18F-choline in experimental soft tissue infection assessed with autoradiography and high-resolution PET.

Abstract

For each oncological tracer it is important to know the uptake in non-tumorous lesions. The purpose of this study was to measure the accumulation of fluorine-18 choline (FCH), a promising agent for the evaluation of certain tumour types, in infectious tissue. Unilateral thigh muscle abscesses were induced in five rats by intramuscular injection of 0.1 ml of a bacterial suspension ( Staphylococcus aureus, 1.2 x 10(9) CFU/ml). In all animals, FCH accumulation was measured with high-resolution positron emission tomography (PET) on day 6. Autoradiography of the abscess and ipsilateral healthy muscle was performed on day 7 (three animals) and day 11 (two animals) and correlated with histology. In addition, (18)F-fluorodeoxyglucose (FDG) PET was performed on day 5. Increased FCH uptake was noted in specific layers of the abscess wall which contained an infiltrate of mainly granulocytes on day 7 and mainly macrophages on day 11. The autoradiographic standardised uptake values in the most active part of the abscess wall were 2.99 on day 7 ( n=3) and 4.05 on day 11 ( n=2). In healthy muscle the corresponding values were 0.99 and 0.64. The abscesses were clearly visualised on the FCH and FDG PET images. In conclusion, this study demonstrated avid FCH accumulation in inflammatory tissue, which limits the specificity of FCH for tumour detection. Future studies are now needed to determine the degree of this limitation in human cancer patients.

• Authors: Matthias T Wyss, Bruno Weber, Michael Honer, Nicolas Späth, Simon M Ametamey, Gerrit Westera, Beata Bode, Achim H Kaim, Alfred Buck
• Journal: European journal of nuclear medicine and molecular imaging (Eur J Nucl Med Mol Imaging) Vol. 31 Issue 3 Pg. 312-6 (Mar 2004) ISSN: 1619-7070 [Print] Germany
• PMID: 14628099 (Publication Type: Comparative Study, Evaluation Study, Journal Article, Research Support, Non-U.S. Gov't, Validation Study)

Chemical References

• Radiopharmaceuticals
• Fluorodeoxyglucose F18
• Choline

Topics

• Animals
• Autoradiography (methods)
• Choline (pharmacokinetics)
• Fluorodeoxyglucose F18 (pharmacokinetics)
• Metabolic Clearance Rate
• Muscle, Skeletal (diagnostic imaging, metabolism, pathology)
• Myositis (diagnostic imaging, metabolism)
• Neoplasms (diagnostic imaging, metabolism)
• Organ Specificity
• Positron-Emission Tomography (methods)
• Radiopharmaceuticals (pharmacokinetics)
• Rats
• Rats, Sprague-Dawley
• Reproducibility of Results
• Sensitivity and Specificity
• Soft Tissue Infections (diagnostic imaging, metabolism)
• Staphylococcal Infections (diagnostic imaging, metabolism)
• Tissue Distribution