Document Detail


Initial experience with 18F-fluoroethylcholine PET/CT in staging and monitoring therapy response of advanced renal cell carcinoma.
MedLine Citation:
PMID:  20390384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The use of 18F-fluoroethylcholine (FEC) PET/ CT in staging and monitoring therapy response of advanced renal cell carcinoma (RCC) was prospectively analysed. METHODS: Preliminary results of two patients with metastatic RCC who underwent tumour nephrectomy as well as FEC PET/CT before and 10 weeks after two cycles of tyrosine kinase inhibitor therapy are presented. RESULTS: All in all, 18 tumour lesions were detected by baseline PET/CT, of which 10 (56%) were positive in FEC PET and 17 (94%) visible on contrast-enhanced computed tomography (ceCT). Mainly, small lung metastases resulted in the lower detection rate of FEC PET compared with ceCT. In follow-up PET/CT of the first case, progressive disease (PD) occurred with increase in tumour diameters of all metastases but non-uniform metabolic response. In the second case, partial response (PR) was achieved with concordant results of PET and CT. These results were confirmed by further CT in the course of disease. CONCLUSIONS: In this small sample more than half of the RCC metastases were evident in baseline FEC PET. Monitoring therapy, FEC PET showed heterogeneous results in the first case with PD and was consistent with ceCT in the second one displaying PR.
Authors:
Marcus Middendorp; Luise Maute; Bruno Sauter; Thomas J Vogl; Frank Grünwald
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-04-15
Journal Detail:
Title:  Annals of nuclear medicine     Volume:  24     ISSN:  1864-6433     ISO Abbreviation:  Ann Nucl Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-20     Completed Date:  2010-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8913398     Medline TA:  Ann Nucl Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  441-6     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, Hospital of JW Goethe University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany. marcus.middendorp@kgu.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Carcinoma, Renal Cell / diagnosis*,  pathology*,  therapy
Choline / analogs & derivatives*,  diagnostic use
Humans
Kidney Neoplasms / diagnosis*,  pathology*,  therapy
Male
Neoplasm Staging
Positron-Emission Tomography*
Tomography, X-Ray Computed*
Treatment Outcome
Chemical
Reg. No./Substance:
0/fluoroethylcholine; 62-49-7/Choline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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