Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline Uptake

It is of great value by using PET imaging in oncology to recognize any atypical uptake not related to the underlying disease. That helps in avoiding the false positive finding and may contribute in extending the application range of used radiopharmaceuticals in further disorders. It is well known th...

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Main Authors: Mustafa Takesh, Stefan Adams
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2013/464396
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author Mustafa Takesh
Stefan Adams
author_facet Mustafa Takesh
Stefan Adams
author_sort Mustafa Takesh
collection DOAJ
description It is of great value by using PET imaging in oncology to recognize any atypical uptake not related to the underlying disease. That helps in avoiding the false positive finding and may contribute in extending the application range of used radiopharmaceuticals in further disorders. It is well known that radiolabeled choline is an essential PET tracer used currently in prostate cancer. The physiological choline distribution was described. Nevertheless there is still a lack of studies, which describe this distribution in young patients; given that the radiolabeled choline is generally being used in the field of prostate cancer. Whether the thymus exhibits normally a positive choline uptake or not is still unknown. In particular, it is known that the lymphocytes express high affinity of choline transporter and enzymes involving its metabolism. Some cases of thymus carcinoma exhibiting a positive choline had been reported in the literature, however, mostly using 11C-choline. We report a rare case of metastatic thymic carcinoma detected incidentally using 18F-choline-PET in a 78-year-old male patient referred with elevation of prostate specific antigen. Moreover we present a comparison pattern with 18F-FDG-PET modality, in which 18F-choline-PET was turned out to be superior in tumor delineation.
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spelling doaj-art-b374f4e1b6f746a8b3d0d4f54227fff22025-08-20T02:23:24ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/464396464396Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline UptakeMustafa Takesh0Stefan Adams1Department of Nuclear Medicine, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120 Heidelberg, GermanyDepartment of Nuclear Medicine and Radiology, Knappschaft Hospital, 66280 Sulzbach, GermanyIt is of great value by using PET imaging in oncology to recognize any atypical uptake not related to the underlying disease. That helps in avoiding the false positive finding and may contribute in extending the application range of used radiopharmaceuticals in further disorders. It is well known that radiolabeled choline is an essential PET tracer used currently in prostate cancer. The physiological choline distribution was described. Nevertheless there is still a lack of studies, which describe this distribution in young patients; given that the radiolabeled choline is generally being used in the field of prostate cancer. Whether the thymus exhibits normally a positive choline uptake or not is still unknown. In particular, it is known that the lymphocytes express high affinity of choline transporter and enzymes involving its metabolism. Some cases of thymus carcinoma exhibiting a positive choline had been reported in the literature, however, mostly using 11C-choline. We report a rare case of metastatic thymic carcinoma detected incidentally using 18F-choline-PET in a 78-year-old male patient referred with elevation of prostate specific antigen. Moreover we present a comparison pattern with 18F-FDG-PET modality, in which 18F-choline-PET was turned out to be superior in tumor delineation.http://dx.doi.org/10.1155/2013/464396
spellingShingle Mustafa Takesh
Stefan Adams
Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline Uptake
Case Reports in Oncological Medicine
title Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline Uptake
title_full Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline Uptake
title_fullStr Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline Uptake
title_full_unstemmed Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline Uptake
title_short Imaging Comparison between 18F-FDG-PET/CT and 18F-Flouroethyl Choline PET/CT in Rare Case of Thymus Carcinoma Exhibiting a Positive Choline Uptake
title_sort imaging comparison between 18f fdg pet ct and 18f flouroethyl choline pet ct in rare case of thymus carcinoma exhibiting a positive choline uptake
url http://dx.doi.org/10.1155/2013/464396
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AT stefanadams imagingcomparisonbetween18ffdgpetctand18fflouroethylcholinepetctinrarecaseofthymuscarcinomaexhibitingapositivecholineuptake