TY - JOUR AU1 - Parker, Matthew F L AU2 - López-Álvarez, Marina AU3 - Alanizi, Aryn A AU4 - Luu, Justin M AU5 - Polvoy, Ilona AU6 - Sorlin, Alexandre M AU7 - Qin, Hecong AU8 - Lee, Sanghee AU9 - Rabbitt, Sarah J AU1 - Pichardo-González, Priamo A AU1 - Ordonez, Alvaro A AU1 - Blecha, Joseph AU1 - Rosenberg, Oren S AU1 - Flavell, Robert R AU1 - Engel, Joanne AU1 - Jain, Sanjay K AU1 - Ohliger, Michael A AU1 - Wilson, David M AB - BackgroundVertebral discitis-osteomyelitis (VDO) is a devastating infection of the spine that is challenging to distinguish from noninfectious mimics using computed tomography and magnetic resonance imaging. We and others have developed novel metabolism-targeted positron emission tomography (PET) radiotracers for detecting living Staphylococcus aureus and other bacteria in vivo, but their head-to-head performance in a well-validated VDO animal model has not been reported.MethodsWe compared the performance of several PET radiotracers in a rat model of VDO. [11C]PABA and [18F]FDS were assessed for their ability to distinguish S aureus, the most common non-tuberculous pathogen VDO, from Escherichia coli.ResultsIn the rat S aureus VDO model, [11C]PABA could detect as few as 103 bacteria and exhibited the highest signal-to-background ratio, with a 20-fold increased signal in VDO compared to uninfected tissues. In a proof-of-concept experiment, detection of bacterial infection and discrimination between S aureus and E coli was possible using a combination of [11C]PABA and [18F]FDS.ConclusionsOur work reveals that several bacteria-targeted PET radiotracers had sufficient signal to background in a rat model of S aureus VDO to be potentially clinically useful. [11C]PABA was the most promising tracer investigated and warrants further investigation in human VDO. TI - Evaluating the Performance of Pathogen-Targeted Positron Emission Tomography Radiotracers in a Rat Model of Vertebral Discitis-Osteomyelitis JF - Journal of Infectious Diseases DO - 10.1093/infdis/jiad159 DA - 2023-10-03 UR - https://www.deepdyve.com/lp/oxford-university-press/evaluating-the-performance-of-pathogen-targeted-positron-emission-SsJwwZVMfe SP - S281 EP - S290 VL - 228 IS - Supplement_4 DP - DeepDyve ER -