TABLE 2.
99Tc-Annexin | AnxCLIO-Cy5.5 | |
---|---|---|
Blood half-life | Minutes | 2–3 h15 |
Extravascular biodistribution | Yes | Yes14–16 |
Metabolism | Renal elimination | Degradation by macrophages/RES |
Sensitivity to low levels of apoptosis | Yes11 | Yes16 |
Distinction of apoptosis and necrosis | Yes13 | Yes15,16 |
Spatial resolution | Poor | Excellent14–16 |
Background signal in blood and adjacent organs | Highly problematic (major impact on signal in ROI) | Not problematic,14–16 (no impact on signal in ROI) |
Microscopy/histology of agent | No | Yes15,16 |
Integration with functional data | Not routine | Routine/excellent14–16 |
Nonspecific uptake by inflammatory cells (lymphocytes, macrophages) | Yes, likely some loss of specificity | Loss of specificity due to macrophage uptake |
Competition from tissue and blood pools of endogenous annexin48–51 | Yes (trace amounts of annexin injected) | No (non-trace amounts of annexin injected) |
Interval required for serial imaging | Short | Unknown (likely longer) |
RES, reticuloendothelial system; ROI, region-of-interest.