zurück 18F-Choline PET/CT

allgemeines

Wird zur Metastasensuche und zum Restaging eingesetzt.

abnorme Anreicherung

15 Fälle = 18.7%
  • 12 Entzündung
  • 1 low grade -Lymphom
  • 1 Meningiom
  • 1 low-grade Hirntumor

physiologische Aufnahme

Leber, Pankreas, Milz, Speicheldrüsen, Tränendrüsen, Harnwege (Ausscheidung).

Patienten

80 Männer mit primärem Prostata-ca oder PSA-Rezidiv .

Quelle

Schillaci O, Calabria F, Tavolozza M, Cicciò C, Carlani M, Caracciolo CR, Danieli R, Orlacchio A, Simonetti G:
18F-choline PET/CT physiological distribution and pitfalls in image interpretation: experience in 80 patients with prostate cancer.
Nucl Med Commun. 31 (2010): 39-45
Universität Rom
blauerPunkt We found abnormal and unexpected PET findings in 15 patients (18.7%), not owing to PC localizations. The majority of these findings were owing to inflammation (12 of 15); a case of low grade lymphoma was detected; two patients showed focal brain uptake of 18F-choline and were subsequently submitted to magnetic resonance: in one a meningioma and in the other a low-grade brain tumour were diagnosed. CONCLUSION: Accurate knowledge of the biodistribution of 18F-choline is essential for the correct interpretation of PET/CT imaging. CT enables differentiation of physiological bowel activity and 18F-choline excretion in the ureters. In our series, 18F-choline uptake in benign pathological conditions mainly included sites of inflammation; nevertheless, accumulation in tumour deposits not because PC cannot be excluded, particularly in the brain, where correlative imaging with magnetic resonance is of the utmost importance.

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