title: Tc-99m MIBI uptake and its relation to the proliferative potential of brain tumors.
abstract: OBJECTIVE
  Many studies have shown that the S-phase fraction is a reflection of the proliferation potential of tumors, and DNA aneuploidy is more common in malignant tumors. In this preliminary study, the authors assessed the Tc-99m MIBI uptake of brain tumors and its relation to tumor grade and DNA content of the tumor cells.
  
  
  METHODS
  Ten patients (eight male, two female; mean age, 53.2 +/- 6.11 years) with untreated brain tumors were included in the study. SPECT imaging was performed 20 minutes after injection of 740 MBq (20 mCi) Tc-99m MIBI. A single detector camera with a low-energy high-resolution collimator was used for image acquisition. A region of interest was drawn in the tumor area under magnetic resonance guidance. A Tc-99m MIBI uptake index was computed as the mean tumor-to-background ratio. Flow cytometric analysis of fresh tumor tissue specimens was performed immediately. The percentages of cells in the G0/G1, S, and G2/M phases were determined for each patient.
  
  
  RESULTS
  DNA aneuploidy was found in 4 (49%) patients, whereas diploidy was found in 6 (60%) patients. There was a significant positive correlation between the Tc-99m MIBI uptake and the percentage of the S-phase fraction of the cell cycle ( = 0.000, r = 0.95). The Tc-99m MIBI index was significantly greater in aneuploid tumors than in diploid tumors ( < 0.01).
  
  
  CONCLUSIONS
  High-grade brain tumors have increased Tc-99m MIBI uptake compared with that of low-grade tumors. Tc-99m MIBI uptake is correlated with the percentage of the S-phase fraction of the cell and the aneuploidy level of the brain tumor. This preliminary report suggests that Tc-99m MIBI imaging may be useful in the evaluation of the biologic characteristics of brain tumors.
authors.affiliation: Department of Nuclear Medicine, University Medical Faculty, Hospital of Social Security Institution, Eskişehir, Turkey. ilknur_ak@yahoo.com
authors.forename: Ilknur
authors.initials: I
authors.lastname: Ak
authors.forename: Zafer
authors.initials: Z
authors.lastname: Gulbas
authors.forename: Faruk
authors.initials: F
authors.lastname: Altinel
authors.forename: Erkan
authors.initials: E
authors.lastname: Vardareli
mesh_terms: D000368:Aged; D000782:Aneuploidy; D001254:Astrocytoma / Q000737:chemistry / Q000000981:diagnostic imaging* / Q000473:pathology; D001932:Brain Neoplasms / Q000737:chemistry / Q000000981:diagnostic imaging* / Q000473:pathology; D002455:Cell Division; D002675:Child, Preschool; D004273:DNA, Neoplasm / Q000235:genetics; D005260:Female; D005434:Flow Cytometry; D006801:Humans; D007399:Interphase; D008297:Male; D008875:Middle Aged; D019275:Radiopharmaceuticals; D016196:S Phase; D017256:Technetium Tc 99m Sestamibi; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D004273:DNA, Neoplasm; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi