[High uptake of N-isopropyl-p-[123I]-iodoamphetamine (123I-IMP) demonstrated by dynamic SPECT in some cases of glioma]

Kaku Igaku. 1996 Jul;33(7):695-704.
[Article in Japanese]

Abstract

Selective high uptake of N-isopropyl-p-[123I]-iodoamphetamine (123I-IMP) in the brain tumors is not common, the mechanism of uptake in the brain tumor is not yet clearly understood. Among 26 cases of gliomas investigated by dynamic SPECT, 4 cases including 2 cases of anaplastic astrocytoma and 2 cases of oligodendroglioma, showed high uptake of 123I-IMP. New three detector type camera which enables us to investigate rapid successive scanning, was used in our study. In dynamic SPECT, 15 successive scans of 2 minutes interval were made for 30 minutes after administration of 123I-IMP. In addition, quick dynamic SPECT was tried in 2 cases, in which 10 quick successive scans of 24 seconds interval were investigated for initial 4 minutes immediately after administration of 123I-IMP. Radioactivity in the region of interest inside the tumor (T) and radioactivity of the corresponding site in the contralateral hemisphere (C) was measured respectively, and T/C ratio was calculated. Time course change of radioactivity (time activity curve: TAC) was analyzed in all cases. Radioactivity was always higher in the tumor and the average T/C ratio was 1.40. TAC showed rapid increase of 123I-IMP in the tumor during initial 2 minutes after administration and keeping its high plateau level for 30 minutes. Angiography in these cases revealed a remarkable tumor stain. On the other hand, these gliomas showed no or slight enhancement effect in CT or MRI. These findings are interpretable as that early high uptake of 123I-IMP in some gliomas is attributable to an increased vascular bed and blood flow with no or minimal derangement of blood brain barrier in these tumors.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Amphetamines / pharmacokinetics*
  • Blood-Brain Barrier / physiology
  • Brain Neoplasms / blood supply*
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / metabolism
  • Cerebral Angiography
  • Female
  • Glioblastoma / blood supply*
  • Glioblastoma / diagnosis
  • Glioblastoma / metabolism
  • Humans
  • Iodine Radioisotopes / pharmacokinetics*
  • Iofetamine
  • Magnetic Resonance Imaging
  • Middle Aged
  • Oligodendroglioma / blood supply*
  • Oligodendroglioma / diagnosis
  • Oligodendroglioma / metabolism
  • Tomography, Emission-Computed, Single-Photon*
  • Tomography, X-Ray Computed

Substances

  • Amphetamines
  • Iodine Radioisotopes
  • Iofetamine