Analysis of radioimmunodetection of tumors by the subtraction technique

J Nucl Med. 1984 Jan;25(1):96-100.

Abstract

The subtraction method for radioimmunodetection (RID) of cancer is showing potential as a diagnostic tool. An objective assessment of this technique is needed in order to determine its clinical usefulness. A numerical analysis of the RID scintigrams was developed and applied to 21 RID studies on 20 patients for whom a final diagnosis had been established. The subtraction technique was shown to give rise to artifactual positive regions, which could be avoided by experienced clinicians. When artifact-producing regions were excluded, 97 regions were examined (80 nontumor, 17 tumor-containing). The "background" scintigrams were shown to be good models for nontumor regions of the antibody scintigrams, and tumor and nontumor regions were shown to form statistically distinct groups.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies*
  • Carcinoembryonic Antigen / immunology*
  • Humans
  • Iodine Radioisotopes*
  • Neoplasms / diagnostic imaging*
  • Neoplasms / immunology
  • Radionuclide Imaging
  • Serum Albumin
  • Sodium Pertechnetate Tc 99m
  • Statistics as Topic
  • Subtraction Technique
  • Technetium
  • Technetium Tc 99m Aggregated Albumin

Substances

  • Antibodies
  • Carcinoembryonic Antigen
  • Iodine Radioisotopes
  • Serum Albumin
  • Technetium Tc 99m Aggregated Albumin
  • Technetium
  • Sodium Pertechnetate Tc 99m