Summary
Positron emission tomography was used to investigate the metabolism of nucleic acids by18F-fluoro-2′-deoxyuridine (18F-FUdR) in 22 patients with gliomas. Sixteen cases of high grade glioma clearly demonstrated a region of high activity with a differential absorption rate (DAR) of 0.64 ± 0.34. Six cases of low grade glioma failed to reveal a positive image of the tumor and the DAR in tumor was 0.21 ± 0.042 (p < 0.01). This PET-18F-FUdR study succeeded in differentiating high and low grade gliomas from the view point of nucleic acid metabolism.
Similar content being viewed by others
References
Salford LG, Brun A, Nirfalk S: Ten-year survival among patients with supratentorial astrocytoma grade III and IV. J Neurosurg 69: 506–509, 1988
Alavi JB, Alavi A, Goldberg HI, Dann R, Hickey W, Reivich M: Sequential computerized tomography and positron emission tomography studies in a patient with malignant glioma. Nucl Med Com 8: 457–468, 1987
Beaney RP, Brooks DJ, Leenders KL, Thomas DGT, Jones T, Hainan K: Blood flow and oxygen utilization in the contralateral cerebral cortex of patients with untreated intracranial tumours as studied by positron emission tomography, with observations on the effect of decompressive surgery. J Neurol Neurosurg Psychi 48: 310–319, 1985
Bergstrom M, Collins VP, Ehrin E, Ericson K, Eriksson L, Greitz T, Halldin C, von Holst H, Langstrom B, Lija A, Lundqvist H, Nagren K: Discrepancies in brain tumor extent as shown by computed tomography and positron emission tomography using [68Ga]EDTA, [11C]glucose, and [11C]methionine. J Comput Assist Tomogr 6: 1062–1066, 1983
Bergstrom M, Ericson K, Hagenfeldt L, Mosskin M, von Holst H, Noren G, Eriksson L, Ehrin E, Johnstrom P: PET study of methionine accumulation in glioma and normal brain tissue: competition with branched amino acids. J Comput Assist Tomogr 11: 208–213, 1987
Brooks DJ, Beaney RP, Lammertsma AA, Turton DR, Marshall J, Thomas DGT, Jones T: Studies on regional cerebral hematocrit and blood flow in patients with cerebral tumours using positron emission tomography. Microvascular Res 31: 267–276, 1986
Di Chiro G, DeLaPaz RL, Brooks RA, Sokoloff L, Kornblith PL, Smith BH, Patronas NJ, Kufta CV, Kessler RM, Johnston GS, Manning RG, Wolf AP: Glucose utilization of cerebral gliomas measured by [18F]fluorodeoxyglucose and positron emission tomography. Neurol 32: 1323–1329, 1982
Di Chiro G: Positron emission tomography using [18F]fluorodeoxyglucose in brain tumors. A powerful diagnostic and prognostic tool. Invest Radiol 22: 360–371, 1986
Di Chiro G, Hatazawa J, Katz DA, Rizzoli H, Michele DJ: Glucose utilization by intracranial memningiomas as an index of tumor aggressivity and probability of recurrence: A PET study. Radiol 164: 521–526, 1987
Hubner KF, Purvis JT, Mahaley SM Jr, Robertson JT, Rogers S, Gibbs WD, King P, Partain CL: Brain tumor imaging by positron emission computed tomography using11C-labeled amino acids. J Comput Assit Tomogr 6: 540–550, 1982
Ito M, Lammertsma AA, Wise RJS, Bernardi S, Frackowiak RSJ, Heather JD, McKenzie CG, Thomas DGT, Jones T: Measurement of regional cerebral blood flow and oxygen utilization in patients with cerebral tumours using15O and positron emission tomography: Analytical techniques and preliminary results. Neuroradiol 23: 63–74, 1982
