Pancreatic -cell mass (BCM) is a major determinant of the quantity of insulin that can be secreted. BCM is markedly reduced in type 1 diabetes because of selective autoimmune destruction of -cells. Accurate assessment of BCM in human diabetes is limited to autopsy studies, which usually suffer from inadequate clinical information; thus, the development of noninvasive means of BCM measurement could be important in intervention therapy. The goal of this study was to develop such noninvasive methods for measuring BCM featuring target-specific imaging probes and to investigate whether this technique is feasible, accurate, and predictive of BCM in normal and diabetic states. Using a -cell-specific monoclonal antibody IC2, modified with a radioisotope chelator for nuclear imaging, we showed that highly specific binding and accumulation to -cells occurs after intravenous administration of the probe, with virtually no binding to exocrine pancreas or stromal tissues. Furthermore, we observed a direct correlation between accumulation of the probe with BCM in diabetic and normal animals. Nuclear imaging of the animals that received an injection of the radioactive probe showed major difference in signal intensity between normal and diabetic pancreases. The results from this study set the route for further development of imaging probes for measuring BCM that would aid in diagnosis and treatment of diabetic patients in the clinic. Diabetes 50:2231-2236, 2001 P ancreatic -cell mass (BCM) is markedly reduced in type 1 diabetes as a result of selective autoimmune destruction of -cells (1). Accurate assessment of BCM in human diabetes is limited to autopsy studies, which usually suffer from inadequate clinical information (1). Although repeated blood sampling for determination of glucose, glucagon, tolbutamide, or insulin in response to various secretagogues is presumed to reflect quantitative or qualitative differences in pancreatic BCM or function, the severity of the -cell loss responsible for abnormalities observed by these in vivo measurements is unknown (2). This loss has to be assessed during the evaluation of therapeutic efficacy of intervention. In addition, such assessment may be extended to evaluate the engrafted islet mass in the liver after islet transplantation. For this reason, noninvasive measurement of BCM could allow longitudinal mapping of the evolution of the disease both in animal models and, more important, in humans.With the continuing development of magnetic resonance imaging (MRI) and nuclear imaging techniques during the past decade, it became possible to achieve high spatial and functional resolutions (3). During the past decades, we developed a number of imaging ligands for target-specific imaging, including receptor imaging (4 -8), antigens (9 -11), and lately for imaging of a receptor gene expression (12,13). In parallel, high-resolution imaging systems and techniques that will allow in vivo imaging of mice and rats have been developed recently (13,14).The present study was aimed at developing...