic Therapy with Scintigraphy

publication Evidence: moderate

Author Information

Author(s): R.B. Moore, J.D. Chapman, A.D. Mokrzanowski, M.R. Arnfield, M.S. McPhee, A.J. McEwan

Primary Institution: Cross Cancer Institute, University of Alberta

Hypothesis

Can non-invasive scintigraphy effectively monitor the vascular shut-down induced by photodynamic therapy in different types of Dunning prostatic tumors?

Conclusion

The study demonstrated that photodynamic therapy induces a light-dose-dependent and time-dependent vascular shut-down in both well-differentiated and anaplastic Dunning prostatic tumors.

Supporting Evidence

  • Maximal vascular shut-down occurred about 8 hours post-PDT after a 1,600J light dose.
  • Well differentiated tumors were found to be 1.77 times better perfused than anaplastic tumors.
  • Perfusion shut-down was significantly greater when light exposure occurred 2 hours after photosensitizer administration compared to 24 hours.

Takeaway

This study shows that a special imaging technique can help doctors see how well a light treatment works on tumors by checking blood flow.

Methodology

Rats with Dunning prostatic tumors were treated with photodynamic therapy and monitored using 99mTc-HMPAO scintigraphy to assess changes in tumor perfusion.

Limitations

The study was conducted in a rat model, which may not fully represent human tumors.

Participant Demographics

Rats (Copenhagen x Fischer, F1 hybrids) were used in the study.

Statistical Information

P-Value

0.02

Statistical Significance

p<0.05

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