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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2014.3256</article-id>
<article-id pub-id-type="publisher-id">or-32-02-0691</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Using &#x0005B;<sup>18</sup>F&#x0005D;FBAU for imaging brain tumor progression in an F98/<italic>tk-luc</italic> glioma-bearing rat model</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>CHIEN</surname><given-names>YI-CHUN</given-names></name><xref rid="af1-or-32-02-0691" ref-type="aff">1</xref><xref rid="af2-or-32-02-0691" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>JOHN CHUN-HAO</given-names></name><xref rid="af1-or-32-02-0691" ref-type="aff">1</xref><xref rid="af3-or-32-02-0691" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIN</surname><given-names>WEI-CHAN</given-names></name><xref rid="af4-or-32-02-0691" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>DING</surname><given-names>HUEISCH-JY</given-names></name><xref rid="af2-or-32-02-0691" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>HSIN-ELL</given-names></name><xref rid="af1-or-32-02-0691" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>KAO</surname><given-names>CHIH-HAO K.</given-names></name><xref rid="af5-or-32-02-0691" ref-type="aff">5</xref><xref rid="af6-or-32-02-0691" ref-type="aff">6</xref><xref ref-type="corresp" rid="c1-or-32-02-0691"/></contrib>
<contrib contrib-type="author">
<name><surname>HWANG</surname><given-names>JENG-JONG</given-names></name><xref rid="af1-or-32-02-0691" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-or-32-02-0691"/></contrib></contrib-group>
<aff id="af1-or-32-02-0691">
<label>1</label>Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Bei-tou 11221, Taipei, Taiwan, R.O.C.</aff>
<aff id="af2-or-32-02-0691">
<label>2</label>Department of Medical Imaging and Radiological Sciences, I-Shou University, Jiaosu Village, Kaohsiung 82445, Taiwan, R.O.C.</aff>
<aff id="af3-or-32-02-0691">
<label>3</label>Department of Radiation Oncology, Mackay Memorial Hospital, Tamsui, New Taipei City, Taiwan, R.O.C.</aff>
<aff id="af4-or-32-02-0691">
<label>4</label>Department of Radiology, Cathay General Hospital, Taipei 10630, Taiwan, R.O.C.</aff>
<aff id="af5-or-32-02-0691">
<label>5</label>Department of Radiopharmaceutical Production, Buddhist Tzu Chi General Hospital, Hualien 97002, Taiwan, R.O.C.</aff>
<aff id="af6-or-32-02-0691">
<label>6</label>Department of Radiological Technology, Tzu Chi College of Technology, Hualien 97002, Taiwan, R.O.C.</aff>
<author-notes>
<corresp id="c1-or-32-02-0691">Correspondence to: Professor Jeng-Jong Hwang, Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, 155, Sec. 2, Li-Nong Street, Bei-tou 11221, Taipei, Taiwan, R.O.C., E-mail: <email>jjhwang@ym.edu.tw</email>. Dr Chih-Hao K. Kao, Department of Radiopharmaceutical Production, Buddhist Tzu Chi General Hospital, No 707, Sec. 3, Zhongyang Road, Hualien City, Hualien County 97002, Taiwan, R.O.C., E-mail: <email>kevin_kao@tzuchi.com.tw</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>06</month>
<year>2014</year></pub-date>
<volume>32</volume>
<issue>2</issue>
<fpage>691</fpage>
<lpage>699</lpage>
<history>
<date date-type="received">
<day>08</day>
<month>03</month>
<year>2014</year></date>
<date date-type="accepted">
<day>26</day>
<month>03</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>1-(2-Deoxy-2-&#x0005B;<sup>18</sup>F&#x0005D;fluoro-&#x003B2;-D-arabinofuranosyl)-5-bromouracil (&#x0005B;<sup>18</sup>F&#x0005D;FBAU), a substitute for thymine, has been reported as an effective reporter probe by which to trace cellular metabolism with its positron emission. In the present study, a rat xenograft model bearing F98 glioma transfected with dual reporter genes, herpes simplex virus type 1 thymidine kinase (HSV1<italic>-tk</italic>) and firefly luciferase (<italic>luc</italic>) was used for monitoring tumor progression by multimodalities of molecular imaging using &#x0005B;<sup>18</sup>F&#x0005D;FBAU and D-luciferase as probes. Rat F98 glioma cells were transfected with the pC1-<italic>tk</italic>-IRES-<italic>luc</italic> vectors. The selected stable clone was renamed as the F98/<italic>tk-luc</italic> cell line. Fischer 344 male rats bearing orthotropic F98/<italic>tk-luc</italic> gliomas in the left brain were used. On day 13 post tumor inoculation, biodistribution, positron emission tomography (PET), magnetic resonance imaging (MRI) and <italic>ex vivo</italic> autoradiography were performed. The surviving fraction of F98/<italic>tk-luc</italic> cells treated with 15 &#x003BC;M ganciclovir (GCV) was 15.9&#x00025;, and the uptake of &#x0005B;<sup>131</sup>I&#x0005D;FIAU in these cells was significantly enhanced when compared with F98 cells. The correlation coefficient of tumor volume vs. the bioluminescence in the F98/<italic>tk-luc</italic> glioma-bearing rats was 0.90. The biodistribution showed that the accumulation ratios of &#x0005B;<sup>18</sup>F&#x0005D;FBAU for glioma-to-normal brain were 9.16, 14.24, 5.7 and 13.7 at 30, 60, 90 and 120 min post i.v. injection, respectively. Consistent tumor enhancement of &#x0005B;<sup>18</sup>F&#x0005D;FBAU/PET imaging was also noted from 30&#x02013;90 min post injection. <italic>Ex vivo</italic> autoradiography also confirmed significant &#x0005B;<sup>18</sup>F&#x0005D;FBAU uptake in tumors. In conclusion, &#x0005B;<sup>18</sup>F&#x0005D;FBAU may be used as a PET probe for monitoring glioma progression in animal models and may have potential for clinical use as well.</p></abstract>
<kwd-group>
<kwd>&#x0005B;<sup>18</sup>F&#x0005D;FBAU</kwd>
<kwd>F98/<italic>tk-luc</italic></kwd>
<kwd>bioluminescence</kwd>
<kwd>MRI</kwd>
<kwd>biodistribution</kwd>
