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Imaging of gliomas with Cis-4-[18F]fluoro-L-proline.

Abstract
Tumor imaging with cis-4-[18F]fluoro-L-proline (cis-FPro) was compared to that of L-[3H]proline and L-[3H]methionine in F98 rat gliomas by dual-tracer autoradiography. All tracers exhibited high accumulation in the tumors but in the normal brain significant uptake was observed for L-[3H]methionine only. Tumor extent on autoradiograms with L-[3H]proline and L-[3H]methionine was identical to that of histological staining while autoradiograms of cis-FPro showed diffuse uptake in the penumbra of some tumors. First PET studies in 7 patients with cerebral gliomas demonstrated accumulation of cis-FPro in tumor areas with enhancement of Gd-DTPA on MR scans. Uptake of cis-FPro in normal brain tissue was negligible. In one patient with a glioblastoma accumulation of cis-FPro was also found in two brain areas without enhancement of Gd-DTPA on MR scans. Control of MRI suggested tumor growth in these areas at further follow up. Our results indicate that in most gliomas increased cis-FPro uptake is restricted to areas with disruption of the BBB which limits its clinical utility.
AuthorsKarl J Langen, Michael Jarosch, Kurt Hamacher, Heinz Mühlensiepen, Friedrich Weber, Frank Floeth, Dirk Pauleit, Hans Herzog, Heinz H Coenen
JournalNuclear medicine and biology (Nucl Med Biol) Vol. 31 Issue 1 Pg. 67-75 (Jan 2004) ISSN: 0969-8051 [Print] United States
PMID14741571 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't, Validation Study)
Chemical References
  • Radiopharmaceuticals
  • fluoro-proline
  • Proline
  • Methionine
  • methionine methyl ester
Topics
  • Adult
  • Animals
  • Autoradiography
  • Brain Neoplasms (diagnosis, diagnostic imaging)
  • Cell Line, Tumor
  • Female
  • Glioma (diagnosis, diagnostic imaging)
  • Humans
  • Male
  • Methionine (analogs & derivatives)
  • Middle Aged
  • Proline (analogs & derivatives)
  • Radiopharmaceuticals
  • Rats
  • Rats, Inbred F344
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Tomography, Emission-Computed (methods)

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