Magnetic resonance sentinel lymph node imaging of the prostate with gadofosveset trisodium-albumin: Preliminary results in a canine model

Academic Article

Abstract

  • © 2015. Rationale and Objectives: To determine if intraprostatic injection of gadofosveset trisodium mixed with human serum albumin (HSA) can identify sentinel lymph nodes (LNs) draining the prostate on magnetic resonance imaging (MRI) in a canine model. Materials and Methods: Three male canines weighing between 25.7 and 41.3kg were anesthetized, placed in a 3-T MRI, and a needle was placed transrectally into one side of the prostate using a commercially available intrarectal needle guide. Gadofosveset trisodium premixed with 10% HSA was then administered at doses ranging from 0.1 to 2.5mL. T1W MRI was performed immediately after injection, and two readers evaluated images for visualization of LNs draining the prostate. Results: Intraprostatic injection of 0.2mL gadofosveset trisodium premixed with HSA identified the draining periprostatic LNs in all cases. Delayed images demonstrated upper echelon nodes in the pelvis and the abdomen. Higher volume injections resulted in excessive periprostatic extravasation, whereas lower volume injections resulted in suboptimal visualization of LNs. Conclusions: We demonstrate that gadofosveset trisodium (premixed with 10% HSA) injected intraprostatically at 0.2mL visualized LNs draining the prostate. This approach can be readily adapted for clinical applications such as sentinel LN imaging in prostate cancer patients before surgery.
  • Published In

  • Academic Radiology  Journal
  • Digital Object Identifier (doi)

    Author List

  • Turkbey B; Hoyt RF; Agarwal HK; Bernardo M; Sankineni S; Johnson L; Grant KB; Rais-Bahrami S; Kobayashi H; Wood BJ
  • Start Page

  • 646
  • End Page

  • 652
  • Volume

  • 22
  • Issue

  • 5