<kwd><italic>ex vivo</italic> autoradiography</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Glioblastoma multiforme (GBM) is the most aggressive malignant brain tumor in humans with a survival time often less than 1 year even following treatment (<xref rid="b1-or-32-02-0691" ref-type="bibr">1</xref>&#x02013;<xref rid="b3-or-32-02-0691" ref-type="bibr">3</xref>). There remains a need for animal models that can be used to assess the efficacy of new and innovative treatments for experimental neuro-oncology (<xref rid="b4-or-32-02-0691" ref-type="bibr">4</xref>,<xref rid="b5-or-32-02-0691" ref-type="bibr">5</xref>). The blood-brain barrier (BBB) composed of tight junctions prevents the central nervous system (CNS) from being infiltrated by neurotoxic substances or pharmaceuticals from the peripheral circulatory system. Although the BBB of a tumor-bearing animal is severely compromised (<xref rid="b6-or-32-02-0691" ref-type="bibr">6</xref>), some difficulties still remain in monitoring brain tumor progression or treatment response in experimental and clinical approaches. For example, since the introduction of 2-deoxy-2-&#x0005B;<sup>18</sup>F&#x0005D;fluoro-D-glucose (<sup>18</sup>F-FDG)/PET, it has been widely used in clinical settings for evaluation of several malignancies, such as lung, colon, breast, head and neck and esophageal cancers (<xref rid="b7-or-32-02-0691" ref-type="bibr">7</xref>). <sup>18</sup>F-FDG is metabolized as glucose but is stopped at the early step of metabolism, and can be used to detect the proliferation of tumor cells. Hence radiolabeled glucose analogs may serve as probes for molecular imaging of brain tumors. However, <sup>18</sup>F-FDG also accumulates in benign lesions, and false-positive results may occur during infection, inflammation and other therapy-related conditions (<xref rid="b8-or-32-02-0691" ref-type="bibr">8</xref>). 3&#x02032;-Deoxy-3&#x02032;-&#x0005B;<sup>18</sup>F&#x0005D;fluorothymidine (<sup>18</sup>F-FLT), a thymidine analog, often used in PET imaging for monitoring non-invasive cancer treatment, can be phosphorylated by thymidine kinase 1 (TK1) and trapped within tumor cells (<xref rid="b9-or-32-02-0691" ref-type="bibr">9</xref>). It has been suggested that a multitracer approach using a combination of &#x0005B;<sup>18</sup>F&#x0005D;FLT and &#x0005B;<sup>18</sup>F&#x0005D;FDG may monitor early treatment response more effectively following cancer therapy (<xref rid="b10-or-32-02-0691" ref-type="bibr">10</xref>). Other radiolabeled pyrimidine nucleoside derivatives, such as 2&#x02032;-fluoro-2&#x02032;-deoxy-&#x003B2;-D-arabinofuranosyl-5-iodouracil (FIAU) labeled with radioiodine, 9-&#x0005B;4-&#x0005B;<sup>18</sup>F&#x0005D;fluoro-3-(hydroxymethyl)butyl&#x0005D;guanine (&#x0005B;<sup>18</sup>F&#x0005D;FHBG), and 9-&#x0005B;(1-&#x0005B;<sup>18</sup>F&#x0005D;fluoro-3-hydroxy-2-propoxy)methyl&#x0005D;guanine (&#x0005B;<sup>18</sup>F&#x0005D;FHPG), have been demonstrated to accumulate selectively in HSV1-<italic>tk</italic> transfected cells, but significant non-specific phosphorylation is still noted (<xref rid="b11-or-32-02-0691" ref-type="bibr">11</xref>,<xref rid="b12-or-32-02-0691" ref-type="bibr">12</xref>). On the other hand, 5-&#x0005B;<sup>76</sup>Br&#x0005D;bromo-2&#x02032;-fluoro-2&#x02032;-deoxyuridine (&#x0005B;<sup>76</sup>Br&#x0005D;BFU) and 1-&#x0005B;2-deoxy-2-&#x0005B;<sup>18</sup>F&#x0005D;fluoro-&#x003B2;-arabinofuranosyl-5-bromouracil&#x0005D; (&#x0005B;<sup>18</sup>F&#x0005D;FBAU), both uracil analogs for DNA incorporation, have been developed for the imaging of tumor proliferation with superior specificity for the HSV1-<italic>tk</italic> reporter system (<xref rid="b13-or-32-02-0691" ref-type="bibr">13</xref>,<xref rid="b14-or-32-02-0691" ref-type="bibr">14</xref>). However, one disadvantage of &#x0005B;<sup>76</sup>Br&#x0005D; is that patients may be exposed to a higher radiation dose due to its long half-life and high energy (16.2 h, 3.6 MeV). The shorter half-life and optimal energy of &#x0005B;<sup>18</sup>F&#x0005D; (110 min, 0.64 MeV) makes &#x0005B;<sup>18</sup>F&#x0005D;-labeled pharmaceuticals more convenient for clinical PET imaging. It has been shown that &#x0005B;<sup>18</sup>F&#x0005D;-labeled proteins provide higher availability and better imaging quality (<xref rid="b15-or-32-02-0691" ref-type="bibr">15</xref>). The advantages of &#x0005B;<sup>18</sup>F&#x0005D;-labeled FBAU and combined with PET imaging in cellular proliferation, neuroscience and oncology have been reported (<xref rid="b16-or-32-02-0691" ref-type="bibr">16</xref>&#x02013;<xref rid="b18-or-32-02-0691" ref-type="bibr">18</xref>).</p>
<p>In our previous studies, 4-borono-2-&#x0005B;<sup>18</sup>F&#x0005D;-fluoro-L-phenylalanine-fructose (&#x0005B;<sup>18</sup>F&#x0005D;FBPA-Fr) has been shown to have higher accumulation in tumors of F98 glioma-bearing rats, and can be used as a probe to mimic BPA-Fr in the treatment of brain tumors by boron neutron capture therapy (BNCT) (<xref rid="b19-or-32-02-0691" ref-type="bibr">19</xref>). Furthermore, specific tumor accumulation with higher tumor-to-normal brain ratio of &#x0005B;<sup>18</sup>F&#x0005D;FBPA-Fr than that of &#x0005B;<sup>18</sup>F&#x0005D;FDG has also been demonstrated (<xref rid="b20-or-32-02-0691" ref-type="bibr">20</xref>).</p>
<p>Establishment of a brain tumor-bearing animal model with a reporter gene-reporter probe (RGRP) system for multimodalities of molecular imaging may provide a useful platform for monitoring theranostics of tumor treatment (<xref rid="b21-or-32-02-0691" ref-type="bibr">21</xref>&#x02013;<xref rid="b23-or-32-02-0691" ref-type="bibr">23</xref>), particularly for aggressive brain tumors such as GBM. The purpose of the present study was to investigate the potential application of &#x0005B;<sup>18</sup>F&#x0005D;FBAU as a PET reporter probe for monitoring tumor progression in an F98/<italic>tk-luc</italic> glioma-bearing rat model.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Establishment of the pC1-tk-IRES-luc plasmid and the F98-tk-luc stable clone</title>