Kameyama M, Shirane R, Itoh J, Sato K, katakura R, Yoshimoto T, Hatazawa J, Itoh M, Ido T: The accumulation of11C-methionine in cerebral glioma patients studied with PET. Acta Neurochir (Wien) 104: 8–12, 1990
Lammertsma AA, Wise RJS, Jones T:In vivo measurements of regional cerebral blood flow and blood volume in patients with brain tumors using positron emission tomography. Acta Neurochir 69: 5–13, 1983
Mineura K, Yasuda T, Kowada M, Sakamoto T, Ogawa T, Shishido F, Uemura K: Positron emission tomographic evaluations in the diagnosis and therapy of multifocal glioblastoma. Pediat Neurosci 12: 208–212, 1985
Mosskin M, von Holst H, Bergstrom M, Collins VP, Eriksson L, Johnstrom P, Noren G: Positron emission tomography with11C-methionine and computed tomography of intracranial tumors compared with histopathologic examination of multiple biopsies. Acta Radiol 28: 673–681, 1987
Patronas NJ, Di Chiro G, Kufta C, Bairamian D, Kornblith PL, Simon R, Larson SM: Prediction of survival in glioma patients by means of positron emission tomography. J Neurosurg 62: 816–822, 1985
Patronas NJ, Di Chiro G, Brooks RA, DeLaPaz RL, Kornblith PL, Smith BH, Rizzoli HV, Kessler RM, Manning RG, Channing M, Wolf AP, O'Connor CM: Work in progress: [18F]fluorodeoxyglucose and positron emission tomography in the evaluation of radiation necrosis of the brain. Radiol 144: 885–889, 1982
Rhodes CG, Wise RJS, Frackowiak RS, Hatazawa J, Palmer AJ, Thomas DGT, Jones T:In vivo disturbance of the oxidative metabolism of glucose in human cerebral gliomas. Ann Neurol 14: 614–626, 1983
Tyler JL, Diksic M, Villemure JG, Evans AC, Meyer E, Yamamoto YL, Feindel W: Metabolic and hemodynamic evaluation of glioma using positron emission tomography. J Nucl Med 28: 1123–1133, 1987
Worthington C, Tyler JL, Villemure JG: Stereotaxic biopsy and positron emission tomography correlation of cerebral gliomas. Surg Neurol 27: 87–92, 1987
Mariai PH, Ferrant A, Labar D, Cogneau M, Bol A, Michel C, Michaux JL, Sokal G:In vivo measurement of carbon-11 thymidine uptake in non-Hodgkin's lymphoma using positron emission tomography. J Nucl Med 29: 1633–1637, 1988
Abe Y, Fukuda H, Ishiwata K, Yoshioka S, Yamada K, Endo S, Kubota K, Sato T, Matsuzawa T, Takahashi T, Ido T: Studies on18F-labeled pyrimidines. Tumor uptake of18F-5-fluorouracil,18F-5-fluorouridine, and18F-5-fluorodeoxyuridine in animals. Eur J Nucl Med 8: 258–261, 1983
Ishiwata K, Ido T, Kawashima K, Murakami M, Takahashi T: Studies on18F-labeled pyrimidines II. Metabolic investigation of18F-5-fluorouracil,18F-5-fluoro-2′-deoxyuridine and18F-5-fluorouridine in rats. Eur J Nucl Med 9: 185–189, 1984
Ishiwata K, Ido T, Abe Y, Matsuzawa T, Murakami M: Studies on18F-Iabeled pyrimidines III. biochemical investigation of18F-labeled pyrimidines and comparison with3H-deoxythymidine in tumor-bearing rats and mice. Eur J Nucl Med 10: 39–44, 1985
Ishiwata K, Sato K, Kameyama M, Yoshimoto T, Ido T: Metabolic fates of 2′-deoxy-5-[18F]fluorouridine in tumor-bearing mice and human plasma. Nucl Med Biol 18: 539–545, 1991
