Document Detail


Pilot comparison of F-fluorocholine and F-fluorodeoxyglucose PET/CT with conventional imaging in prostate cancer.
MedLine Citation:
PMID:  20718912     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Conventional imaging (CI) is known to have limitations with respect to staging of patients with primary or relapsed prostate cancer. Positron emission tomography/computed tomography (PET/CT) with (18)F-flurodeoxyglucose (FDG) is also often suboptimal because of low tracer avidity, but (18)F-fluorocholine (FCH) appears to be a promising alternative molecular imaging probe. We report a prospective pilot study of PET/CT comparing both tracers for staging and restaging of patients with prostate cancer.
METHODS: Sixteen prostate cancer patients were evaluated (7 for staging and 9 for restaging). All patients also underwent CI, comprising at least an abdominopelvic CT and a bone scan. All imaging results and other relevant data were extracted from the imaging reports and medical charts.
RESULTS: Based on all imaging-detected disease sites, both FCH-PET/CT and FDG-PET/CT (79%) were more sensitive than CI (14%), with the highest number of sites of nodal and distant disease on FCH PET/CT. FCH-PET/CT alone would have provided sufficient clinical information to form an appropriate management plan in 88% of cases, as compared with 56% for CI.
CONCLUSION: FCH-PET/CT has the potential to impact on the management of patients with prostate cancer significantly more often than CI.
Authors:
J-M Beauregard; S G Williams; T R Degrado; P Roselt; R J Hicks
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of medical imaging and radiation oncology     Volume:  54     ISSN:  1754-9485     ISO Abbreviation:  J Med Imaging Radiat Oncol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-19     Completed Date:  2010-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101469340     Medline TA:  J Med Imaging Radiat Oncol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  325-32     Citation Subset:  IM    
Affiliation:
Centre for Molecular Imaging, Department of Cancer Imaging, University of Melbourne, Melbourne, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Choline / analogs & derivatives*,  diagnostic use
Fluorodeoxyglucose F18 / diagnostic use*
Follow-Up Studies
Humans
Male
Middle Aged
Neoplasm Staging
Pilot Projects
Positron-Emission Tomography / methods*
Prospective Studies
Prostate / pathology,  radiography,  radionuclide imaging
Prostatic Neoplasms / diagnosis*,  pathology*
Radiographic Image Enhancement / methods
Radiopharmaceuticals / diagnostic use
Reproducibility of Results
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 0/fluorocholine; 62-49-7/Choline; 63503-12-8/Fluorodeoxyglucose F18

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


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