<p>The pC1-<italic>tk</italic>-IRES-<italic>luc</italic> plasmid was constructed according to our previous study (<xref rid="b24-or-32-02-0691" ref-type="bibr">24</xref>). F98 rat glioma tumor cells were transfected with this plasmid using cationic polymer, jetPEI (Polyplus Transfection, Strasbourg, France). F98 cells were cultured in a 6-well plate (2&#x000D7;10<sup>5</sup> cells/well) after transfection. In a 1.5-ml Eppendorf vial, 3 &#x003BC;g of DNA plasmid was mixed with 6 &#x003BC;l jetPEI reagent in 100 &#x003BC;l of 150 mM NaCl followed by gentle vortexing, and then briefly spun down. The mixtures were incubated for 30 min at room temperature and were added to the well. Transfection was performed at 37&#x000B0;C for 24 h in a humidified incubator with 5&#x00025; CO<sub>2</sub>. Stable clones were selected with 600 &#x003BC;g/ml of G418 (Calbiochem, Darmstadt, Germany).</p></sec>
<sec>
<title>Luciferase (luc) gene expression assayed with bioluminescent imaging (BLI)</title>
<p>For the <italic>luc</italic> activity assay, the cell lysate was prepared by performing a freeze-thaw cycle in reporter lysis buffer (Promega, Madison, WI, USA). The bioluminescence was measured with a luminometer (Wallac 1420 Multilabel Counter; Life Sciences, Pittsburgh, PA, USA). The protein concentration of the cell lysate in each well was measured with a Bio-Rad protein assay kit (Bio-Rad Laboratories, Hercules, CA, USA) (<xref rid="b24-or-32-02-0691" ref-type="bibr">24</xref>). F98 cells transfected with pC1-tk-IRES-<italic>luc</italic> vectors were cultured in a 6-cm diameter dish for 14 days, and 30 colonies were selected. Each colony was cultured in a 3-cm diameter dish for cell proliferation. Cells were treated with 200 &#x003BC;l lysis buffer, and were frozen at &#x02212;80&#x000B0;C for 1 h. After thawing and centrifugation (1,200 rpm, Kubota Laboratory Centrifuge, model 5100; Kubota Corp., Tokyo, Japan), the supernatant was transferred to a black 96-well plate filled with D-luciferin. The bioluminescence was quantified as photons/sec/mg. For BLI imaging <italic>in vivo</italic>, male Fischer 344 rats and NOD/SCID mice were anaesthetized with 1&#x02013;3&#x00025; isofluorane, and then an i.p. injection with 300 &#x003BC;l D-luciferin (150 mg/kg in PBS) as the substrate. The IVIS 50 Imaging System (Xenogen, Alameda, CA, USA) was used for image acquisition. The time duration was 15 min for rats and 2 min for mice, followed by quantification with the Living Image software (Xenogen).</p></sec>
<sec>
<title>HSV1-tk gene expression assay</title>
<p>F98/<italic>tk-luc</italic> cells were cultured in 96-well plates (3,000 cells/200 &#x003BC;l/well) for 24 h, and then treated with 0&#x02013;200 mM ganciclovir (GCV; F. Hoffmann-La Roche Ltd., Basel, Switzerland) for 120 h. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT; Sigma-Aldrich, St. Louis, MO, USA) colorimetric assay was used to determine cell survival (<xref rid="b24-or-32-02-0691" ref-type="bibr">24</xref>).</p></sec>
<sec>
<title>Radiosynthesis of &#x0005B;<sup>131</sup>I&#x0005D;FIAU and &#x0005B;<sup>18</sup>F&#x0005D;FBAU</title>
<p>&#x0005B;<sup>131</sup>I&#x0005D;FIAU was prepared according to our previous study (<xref rid="b25-or-32-02-0691" ref-type="bibr">25</xref>). &#x0005B;<sup>18</sup>F&#x0005D;FBAU was synthesized according to a study reported by Alauddin <italic>et al</italic> (<xref rid="b26-or-32-02-0691" ref-type="bibr">26</xref>). The purification of &#x0005B;<sup>18</sup>F&#x0005D;FBAU was followed according to our previous study (<xref rid="b27-or-32-02-0691" ref-type="bibr">27</xref>).</p></sec>
<sec>
<title>&#x0005B;<sup>131</sup>I&#x0005D;FIAU cellular uptake assay</title>
<p>&#x0005B;<sup>131</sup>I&#x0005D;FIAU (3.7&#x000D7;10<sup>4</sup> Bq/&#x003BC;l)was added to each well (1&#x000D7;10<sup>6</sup> cells/3 ml/well in 6-well culture plates), followed by incubation at 37&#x000B0;C for 15 and 30 min, 1, 2 and 4 h, respectively. Triplicates were performed at each time point.</p></sec>
<sec>
<title>Cell culture, orthotropic F98/tk-luc glioma-bearing rat model and subcutaneous mouse tumor inoculation</title>
<p>F98 glioma cells (a kind gift from Dr Rolf F. Barth, The Ohio State University, USA) were transfected with the pC1-<italic>tk</italic>-IRES-<italic>luc</italic> plasmid (<xref rid="b24-or-32-02-0691" ref-type="bibr">24</xref>), and renamed as F98/<italic>tk-luc</italic> glioma cells. These cell lines were cultured in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) (containing 10&#x00025; FBS, 100 U/ml penicillin and 100 &#x003BC;g/ml streptomycin) at 37&#x000B0;C in a humidified atmosphere of 5&#x00025; CO<sub>2</sub>. Male Fischer 344 rats (12&#x02013;14 weeks of age, 250&#x02013;280 g) were anesthetized intraperitoneally (i.p.) with a mixture of 110 mg/kg ketamine and 9 mg/kg xylazine. F98/<italic>tk-luc</italic> glioma cells (1&#x000D7;10<sup>5</sup>) in 10 &#x003BC;l Mg<sup>2+</sup>/Ca<sup>2+</sup>-free Hanks&#x02019; balanced salt solution (<xref rid="b19-or-32-02-0691" ref-type="bibr">19</xref>) were then slowly (15&#x02013;20 sec) injected into the left brain region of the rats. The syringe was held still for 2 min after injection before withdrawing, and the injection hole was sealed with bone wax. Finally, the wound was flushed with iodinated alcohol and sutured with a sterilized steel clip. Male NOD/SCID mice were inoculated with 5&#x000D7;10<sup>5</sup> F98/<italic>tk-luc</italic> cells in 200 &#x003BC;l serum-free medium subcutaneously in the right flank. The tumor volume was measured with a digital caliper.</p></sec>
<sec>
<title>Tumor volume assayed by MR imaging</title>
<p>3T MR scanning was performed within 24 h post BLI imaging. A 40-mm diameter field-of-view (FOV) orbital surface coil was used as the receiver (<xref rid="b28-or-32-02-0691" ref-type="bibr">28</xref>). Each rat was anesthetized with 3&#x02013;4 ml 10&#x00025; chloride hydrate. To obtain accurate position of the brain slice, the coronal and transverse plane scout images were scanned first. 2&#x02013;4 coronal T1-weighted slices with a 1.5-mm thickness would cover the tumor. The T1-weighted images were acquired with a 256&#x000D7;256 matrix, FOV=89 mm, repetition time=435 msec and echo time=12 msec. For contrast-enhanced images, each animal received 0.2 mmol/kg contrast medium i.v. 5 min prior to T1-weighted sequence imaging. T2-weighted images were acquired with a 256&#x000D7;256 matrix, FOV=89 mm, repetition time=5,000 msec and echo time=104 msec. The DICOM images were collected, and the tumor boundary visualized in each slice was defined as the region-of-interest (ROI) using ImageJ (National Institutes of Health, Bethesda, MD, USA) for calculation. The sum of the ROI areas was processed by slice thickness to obtain the tumor volume.</p></sec>
