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. 2019 Aug 28;25(32):4682–4695. doi: 10.3748/wjg.v25.i32.4682

Table 2.

Positron emission tomography in animal experiments of hepatocellular carcinoma

Isotopes Half-life Radiotracer Year First author Animal models Related notable findings Limitations
18F 110 min 18F-FPGLU 2017 Sun et al[19] Tumor-bearing mice (HCC SMCC-7721) Radiochemical purity is higher than 95% with a specific activity of 30-40 GBq/μmol Unstable in plasma, tumor, and urine
Stable in vitro
High uptake and retention in tumor
64Cu 12.7 h 64CuCl2 2011 Lièvre et al[71] Athymic mice bearing extrahepatic HCC xenografts Increased 64Cu radioactivity is well visualized Abundant physiological distribution in liver
Useful for detection of intracranial HCC metastasis
68Ga 68 min 68Ga-NGR 2017 Gao et al[32] Tumor-bearing mice (HCC SMCC-7721) 68Ga-NGR could visualize CD13-positive tumors The uptake performance of 68Ga-NGR for poorly differentiated HCC needs further investigation
68Ga-NGR uptake is significantly higher than that of 18F-FDG in well-differentiated HCC xenografts
89Zr 78.4 h 89Zr-αGPC3 2014 Sham et al[79] HepG2 tumor-bearing mice Excellent specificity Long half-life in the blood, leading to suboptimal imaging pharmacokinetics, poorer tumor penetration, and increased immunogenicity due to relatively large size and intact Fc regions
Even smaller tumors (<1 mm) are able to be identified
89Zr-αGPC3-F(ab′)2 2014 Sham et al[80] HepG2 tumor-bearing mice Significantly reduces blood circulation time Potential risk of fragment concentration in the kidneys, leading to organ dysfunction
Lower background liver uptake allows for early imaging
89Zr-DFO-1G12 2014 Yang et al[81] HepG2 tumor-bearing mice Specifically taken up by GPC3-positive HCC xenografts regardless of GPC3 expression levels This probe should be further validated using a humanized anti-GPC3 antibody
High tumor-to-liver ratio
89Zr-Df-YY146-ZW800 2016 Hernandez et al[82] HepG2 tumor-bearing mice Excellent CD146-affinity, specificity, and stability Bone-displaying PET signal is not matched by NIRF
Both PET and NIRF imaging are achieved

HCC: Hepatocellular carcinoma; PET: Positron emission tomography;

18

F-FPGLU: N-(2-18F-fluoropropionyl)-L-glutamate;

68

Ga-NGR: 68Ga-labeled asparagine-glycine-arginine;

89

Zr-αGPC3: 89Zr-anti glypican-3; 89Zr-αGPC3-F(ab’)2: 89Zr-anti glypican-3-F(ab’)2; 89Zr-DFO-1G12: 89Zr-desferrioxamine-1G12; 89Zr-Df-YY146-ZW800: 89Zr- deferoxamine-YY146-ZW800; NIRF: Near-infrared fluorescence.