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在动物实验基础上,以131Ⅰ标记抗人肝癌单克隆抗体HepamaⅠ进行人体显像研究.单抗系小鼠IgG1,裸鼠实验显示有良好的肿瘤定位效果。18例原发性肝癌(PHC)患者,以Seldinsers法经肝固有动脉注入131Ⅰ-HepamaⅠ,平均剂量为355MBq/1.5mgIgG1,术后行全身及肝区γ显像.测定全身重要脏器和癌区的放射性计数比值.结果:显像阳性率77.7%,最佳时间为注入后96小时,癌/肝比值在第48小时为1.65±0.33,第96小时为4.38±1.48,第240小时为2.22±0.57.本研究提示HepamaⅠ在人体内与肝癌组织有较好亲和力.
On the basis of animal experiments, 131I-labeled anti-human hepatocellular carcinoma monoclonal antibody Hepama I was used for human imaging studies. Mab monoclonal mouse IgG1, nude mice experiments have shown good tumor localization effect. Eighteen patients with primary liver cancer (PHC) were treated with 131I-HepamaI via the hepatic artery by Seldinsers method. The average dose was 355MBq / 1.5mg IgG1. Whole body and liver γ imaging were performed after operation. Determination of the body’s vital organs and cancer area radioactive count ratio. Results: The imaging positive rate was 77.7%, the best time was 96 hours after injection, the ratio of cancer / liver was 1.65 ± 0.33 at 48 hours, 4.38 ± 1.48 at 96 hours, 240 hours was 2.22 ± 0.57. This study suggests that Hepama I has good affinity with HCC in the human body.