<sec>
<title>Pathology examination</title>
<p>After examination, the rats were sacrificed with CO<sub>2</sub>. The brains were removed and fixed with 4&#x00025; paraformaldehyde. The sections (5-&#x003BC;m) obtained from the paraffin-embedded samples were stained with hematoxylin and eosin (H&amp;E).</p></sec>
<sec>
<title>Biodistribution of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the F98/tk-luc glioma-bearing rats</title>
<p>Biodistribution of &#x0005B;<sup>18</sup>F&#x0005D;FBAU was determined on the 13th day post tumor implantation as previously described (<xref rid="b19-or-32-02-0691" ref-type="bibr">19</xref>). Each rat was anesthetized with 3&#x02013;4 ml of 10&#x00025; chloride hydrate. The F98/<italic>tk-luc</italic> glioma-bearing rats were injected with 15 MBq/0.2 ml &#x0005B;<sup>18</sup>F&#x0005D;FBAU via lateral tail veins. At 0.5, 1, 1.5 and 2 h post injection, the rats (n=5 per group) were sacrificed with CO<sub>2</sub>. Left and right brains, tumors, intestine, spleen, heart, blood, lung, liver, stomach, pancreas, kidneys, bone and muscles were removed, and the radioactivity was measured in a well-type multichannel analyzer (Raytest, Straubenhardt, Germany) (<xref rid="b27-or-32-02-0691" ref-type="bibr">27</xref>). The uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in tissues or organs was expressed in counts per second (cps) corrected with the decay, and was normalized as the percentage injected dose per gram of tissue (&#x00025;ID/g).</p></sec>
<sec>
<title>PET scanning</title>
<p>The PET images of F98/<italic>tk-luc</italic> glioma-bearing rats i.v. injected with 50 MBq/0.1 ml &#x0005B;<sup>18</sup>F&#x0005D;FBAU were acquired up to 160 min using the PET/CT system (GE Discovery LS PET-CT; GE Healthcare, Cleveland, OH, USA) on day 13 post tumor implantation. The imaging parameters were set as follows: 2-D brain model, FOV=15.52 cm, spatial resolution=5.46 mm, 128&#x000D7;128 matrix size. The reconstruction algorithm using ordered subset expectation maximization (OSEM) was similar to that of a previous study (<xref rid="b19-or-32-02-0691" ref-type="bibr">19</xref>). The images were acquired with axial, coronal and sagittal planes, respectively. Each rat was anesthetized with 3&#x02013;4 ml 10&#x00025; chloride hydrate and i.v. injected with 0.1 ml of 50 MBq &#x0005B;<sup>18</sup>F&#x0005D;FBAU. Data acquisition by PET scanning was initiated at the first minute after drug injection. Dynamic coronal and sagittal images were acquired using 10 60-sec frames and 10 2-min frames, followed by 10-min frames up to 2 h. Standardized uptake values (SUVs) were calculated and normalized to body weight (BW) (<xref rid="b29-or-32-02-0691" ref-type="bibr">29</xref>). &#x00025;SUV was calculated using the following formula: &#x00025;SUV = &#x0005B;(left brain SUV - right brain SUV)/right brain SUV&#x0005D; &#x000D7; 100&#x00025;.</p></sec>
<sec>
<title>Ex vivo autoradiography</title>
<p>The <italic>ex vivo</italic> autoradiography was performed according to a previous report (<xref rid="b20-or-32-02-0691" ref-type="bibr">20</xref>). Fischer 344 rats were anesthetized with 1&#x02013;3&#x00025; isofluorane. At 30, 60, 90 and 120 min post i.v. injection of &#x0005B;<sup>18</sup>F&#x0005D;FBAU (15&#x02013;20 MBq/0.7 ml), the rats were sacrificed with CO<sub>2</sub>. The brains were removed and embedded with OCT on a cryostat holder (diameter 2.7 cm), and were frozen immediately at &#x02212;80&#x000B0;C. Coronal sections (20-&#x003BC;m thick) were performed using a cryomicrotome (Leica CM3050; Leica Microsystems, Bensheim, Germany). The imaging plates were assayed with an FLA5000 reader (Fuji Photo Film Co., Ltd., Tokyo, Japan) with the following settings: PMT=800 V, resolution=50 &#x003BC;m, gradation=16 bits, dynamic range=L5 and sensitivity=5,000 to acquire the phosphor images. ROIs were circled along the tumor contour of the F98/<italic>tk-luc</italic> glioma, and ROIs of equal size in the normal brain region at corresponding brain position were used as the reference. The intensity of photo-stimulated luminescence (PSL) of the tumor and normal brain tissue was measured with Image Gauge (version 4.0, Science Lab 2001; Fuji Photo Film).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The Studen&#x02019;t t-test was used to analyze the significant difference between the control and drug-treated rats. All data are shown as the means &#x000B1; standard error (SE). Differences between the means were considered significant at P&#x02264;0.05. The correlation between tumor volume and BLI photon flux was performed by Pearson correlation.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Selection of stable clones and luc gene expression assay</title>
<p>The pC1-<italic>tk</italic>-IRES-<italic>luc</italic> vectors as shown in <xref rid="f1-or-32-02-0691" ref-type="fig">Fig. 1A</xref> were transfected into the F98 cell line, which was renamed F98/<italic>tk-luc</italic>. The colony exhibiting <italic>luc</italic> expression of &gt;1,500 counts per sec per mg (cps/mg) was selected for cell expansion as shown in <xref rid="f1-or-32-02-0691" ref-type="fig">Fig. 1B</xref> (colony no. 11). The bioluminescence of <italic>luc</italic> gene expression in the F98/<italic>tk-luc</italic> cells was 3.24 photons/sec/cell (<xref rid="f1-or-32-02-0691" ref-type="fig">Fig. 1C</xref>).</p></sec>
<sec>
<title>Expression of thymidine kinase (tk)</title>
<p>F98/<italic>tk-luc</italic> cells were treated with various concentrations of ganciclovir (GCV). The surviving fraction (SF) of F98/<italic>tk-luc</italic> cells was 18&#x00025; at 15 &#x003BC;M and remained ~100&#x00025; up to 200 &#x003BC;M for parental F98 cells after GCV treatment (<xref rid="f2-or-32-02-0691" ref-type="fig">Fig. 2A</xref>). In addition, the uptake of &#x0005B;<sup>131</sup>I&#x0005D;FIAU in the F98/<italic>tk-luc</italic> cells was increased with time, but was not found in the parental F98 cells (<xref rid="f2-or-32-02-0691" ref-type="fig">Fig. 2B</xref>).</p></sec>
