脑胶质瘤的11C-甲硫氨酸和11C-胆碱PET和PET-CT

The application of 11C-methionine and 11C-choline in PET and PET-CT for cerebral gliomas

  • 摘要: 18F-氟脱氧葡萄糖(18F-FDG)在脑肿瘤检查中较常用的诊断用显像剂,但由于其正常的生理分布和自身的缺点影响了其在胶质瘤术前尤其是治疗后的诊断和评估。研究表明,11C标记的甲硫氨酸(11C-MET)和胆碱(11C-胆碱)在脑胶质瘤PET和PET-CT检查中的术前诊断价值、疗效监测以及治疗后肿瘤复发或残存与放射性坏死或治疗后反应的鉴别和评估方面克服了18F-FDG的局限性,是18F-FDG PET和PET-CT的一个重要替代或补充。

     

    Abstract: 18F-fluorodeoxyglucose (18F-FDG) was wildly used radiopharmaceuticals for brain tumors. However, the diagnosis and evaluation of 18F-FDG in cerebral gliomas of pre-and post-therapy were affected due to its normal biodistribution and natural pitfalls. The researches indicates that both 11C-methionine (11C-MET) and 11C-choline overcome the limitations of 18F-FDG, and become an important surrogate or supplement in PET and PET-CT for cerebral gliomas through these aspects of the pretherapeutic diagnostic value, monitoring of therapeutic effects, and the differential diagnosis and assessment between the recurrent or residual tumors and radiation necrosis or post-therapeutic response.

     

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