Table 1. Advantages and disadvantages of three methods used for hypoxia evaluation in solid tumors: Gene expression analysis, PET-CT/18F-FMISO and microscopy/PIMO.
RT-PCR/Gene expression | PET-CT/18F-FMISO | Microscopy/PIMO | |
---|---|---|---|
advantages | 1. Examination of the whole organ 2. Examination of changes at molecular level (before the morphologic changes occur) |
1. Direct visualization of the whole organ 2. Evaluation of the % of hypoxic regions in the whole tumor |
1. Visualization of the whole organ section on the slide 2. Evaluation of the % of hypoxic region in the tumor section |
disadvantages | 1. Results reflect changes in the whole organ without division on the hypoxic, normoxic, necrotic regions 2. The result reflects mean changes in all the regions above |
1. Small tumors invisible | 1. Results reflect only part of the tumor (just the section) otherwise it is very time-consuming if the whole organ is cut on serial sections |