<sec>
<title>Tumor growth monitored using bioluminescent imaging (BLI) in F98/tk-luc tumor-bearing mice</title>
<p>F98/<italic>tk-luc</italic> cells were inoculated subcutaneously into the right flank of NOD/SCID mice. Two weeks later, tumor growth was monitored with BLI as shown in <xref rid="f3-or-32-02-0691" ref-type="fig">Fig. 3A</xref>. The quantification of bioluminescence (photons/sec &#x000D7; 10<sup>5</sup>) vs. tumor volume (mm<sup>3</sup> &#x000D7; 10) from representative mice is plotted in <xref rid="f3-or-32-02-0691" ref-type="fig">Fig. 3B</xref> with linear regression (r<sup>2</sup>=0.90).</p></sec>
<sec>
<title>Bioluminescent imaging (BLI), MR imaging and histopathology</title>
<p>The BLI of F98/<italic>tk-luc</italic> glioma-bearing rats was obtained using the IVIS50 optical imaging system (Xenogen Corp.) on day 13 post inoculation of F98-<italic>tk-luc</italic> glioma cells into the left brain. The total photon flux rates of the tumors were 5.50&#x000D7;10<sup>5</sup>-4.14&#x000D7;10<sup>6</sup> as shown in <xref rid="f4-or-32-02-0691" ref-type="fig">Fig. 4A</xref> (images were from representative rats). MR images of the representative rat brains were obtained from a 3T MR scanner including T1-, T2-weighted and contrast-enhanced images (Gd 0.2 mmol/kg) on day 14 (<xref rid="f4-or-32-02-0691" ref-type="fig">Fig. 4B</xref>).</p>
<p>In the present study, the tumor volume and its extent were not able to be demonstrated well by T1-weighted images but were greatly enhanced post contrast injection, which showed a clear boundary between the tumor and normal brain tissue. On the other hand, the tumor location could be shown by T2-weighted images whereas the boundary between the tumor and normal tissue was still indistinguishable. Fischer 344 rats after MR scanning were sacrificed, and the brain tissues were removed and preserved in 4&#x00025; paraformaldehyde. H&amp;E staining was subsequently performed. The results are shown in <xref rid="f4-or-32-02-0691" ref-type="fig">Fig. 4C</xref>, in which the tumor location and tumor volume were the same as those of the MR images shown in <xref rid="f4-or-32-02-0691" ref-type="fig">Fig. 4B</xref>.</p>
<p>The total photon fluxes of F98-<italic>tk-luc</italic> tumors obtained from BLI vs. tumor volumes calculated by 3T MR contrast-enhanced images are tabulated in <xref rid="tI-or-32-02-0691" ref-type="table">Table I</xref> and plotted in <xref rid="f4-or-32-02-0691" ref-type="fig">Fig. 4D</xref>. The Pearson correlation coefficient (r) is 0.95.</p></sec>
<sec>
<title>Biodistribution of <sup>18</sup>F-FBAU in the F98/tk-luc tumor-bearing rats</title>
<p>The accumulation of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in tissues of the F98/<italic>tk-luc</italic> tumor-bearing Fischer 344 rats (n=5) was measured at different time points after administration of 15 MBq/0.2 ml. The highest uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU was found in kidneys, suggesting that the elimination route of &#x0005B;<sup>18</sup>F&#x0005D;FBAU is via renal clearance. The uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the left and right normal brain tissues was very low in the range of 0.03&#x02013;0.09 &#x00025;ID/g (<xref rid="f5-or-32-02-0691" ref-type="fig">Fig. 5A</xref> and <xref rid="tII-or-32-02-0691" ref-type="table">Table II</xref>). Notably, the uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the F98/<italic>tk-luc</italic> glioma tumors reached up to 0.51&#x000B1;0.06 at 90 min post injection (<xref rid="f5-or-32-02-0691" ref-type="fig">Fig. 5B</xref>). The uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the tumors was significantly higher than those of normal brain tissues (P&lt;0.01). In addition, the uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in tumors in the 60 and 90 min post-injection groups was significantly higher than that of the 30 min post-injection group (P&lt;0.05).</p></sec>
<sec>
<title>PET images of <sup>18</sup>F-FBAU in the F98/tk-luc tumor-bearing rat model</title>
<p>The coronal and sagittal PET images of the F98/<italic>tk-luc</italic> glioma-bearing rats were imaged with a clinical PET. The result showed that accumulation of &#x0005B;<sup>18</sup>F&#x0005D;FBAU was noted in F98/<italic>tk-luc</italic> glioma in the brain (arrows in <xref rid="f6-or-32-02-0691" ref-type="fig">Fig. 6A</xref>). The &#x0005B;<sup>18</sup>F&#x0005D;FBAU/PET images at 30&#x02013;90 min post injection showed significantly higher &#x00025;SUV values than that acquired at the initial time point (P&lt;0.005; <xref rid="f6-or-32-02-0691" ref-type="fig">Fig. 6B</xref>).</p></sec>
<sec>
<title>Ex vivo autoradiography</title>
<p>Biodistribution of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the rat brain was also examined by <italic>ex vivo</italic> autoradiography. The result showed that the uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the F98/<italic>tk-luc</italic> gliomas reached the maximum value at 90 min post injection (<xref rid="f7-or-32-02-0691" ref-type="fig">Fig. 7A</xref>). Autoradiogram of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the F98/<italic>tk-luc</italic> gliomas showed a similar result as that of the biodistribution study with the highest uptake at 90 min post injection. The quantification of the autoradiogram is depicted in <xref rid="f7-or-32-02-0691" ref-type="fig">Fig. 7B</xref>. The uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU assayed by BLI in units of photo-stimulated luminescence (PSL)/mm<sup>2</sup> in the F98/<italic>tk-luc</italic> gliomas was significantly higher at each time point from 30 to 120 min compared to that of the contralateral normal brain tissue (<xref rid="f7-or-32-02-0691" ref-type="fig">Fig. 7B</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>&#x0005B;<sup>124</sup>I&#x0005D;FIAU has