Reduced splenic uptake on 68Ga-Pentixafor-PET/CT imaging in multiple myeloma - a potential imaging biomarker for disease prognosis

Beyond being a key factor for tumor growth and metastasis in human cancer, C-X-C motif chemokine receptor 4 (CXCR4) is also highly expressed by a number of immune cells, allowing for non-invasive read-out of inflammatory activity. With two recent studies reporting on prognostic implications of the spleen signal in diffusion-weighted magnetic resonance imaging in patients with plasma cell dyscrasias, the aim of this study was to correlate splenic (68)Ga-Pentixafor uptake in multiple myeloma (MM) with clinical parameters and to evaluate its prognostic impact. METHODS: Eighty-seven MM patients underwent molecular imaging with (68)Ga-Pentixafor-PET/CT. Splenic CXCR4 expression was semi-quantitatively assessed by peak standardized uptake values (SUV(peak)) and corresponding spleen-to-bloodpool ratios (TBR) and correlated with clinical and prognostic features as well as survival parameters. RESULTS: (68)Ga-Pentixafor-PET/CT was visually positive in all MM patients with markedly heterogeneous tracer uptake in the spleen. CXCR4 expression determined by (68)Ga-Pentixafor-PET/CT corresponded with advanced disease and was inversely associated with the number of previous treatment lines as compared to controls or untreated smouldering multiple myeloma patients (SUV(peak)Spleen 4.06 ± 1.43 vs. 6.02 ± 1.16 vs. 7.33 ± 1.40; (P5.79 ((P<) 0.001). Multivariate Cox analysis confirmed SUV(peak)Spleen as an independent predictor of survival (HR 0.75;P= 0.009). CONCLUSION: These data suggest that splenic (68)Ga-Pentixafor uptake might provide prognostic information in pre-treated MM patients similar to what was reported for diffusion-weighted magnetic resonance imaging. Further research to elucidate the underlying biologic implications is warranted

Investigation of spleen CXCR4 expression by [68Ga]Pentixafor PET in a cohort of 145 solid cancer patients

Additional file 1. Supplemental Figures 1–7, which provide additional Kaplan-Meier survival curves and correlations of laboratory parameters as mentioned in the results section

Structural and magnetic microinhomogeneities in accessory spinel of the system Fe 2+(Cr 2-xFe x 3+)O 4from the Kytlym massif (Urals platinum-bearing belt)

The microstructure and magnetic properties of accessory Fe-Cr-spinels from the Kytlym massif of the Urals platinum-bearing belt were studied. Atypical Fe-Cr-spinels in the form of magnetic microareas in grains of primary nonmagnetic Fe-Cr-spinel have been revealed for the first time in the bed dunites of the Kytlym multiphase concentrically zoned massif, North Urals. These spinels are responsible for the magnetic properties of the dunites. It has been established that the microareas are separations in solid solution Fe 2+(Cr 2-xFe x 3+)O 4, which are enriched in Fe 3+ and are probably an intermediate product of the transformation of primary accessory Fe-Cr-spinel during the formation of the dunite massif. These are magnetic microphases with particular chemical composition, cation distribution, and corresponding reversed crystal lattice, which determine the main magnetic properties of the microarea: the magnitude and direction of magnetization vector and Curie temperature. The formation of this earlier unknown type of magnetic Fe-Cr-spinel is probably conjugate with the formation and concentration of PGE mineralization in the bed dunites of the Kytlym platinum-bearing massif. The presence of such magnetization carriers in rocks and ores must be taken into account in geophysical research at the Urals chromite and platinum-chromite deposits. © 2012