Abstract
[11C]choline (11C-choline) positron emission tomography (PET) was performed to evaluate its clinical utility in the diagnosis of tumors in the nasal cavity and paranasal sinuses. We studied 22 patients with suspicion of malignant tumors in the nasal cavity and paranasal sinuses. Tumor uptake of11C-choline was measured with standardized uptake value (SUV) and correlated with the pathological diagnosis. 2-[18F]fluoro-2-deoxy-d-glucose (FDG) PET was performed in all patients for comparison. Both11C-choline and FDG PET depicted squamous cell carcinoma showing an increased activity significantly higher than that of normal tissue, and these SUVs were significantly higher than those of benign lesions. FDG uptake in malignant tumors as a whole was variable. Although11C-choline uptake in squamous cell carcinoma was lower than FDG uptake,11C-choline uptake in malignant tumors was relatively uniform and statistical significance was found. PET with11C-choline may be useful to diagnosis tumors in the nasal cavity and paranasal sinuses.
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Rege S, Maas A, Chaaiken L, Hoh CK, Choi Y, Lufkin R, et al. Use of positron emission tomography with fiuoro-deoxyglucose in patients with extracranial head and neck cancers.Cancer 1994; 73: 3047–3058.
McGuirt WF, Graven K, Williams III DW, Keyes JW Jr, Watson N, Cappellari JO, et al. PET scanning in head and neck oncology: a review.Head Neck 1998; 20: 208–215.
Halfpenny W, Hain SF, Biassoni L, Maisey MN, Sherman JA, McGurk M, FDG-PET. A possible prognostic factor in head and neck cancer.Br J Cancer 2002; 86: 512–516.
Graven KM, William III DW, Keyes JW, McGuirt WF, Watson NE Jr, Case LD. Can positron emission tomography distinguish tumor recurrence from irradiation sequelae in patients treated for larynx cancer?Cancer J Sci Am 1997; 3: 353–357.
Terhaad CH, Bongers V, van Rijk PP, Hordijk GJ. F-18-fluoro-deoxy-glucose positron-emission tomography scanning in detection of local recurrence after radiotherapy for laryngeal/pharyngeal cancer.Head Neck 2001; 23: 933–941.
Graven KM, Williams III DW, Keyes JW, McGuirt WF, Watson NE Jr, Randall ME, et al. Positron emission tomography of patients with head and neck carcinoma before and after high dose irradiation.Cancer 1994; 74: 1355–1359.
Kubota R, Yamada S, Kubota K, Ishiwata K, Tamahashi N, Ido T, Intratumoral distribution of18F-fluorodeoxyglucosein vivo: high accumulation in macrophages and granulation tissues studied by microautoradiography.J Nucl Med 1992; 33: 1972–1980.
Haberkoorn U, Strauss LG, Reisser CH, Haag D, Dimitrakopoulou A, Ziegler S, et al. Glucose uptake, perfusion, and cell proliferation in head and neck tumors: Relation of positron emission tomography to flow cytometry.J Nucl Med 1991; 32: 1548–1555.
Shonoura N, Nishijima M. Hara T, Haisa T, Yamamoto H, Fujii K, et al. Brain tumors: Detection with C-11 choline PET.Radiology 1997; 202: 497–503.
Kobori O, Kirihara Y, Kosaka N, Hara T, Positron emission tomography of esophageal carcinoma using11C-choline and18F-fluorodeoxyglucose.Cancer 1999; 86: 1638–1648.
Hara T, Kosaka N, Kishi H, PET imaging of prostate cancer using carbon-11-choline.J Nucl Med 1998; 39: 990–995.
Ohtani T, Kurihara H, Ishiuchi S, Saito N, Oriuchi N, Inoue T, et al. Brain tumour imaging with carbon-11 choline: comparison with FDG PET and gadolinium-enhanced MR imaging.Eur J Nucl Med 2001; 28: 1664–1670.
Hara T, Yuasa M, Automated synthesis of [11C]choline, a positron-emitting tracer for tumor imaging.Appl Radiat Isot 1999; 50: 531–533.
Hamacher K, Coenen HH, Stocklin G, Efficient stereospecific synthesis of non-carrier-added 2-[18F]-fluoro-2-deoxy-d-glucose using aminopolyether supported nucleophilic substitution.J Nucl Med 1986; 27: 235–238.
Meikle SR, Bailey DL, Hooper PK, Eberl S. Hutton BF, Jones WF, et al. Simultaneous emission and transmission measurement for attenuation correction in whole-body PET.J Nucl Med 1995; 36: 1680–1688.
Allai AS, Dulguerov P. Allaoua M, Haenggeli CA, El-Ghaziel A, Lehmann W, et al. Standardized uptake of 2-[18F]fluoro-2-deoxy-d-glucose in predicting outcome in head and neck carcinomas treated by radiotherapy with or without chemotherapy.J Clin Oncol 2002; 20: 1398–1404.
Aiken NR, Gillies RJ. Phosphomonoester metabolism as a function of cell proliferative status and exogenous precursors.Anticancer Res 1996; 16: 1393–1398.
Warden CH, Friedkin M, Regulation of choline kinase activity and phosphatidylcholine biosynthesis by mitogenic growth factors in 3T3 fibroblasts.J Biol Chem 1985; 260: 6006–6011.
Macara IG. Elevated phosphocholine concentration in rastransformed NIH 3T3 cells arises from increased choline kinase activity, not from phosphatidylcholine breakdown.Mol Cell Biol 1989; 9: 325–328.
Teegarden D, Taparowwsky EJ, Kent C, Altered phosphatidylcholine metabolism in C3H10T [1/2] cells transfected with the Harvey-ras oncogene.J Biol Chem 1990; 265: 6042–6047.
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Ninomiya, H., Oriuchi, N., Kahn, N. et al. Diagnosis of tumor in the nasal cavity and paranasal sinuses with [11C]choline PET: Comparative study with 2-[18F]fluoro-2-deoxy-d-glucose (FDG) PET. Ann Nucl Med 18, 29–34 (2004). https://doi.org/10.1007/BF02985611
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DOI: https://doi.org/10.1007/BF02985611