been reported to be the first PET probe used in the HSV1-<italic>tk</italic> reporter gene expression system (<xref rid="b11-or-32-02-0691" ref-type="bibr">11</xref>,<xref rid="b30-or-32-02-0691" ref-type="bibr">30</xref>). Although FIAU is preferentially phosphorylated by HSV1-thymidine kinase (TK) compared to mammalian TK, a certain amount of FIAU is accumulated in cells which do not express HSV1-TK resulting in non-specific signals (<xref rid="b31-or-32-02-0691" ref-type="bibr">31</xref>). It has been reported that no difference in biodistribution exists between &#x0005B;<sup>14</sup>C&#x0005D;FIAU and &#x0005B;<sup>76</sup>Br&#x0005D;FBAU; the uptake of the latter, however, is constantly higher than that of &#x0005B;<sup>14</sup>C&#x0005D;FIAU in RG2-TK rat glioma cells. Furthermore, the uptake of &#x0005B;<sup>76</sup>Br&#x0005D;FBAU is not affected significantly by endogenous mammalian thymidine kinase (<xref rid="b14-or-32-02-0691" ref-type="bibr">14</xref>). 2&#x02032;-Deoxy-2&#x02032;-&#x0005B;18F&#x0005D;fluoro-5-ethyl-1-&#x003B2;-D-arabinofuranosyluracil (&#x0005B;<sup>18</sup>F&#x0005D;FEAU), another pyrimidine nucleoside analog, has been shown to have higher selectivity and affinity for HSV-<italic>tk</italic> in subcutaneous RG2-TK<sup>+</sup> tumors and C6-<italic>tk</italic> cells compared to other radiotracers (<xref rid="b32-or-32-02-0691" ref-type="bibr">32</xref>,<xref rid="b33-or-32-02-0691" ref-type="bibr">33</xref>), but thorough evaluation by other modalities is lacking. In the present study, we demonstrated the tumor-specific radiotracing activity of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in an F98/<italic>tk-luc</italic> glioma-bearing animal model using HSV1-<italic>tk</italic> reporter gene/&#x0005B;<sup>18</sup>F&#x0005D;FBAU reporter probe system combined with multimodalities of molecular imaging with PET, BLI, MRI and <italic>ex vivo</italic> autoradiography. &#x0005B;<sup>18</sup>F&#x0005D;FBAU showed better differentiation with higher uptake in the tumors compared to the contralateral normal brain in the F98/<italic>tk-luc</italic> glioma-bearing animal model between 30 to 120 min post injection (<xref rid="f5-or-32-02-0691" ref-type="fig">Figs. 5B</xref> and <xref rid="f6-or-32-02-0691" ref-type="fig">6B</xref>). Both PET imaging and <italic>ex vivo</italic> autoradiography also showed the persistent accumulation of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the F98/<italic>tk-luc</italic> glioma-bearing animal model from 90 to 120 min post injection (<xref rid="f6-or-32-02-0691" ref-type="fig">Figs. 6A</xref> and <xref rid="f7-or-32-02-0691" ref-type="fig">7B</xref>), which was ~5&#x02013;14 times higher than the other radiotracers, such as &#x0005B;<sup>76</sup>Br&#x0005D;FBAU, at 120 min post injection as reported in other studies (<xref rid="b14-or-32-02-0691" ref-type="bibr">14</xref>). The results suggest that &#x0005B;<sup>18</sup>F&#x0005D;FBAU is a suitable reporter probe for the imaging of HSV1-<italic>tk</italic> expression.</p>
<p>For the purpose of tracing tumor growth progression, molecular imaging techniques other than traditional caliper measurement have been developed. A statistical correlation was developed to correlate the relationship between anatomical size and bioluminescent intensity collected from ROI of the tumors in a brain-tumor bearing animal model (<xref rid="b23-or-32-02-0691" ref-type="bibr">23</xref>). Notably, the brain tumor volume assayed by bioluminescent imaging (BLI) has been reported to poorly correlate with images obtained from MRI (<xref rid="b34-or-32-02-0691" ref-type="bibr">34</xref>,<xref rid="b35-or-32-02-0691" ref-type="bibr">35</xref>). Nevertheless, metastatic breast cancer in a rat model monitored using MRI at 3 tesla was found to correlate well with that by BLI (<xref rid="b36-or-32-02-0691" ref-type="bibr">36</xref>). Although &#x0005B;<sup>18</sup>F&#x0005D;FDG/PET imaging has been used for diagnosis of tumors as well as the malfunction of the brain, the uptake of &#x0005B;<sup>18</sup>F&#x0005D;FDG remains high in normal brain tissues, causing difficulties in differentiating normal brain from malignancy (<xref rid="b20-or-32-02-0691" ref-type="bibr">20</xref>,<xref rid="b37-or-32-02-0691" ref-type="bibr">37</xref>). In order to monitor the progression of brain tumor growth in the glioma-bearing animal model, we found a good correlation for the tumor volume acquired from MRI vs. that obtained from BLI in the F98/<italic>tk-luc</italic> glioma-bearing rat model (<xref rid="f4-or-32-02-0691" ref-type="fig">Fig. 4</xref>). The SUV of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in F98/<italic>tk-luc</italic> glioma was 20&#x00025; higher than that of contralateral normal brain tissue (<xref rid="f6-or-32-02-0691" ref-type="fig">Fig. 6</xref>). Hence &#x0005B;<sup>18</sup>F&#x0005D;FBAU may provide another advantage in brain tumor diagnosis and disease monitoring. As a result, this approach may have potential for using &#x0005B;<sup>18</sup>F&#x0005D;FBAU as a molecular probe combined with a reporter gene system, such as HSV1-<italic>tk</italic>, to monitor tumor growth progression in preclinical or clinical applications.</p>
<p>In conclusion, the uptake of &#x0005B;<sup>18</sup>F&#x0005D;FBAU and SUV of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in brain tumors of an F98/<italic>tk-luc</italic> glioma-bearing rat model was significantly higher than that of normal brain tissues determined by biodistribution and PET, respectively. Both the volume and progression of tumors determined with MRI and BLI were well correlated in the F98/<italic>tk-luc</italic> glioma-bearing rat model using &#x0005B;<sup>18</sup>F&#x0005D;FBAU as a reporter probe. Radiolabeled FBAU combined with multimodalities of molecular imaging may also provide potential benefits for the evaluation of therapeutic efficacy of newly developed drugs against other brain diseases.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by grant NSC92-2745-P-010-002 from the National Science Council, Taipei, Taiwan. We thank the staff of the Department of Radiopharmaceutical Production, Buddhist Tzu Chi General Hospital, Hualien, Taiwan for providing PET/CT imaging and advice for the synthesis of &#x0005B;<sup>18</sup>F&#x0005D;FBAU. We also thank the Taiwan Mouse Clinic which is funded by the National Research Program for Biopharmaceuticals (NRPB) at the National Science Council (NSC) of Taiwan for technical support with the bioluminescent imaging experiment.</p></ack>