Ishiwata K, Takahashi T, Iwata R, Tomura M, Tada M, Itoh J, Kameyama M, Ido T: Tumor diagnosis by PET: Potential of seven tracers examined in five experimental tumors including an artificial metastasis model. Nucl Med Biol 19: 611–618, 1992
Sato K, Kameyama M, Ishiwata K, Katakura R, Yoshimoto T: Metabolic changes of glioma following chemotherapy. An experimental study using four PET tracers. J Neurooncol 14: 81–89, 1992
Sato K, Kameyama M, Ishiwata K, Kayama T, Yoshimoto T, Ito M: Multicentric glioma studied with positron emission tomography. A case report. Surg Neurol 42: 14–18, 1994
Tsurumi Y, Kameyama M, Ishiwata K, Katakura R, Monma M, Ido T, Suzuki J:18F-fluoro-2′-deoxyuridine as a tracer of nucleic acid metabolism in brain tumors. J Neurosurg 72: 110–113, 1990
Phelps ME, Hoffman EJ, Huang SC, Kuhl DE: ECAT: A new computerized tomographic imaging system of positron emitting radiopharmaceuticals. J Nucl Med 19: 635–647, 1978
Spinks TJ, Guzzardi R, Bellina CR: Performance characteristics of a whole-body positron tomography. J Nucl Med 29: 1833–1841, 1988
Ishiwata K, Monma M, Iwata R, Ido T: Automated synthesis of 5-[18F]fluoro-2′-deoxyuridine. Appl Radiat Isot 38: 467–473, 1987
Blokhina NG, Vozny EK, Garin AM: Results of treatment of malignant tumors with futrafur. Cancer 30: 388–392, 1972
Marrian DH, Maxwell DR: Tracer studies of potential radiosensitizing agents. Tetrasodium 2-[C-14]-methyl-1∶4naphthohydroquinone diphosphate. Br J Cancer 10: 575–582, 1956
Moore FD, Tobin LH, Aub JC: Studies with radioactive diazo dyes. III. The distribution of radioactive dyes in tumor-bearing mice. J Clin Invest 22: 161–168, 1983
Patlak CS, Blasberg RG, Fenstermacher JD: Graphical evaluation of blood-to-brain transfer constants from multiple-time uptake data. J Cereb Blood Flow Metab 3: 1–7, 1983
Heiderberger C: Pyrimidines and pyrimidine nucleoside antimetabolites. In: Holland JF, Frei III (eds) Cancer Medicine, ed 2, Philadelphia, Lea & Febiger, 1982, pp 801–824
Niizuma H, Otsuki T, Yonemitsu T, Kitahara M, Katakura R, Suzuki J: Experiences with CT-guided stereotaxic biopsies in 121 cases. Acta Neurochir (Wien) S42: 157–160, 1988
Hoshino T, Nagashima T, Murovic J, Wilson CB, Edwards MSB, Gutin PH, Davis RL, DeArmond SJ: In situ cell kinetic studies on human neuroectodermal tumors with bromodeoxyuridine labeling. J Neurosurg 64: 453–459, 1986
Di Chiro G, Brooks RA: PET-FDG of untreated and treated cerebral gliomas. J Nucl Med 29: 421–422, 1988
Washiten WL, Santi DV: Assay of intracellular free and macromolecular-bound metabolites of 5-fluorodeoxyuridine and 5-fluorouracil. Cancer Res 39: 3397–3404, 1979
Ishiwata K, Tsurumi Y, Kameyama M, Sato K, Iwata R, Takahashi T, Ido T, Yoshimoto T: Brain tumor accumulation and plasma pharmacokinetic parameters of 2′-deoxy-5-fluorouridine. Ann Nucl Med 7: 199–205, 1993
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kameyama, M., Ishiwata, K., Tsurumi, Y. et al. Clinical application of18F-FUdR in glioma patients — PET study of nucleic acid metabolism. J Neuro-Oncol 23, 53–61 (1995). https://doi.org/10.1007/BF01058459
Issue Date:
DOI: https://doi.org/10.1007/BF01058459