Vuillez J P
Biophysique et médecine nucléaire, LER, URA CNRS 1287, faculté de médecine, La Tronche, France.
Rev Med Interne. 1995;16(11):833-42. doi: 10.1016/0248-8663(96)80798-3.
In vivo immunotargeting of specific antigens with radiolabeled monoclonal antibodies is a new method of diagnosis which has largely improved over the past 15 years. It has been especially developed in the oncologic field. Although it is not yet a daily procedure, immunoscintigraphy has been proven a useful diagnostic tool in many situations. It gives information about the presence of lesions and their neoplastic nature. For this reason, immunoscintigraphy appears as very complementary to morphological imaging and is mainly indicated when lesions have insufficient anatomical definition. Early detection of recurrences is actually the best indication of immunoscintigraphy. However, some problems still exist, concerning the tumor/tissues uptake ratio which is not sufficient for an optimal imaging contrast, and the apparition of human anti-mouse antibodies (HAMA) in the patients. At present, many works are in progress which could resolve these problems. Ultimately, well-performed clinical trials are necessary to establish the right place for immunoscintigraphy in the diagnostic and therapeutic strategies in oncology.
用放射性标记的单克隆抗体对特定抗原进行体内免疫靶向是一种新的诊断方法,在过去15年里有了很大改进。它尤其在肿瘤学领域得到了发展。尽管免疫闪烁显像尚未成为日常诊断程序,但在许多情况下已被证明是一种有用的诊断工具。它能提供有关病变的存在及其肿瘤性质的信息。因此,免疫闪烁显像似乎是形态学成像的非常好的补充,主要适用于病变解剖定义不足的情况。早期复发的检测实际上是免疫闪烁显像的最佳适应证。然而,仍然存在一些问题,涉及肿瘤/组织摄取率不足以获得最佳成像对比度,以及患者体内出现人抗鼠抗体(HAMA)。目前,许多工作正在进行,这些工作可能会解决这些问题。最终,需要进行良好的临床试验来确定免疫闪烁显像在肿瘤学诊断和治疗策略中的正确位置。