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<floats-group>
<fig id="f1-or-32-02-0691" position="float">
<label>Figure 1</label>
<caption>
<p>Bioluminescence assay of F98/<italic>tk-luc</italic> cells <italic>in vitro</italic>. (A) The genetic map of pCMV-<italic>tk-luc</italic> plasmid. (B) Luciferase expression assay of selected colonies was expressed in counts per second (CPS)/cell. The colony 11 with the highest value of light intensity was chosen for cell proliferation. (C) Cells (1&#x000D7;10<sup>5</sup>) obtained from the expansion of colony 11 were serially diluted in a 96-well plate for assay of the luciferase activity. D-luciferin was added to each well and the plate was imaged for 1 min. The expression of luciferase was 3.24 photons/sec/cell.</p></caption>
<graphic xlink:href="OR-32-02-0691-g00.gif"/></fig>
<fig id="f2-or-32-02-0691" position="float">
<label>Figure 2</label>
<caption>
<p>HSV1-<italic>tk</italic> reporter gene assay of F98/<italic>tk-luc</italic> cells <italic>in vitro</italic>. (A) The surviving fractions of F98/<italic>tk-luc</italic> cells that were decreased to 0.2 or less after treatment with various concentrations of GCV (n=6). (B) Cellular uptake was determined by &#x003B3;-counter after &#x0005B;<sup>131</sup>I&#x0005D;FIAU addition. The uptake of F98/<italic>tk-luc</italic> cells increased to ~10&#x00025; dose/10<sup>6</sup> cells after 240 min (n=5).</p></caption>
<graphic xlink:href="OR-32-02-0691-g01.gif"/></fig>
<fig id="f3-or-32-02-0691" position="float">
<label>Figure 3</label>
<caption>
<p>Luc expression of F98/<italic>tk-luc</italic> glioma in NOD/SCID mice. (A) The increasing luminescence of F98/<italic>tk-luc</italic> tumors in mice was consistent with the increasing size of the tumors measured with a caliper over 2&#x02013;3 weeks post inoculation. (B) Linear plot indicating the correlation of luminescence with increasing tumor volume (r<sup>2</sup>=0.908, P&lt;0.05, n=4).</p></caption>
<graphic xlink:href="OR-32-02-0691-g02.gif"/></fig>
<fig id="f4-or-32-02-0691" position="float">
<label>Figure 4</label>
<caption>
<p>Brain images of Fischer 344 rats obtained by bioluminescent imaging (BLI), MR and histology. (A) BLI. (B) MR images by T1- and T2-weighed and post gadolinium (0.2 mmol/kg) injection compared to BLI (left panel) in a representative mouse. (C) Histopathology of a brain section stained with H&amp;E (scale bar, 1.01 mm). (D) Tumor volume estimated from photon flux rates of ROIs by BLI are correlated with those calculated from MR images (r=0.95).</p></caption>
<graphic xlink:href="OR-32-02-0691-g03.gif"/></fig>
<fig id="f5-or-32-02-0691" position="float">
<label>Figure 5</label>
<caption>
<p>Biodistribution of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in F98/<italic>tk-luc</italic> tumor-bearing rats (n=5). (A) Specific radioactivities (&#x00025;ID/g) in the left and right brain, intestine, spleen, heart, kidney, lung, liver, stomach, pancreas, bone, muscle, blood and tumor at various time points are shown. (B) The ratios calculated from &#x00025;ID/g of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in F98/<italic>tk-luc</italic> glioma-to-normal right brain at 30, 60, 90 and 120 min post injection of &#x0005B;<sup>18</sup>F&#x0005D;FBAU were 9.16, 14.24, 5.70 and 13.70, respectively. The &#x00025;ID/g of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in the F98/<italic>tk-luc</italic> glioma was significantly higher than that of the right brain (<sup>**</sup>P&lt;0.005). In addition, &#x00025;ID/g values for the 60 and 90 min groups were also significantly higher than that of the 30 min post injection group (<sup>#</sup>P&lt;0.05).</p></caption>
<graphic xlink:href="OR-32-02-0691-g04.gif"/></fig>
<fig id="f6-or-32-02-0691" position="float">
<label>Figure 6</label>
<caption>
<p>The PET images and &#x00025;SUV of F98/<italic>tk-luc</italic> glioma-bearing Fischer 344 male rats at various time points post intravenous injection of &#x0005B;<sup>18</sup>F&#x0005D;FBAU (50 MBq/0.2 ml). (A) PET image of F98/<italic>tk-luc</italic> glioma is indicated by an arrow in the image of the left brain. (B) The &#x00025;SUVs of &#x0005B;<sup>18</sup>F&#x0005D;FBAU at 30, 60 and 90 min post injection of &#x0005B;<sup>18</sup>F&#x0005D;FBAU were significantly higher than that of the on-set time point post injection by 9&#x02013;20&#x00025; (<sup>*</sup>P&lt;0.05; data are expressed as mean &#x000B1; SE, n=5).</p></caption>
<graphic xlink:href="OR-32-02-0691-g05.gif"/></fig>
<fig id="f7-or-32-02-0691" position="float">
<label>Figure 7</label>
<caption>
<p><italic>Ex vivo</italic> autoradiography. (A) Brain autoradiograms of the F98/<italic>tk-luc</italic> glioma-bearing Fischer 344 male rats after intravenous injection of 20 MBq/0.2 ml &#x0005B;<sup>18</sup>F&#x0005D;FBAU. (B) Relative optical intensity (PSL/mm<sup>2</sup>) of tumors and normal brain derived from autoradiograms (<sup>*</sup>P&lt;0.05, <sup>**</sup>P&lt;0.005; data were expressed as mean &#x000B1; SE, n=5).</p></caption>
<graphic xlink:href="OR-32-02-0691-g06.gif"/></fig>
<table-wrap id="tI-or-32-02-0691" position="float">
<label>Table I</label>
<caption>
<p>The tumor volumes assayed by 3T MR and photon flux rates of regions-of-interest (ROI) obtained from BLI of the rat brains were compared.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Rat ID</th>
<th valign="bottom" align="center">Tumor volume (mm<sup>3</sup>) assayed by MR</th>
<th valign="bottom" align="center">Total photon flux rate (photons/sec, &#x000D7; 10<sup>5</sup>) obtained from BLI</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">1.93</td>
<td valign="top" align="right">4.38</td></tr>
