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Renal Potassium Excretion Visualized on 82Rubidium PET/CT

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Abstract

The positron emission tomography (PET) flow tracer 82Rubidium is a known potassium analogue. During our studies of tumor blood flow in prostate cancer, we found that approximately 10% of the patients had high urinary 82Rubidium activity. In roughly half of these patients, the increased renal rubidium/potassium excretion was either causing hypokalemia or explained by Thiazide treatment. In the other half, there was no obvious explanation or clinical consequence of the renal rubidium/potassium excretion. This is the first time enhanced renal potassium excretion is visualized on 82Rubidium PET/CT.

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References

  1. Chatal JF, Rouzet F, Haddad F, Bourdeau C, Mathieu C, Le Guludec D. Story of Rubidium-82 and advantages for myocardial perfusion PET imaging. Front Med (Lausanne). 2015;2:65.

    Google Scholar 

  2. Lu Y. FDG and (82)Rb PET/MRI features of brain metastasis of breast cancer. Clin Nucl Med. 2015;40:494–5.

    Article  Google Scholar 

  3. Mirpour S, Khandani AH. Extracardiac abnormalities on rubidium-82 cardiac positron emission tomography/computed tomography. Nucl Med Commun. 2011;32:260–4.

    Article  Google Scholar 

  4. Murthy VL, Brown RK, Corbett JR. Metastatic renal cell carcinoma avid for 82Rb but not 18F-FDG. Clin Nucl Med. 2014;39:908–9.

    Article  Google Scholar 

  5. Neumann DR, Basile KE, Bravo EL, Chen EQ, Go RT. Malignant pheochromocytoma of the anterior mediastinum: PET findings with [18F]FDG and 82Rb. J Comput Assist Tomogr. 1996;20:312–6.

    Article  CAS  Google Scholar 

  6. Jochumsen MR, Tolbod LP, Pedersen BG, Nielsen MM, Hoyer S, Frokiaer J, et al. Quantitative tumor perfusion imaging with (82)Rb PET/CT in prostate cancer: analytic and clinical validation. J Nucl Med. 2019;60:1059–65.

    Article  Google Scholar 

  7. Jochumsen MR, Bouchelouche K, Nielsen KB, Frokiaer J, Borre M, Sorensen J, et al. Repeatability of tumor blood flow quantification with (82)Rubidium PET/CT in prostate cancer - a test-retest study. EJNMMI Res. 2019;9:58.

    Article  Google Scholar 

  8. Kunin AS, Dearborn EH, Burrows BA, Relman AS. Comparison of renal excretion of rubidium and potassium. Am J Phys. 1959;197:1297–302.

    Article  CAS  Google Scholar 

  9. Kilpatrick R, Renschler HE, Munro DS, Wilson GM. A comparison of the distribution of 42K and 86Rb in rabbit and man. J Physiol. 1956;133:194–201.

    Article  CAS  Google Scholar 

  10. Beck FX, Giebisch G, Thurau K. Effect of K depletion on renal K and Rb excretion: evidence for activation of K reabsorption. Kidney Int. 1992;42:272–8.

    Article  CAS  Google Scholar 

  11. Parihar AS, Coghlan MJ, Gopalakrishnan M, Shieh CC. Effects of intermediate-conductance Ca2+−activated K+ channel modulators on human prostate cancer cell proliferation. Eur J Pharmacol. 2003;471:157–64.

    Article  CAS  Google Scholar 

  12. Tahari AK, Bravo PE, Rahmim A, Bengel FM, Szabo Z. Initial human experience with Rubidium-82 renal PET/CT imaging. J Med Imaging Radiat Oncol. 2014;58:25–31.

    Article  Google Scholar 

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Funding

This study was supported by a grant from The Danish Cancer Society, Health Research Fund of Central Denmark Region, P. Carl Petersens Fond, and Dansk Kræftforskningsfond.

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Correspondence to Mads Ryø Jochumsen.

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Mads Ryø Jochumsen, Lars Poulsen Tolbod, Michael Borre, Jørgen Frøkiær, Kirsten Bouchelouche, and Jens Sörensen declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

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Informed consent was obtained from all individual participants included in the study.

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Jochumsen, M.R., Tolbod, L.P., Borre, M. et al. Renal Potassium Excretion Visualized on 82Rubidium PET/CT. Nucl Med Mol Imaging 54, 120–122 (2020). https://doi.org/10.1007/s13139-020-00637-8

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