<tr>
<td valign="top" align="left">2</td>
<td valign="top" align="center">5.07</td>
<td valign="top" align="right">4.56</td></tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">8.62</td>
<td valign="top" align="right">9.78</td></tr>
<tr>
<td valign="top" align="left">4</td>
<td valign="top" align="center">8.94</td>
<td valign="top" align="right">5.51</td></tr>
<tr>
<td valign="top" align="left">5</td>
<td valign="top" align="center">52.77</td>
<td valign="top" align="right">41.40</td></tr>
<tr>
<td valign="top" align="left">6</td>
<td valign="top" align="center">126.90</td>
<td valign="top" align="right">41.00</td></tr>
<tr>
<td valign="top" align="left">7</td>
<td valign="top" align="center">213.0</td>
<td valign="top" align="right">58.90</td></tr></tbody></table></table-wrap>
<table-wrap id="tII-or-32-02-0691" position="float">
<label>Table II</label>
<caption>
<p>Biodistribution of &#x0005B;<sup>18</sup>F&#x0005D;FBAU in various tissues/organs of the F98/<italic>tk-luc</italic> glioma-bearing Fischer 344 rats after intravenous injection (n=5; mean &#x000B1; SE).</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left"/>
<th colspan="4" valign="bottom" align="center">Uptake (&#x00025;ID/g)</th></tr>
<tr>
<th valign="bottom" align="left"/>
<th colspan="4" valign="bottom" align="left">
<hr/></th></tr>
<tr>
<th valign="bottom" align="left">Tissues/organs</th>
<th valign="bottom" align="center">30 min</th>
<th valign="bottom" align="center">60 min</th>
<th valign="bottom" align="center">90 min</th>
<th valign="bottom" align="center">120 min</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Left brain</td>
<td valign="top" align="center">0.048&#x000B1;0.004</td>
<td valign="top" align="center">0.047&#x000B1;0.008</td>
<td valign="top" align="center">0.094&#x000B1;0.023</td>
<td valign="top" align="center">0.081&#x000B1;0.028</td></tr>
<tr>
<td valign="top" align="left">Right brain</td>
<td valign="top" align="center">0.030&#x000B1;0.001</td>
<td valign="top" align="center">0.029&#x000B1;0.004</td>
<td valign="top" align="center">0.090&#x000B1;0.019</td>
<td valign="top" align="center">0.030&#x000B1;0.005</td></tr>
<tr>
<td valign="top" align="left">Tumor</td>
<td valign="top" align="center">0.275&#x000B1;0.034</td>
<td valign="top" align="center">0.413&#x000B1;0.023</td>
<td valign="top" align="center">0.513&#x000B1;0.066</td>
<td valign="top" align="center">0.411&#x000B1;0.061</td></tr>
<tr>
<td valign="top" align="left">Large intestine</td>
<td valign="top" align="center">0.212&#x000B1;0.051</td>
<td valign="top" align="center">0.325&#x000B1;0.060</td>
<td valign="top" align="center">0.826&#x000B1;0.282</td>
<td valign="top" align="center">0.311&#x000B1;0.040</td></tr>
<tr>
<td valign="top" align="left">Small intestine</td>
<td valign="top" align="center">0.231&#x000B1;0.039</td>
<td valign="top" align="center">0.368&#x000B1;0.175</td>
<td valign="top" align="center">0.759&#x000B1;0.248</td>
<td valign="top" align="center">0.362&#x000B1;0.071</td></tr>
<tr>
<td valign="top" align="left">Spleen</td>
<td valign="top" align="center">0.315&#x000B1;0.025</td>
<td valign="top" align="center">0.311&#x000B1;0.030</td>
<td valign="top" align="center">0.650&#x000B1;0.158</td>
<td valign="top" align="center">0.936&#x000B1;0.375</td></tr>
<tr>
<td valign="top" align="left">Heart</td>
<td valign="top" align="center">0.296&#x000B1;0.054</td>
<td valign="top" align="center">0.252&#x000B1;0.044</td>
<td valign="top" align="center">0.648&#x000B1;0.212</td>
<td valign="top" align="center">0.176&#x000B1;0.059</td></tr>
<tr>
<td valign="top" align="left">Blood</td>
<td valign="top" align="center">0.296&#x000B1;0.032</td>
<td valign="top" align="center">0.207&#x000B1;0.027</td>
<td valign="top" align="center">0.699&#x000B1;0.217</td>
<td valign="top" align="center">0.178&#x000B1;0.058</td></tr>
<tr>
<td valign="top" align="left">Lung</td>
<td valign="top" align="center">0.203&#x000B1;0.030</td>
<td valign="top" align="center">0.146&#x000B1;0.012</td>
<td valign="top" align="center">0.562&#x000B1;0.158</td>
<td valign="top" align="center">0.172&#x000B1;0.066</td></tr>
<tr>
<td valign="top" align="left">Liver</td>
<td valign="top" align="center">0.248&#x000B1;0.031</td>
<td valign="top" align="center">0.189&#x000B1;0.033</td>
<td valign="top" align="center">0.476&#x000B1;0.240</td>
<td valign="top" align="center">0.191&#x000B1;0.053</td></tr>
<tr>
<td valign="top" align="left">Stomach</td>
<td valign="top" align="center">0.120&#x000B1;0.017</td>
<td valign="top" align="center">0.186&#x000B1;0.028</td>
<td valign="top" align="center">0.448&#x000B1;0.127</td>
<td valign="top" align="center">0.136&#x000B1;0.031</td></tr>
<tr>
<td valign="top" align="left">Pancreas</td>
<td valign="top" align="center">0.179&#x000B1;0.027</td>
<td valign="top" align="center">0.117&#x000B1;0.026</td>
<td valign="top" align="center">0.227&#x000B1;0.112</td>
<td valign="top" align="center">0.120&#x000B1;0.046</td></tr>
<tr>
<td valign="top" align="left">Kidney</td>
<td valign="top" align="center">2.151&#x000B1;0.544</td>
<td valign="top" align="center">1.822&#x000B1;0.480</td>
<td valign="top" align="center">4.183&#x000B1;1.604</td>
<td valign="top" align="center">1.868&#x000B1;0.550</td></tr>
<tr>
<td valign="top" align="left">Bone</td>
<td valign="top" align="center">0.170&#x000B1;0.026</td>
<td valign="top" align="center">0.159&#x000B1;0.046</td>
<td valign="top" align="center">0.657&#x000B1;0.160</td>
<td valign="top" align="center">0.479&#x000B1;0.116</td></tr>
<tr>
<td valign="top" align="left">Muscle</td>
<td valign="top" align="center">0.165&#x000B1;0.019</td>
<td valign="top" align="center">0.161&#x000B1;0.026</td>
<td valign="top" align="center">0.484&#x000B1;0.143</td>
<td valign="top" align="center">0.195&#x000B1;0.031</td></tr>
<tr>
<td valign="top" align="left">Tumor/right brain</td>
<td valign="top" align="center">9.16</td>
<td valign="top" align="center">14.24</td>
<td valign="top" align="center">5.70</td>
<td valign="top" align="center">13.70</td></tr></tbody></table></table-wrap></floats-group></article>
