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First published online November 15, 2007, 10.2967/jnumed.107.043281
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Journal of Nuclear Medicine Vol. 48 No. 12 1940-1944
© 2007 by Society of Nuclear Medicine

doi: 10.2967/jnumed.107.043281

Clinical Investigation

Usefulness of Standardized Uptake Values for Distinguishing Adrenal Glands with Pheochromocytoma from Normal Adrenal Glands by Use of 6-18F-Fluorodopamine PET

Henri J.L.M. Timmers1,2, Jorge A. Carrasquillo3, Millie Whatley3, Graeme Eisenhofer4, Clara C. Chen3, Alexander Ling5, W. Marston Linehan6, Peter A. Pinto6, Karen T. Adams1 and Karel Pacak1

1 Reproductive and Adult Endocrinology Program, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland; 2 Department of Endocrinology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; 3 Department of Nuclear Medicine, Warren G. Magnuson Clinical Center, National Institutes of Health, Bethesda, Maryland; 4 Clinical Neurocardiology Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland; 5 Department of Diagnostic Radiology, Warren G. Magnuson Clinical Center, National Institutes of Health, Bethesda, Maryland; and 6 Urologic Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland

Correspondence: For correspondence contact: Karel Pacak, M.D, Ph.D., D.Sc., Reproductive and Adult Endocrinology Program, National Institute of Child Health and Human Development, 10 Center Dr., Bldg. 10, CRC, Room 1-E 3140, MSC 1109, Bethesda, MD 20892-1109. E-mail: karel{at}mail.nih.gov

6-18F-Fluorodopamine (18F-FDA) PET is a highly sensitive tool for the localization of pheochromocytoma (PHEO). The aim of this study was to establish cutoff values for pathologic and physiologic adrenal gland tracer uptake. Methods: 18F-FDA PET with CT coregistration was performed in 14 patients (10 men and 4 women; age [mean ± SD], 42.9 ± 13.3 y) with unilateral adrenal gland PHEO and in 13 control subjects (5 men and 8 women; age, 51.7 ± 12.5 y) without PHEO. Standardized uptake values (SUVs) were compared between adrenal glands with PHEO and normal left adrenal glands in control subjects. Results: 18F-FDA accumulation was observed in all adrenal glands with PHEO and in 6 of 13 control adrenal glands (P = 0.02). The SUV was higher in adrenal glands with PHEO (mean ± SD, 16.1 ± 6.1) than in 18F-FDA–positive control adrenal glands (7.7 ± 1.4) (P = 0.005). SUV cutoffs for distinguishing between adrenal glands with PHEO and normal adrenal glands were 7.3 (100% sensitivity) and 10.1 (100% specificity). Conclusion: The SUVs of adrenal foci on 18F-FDA PET facilitate the distinction between adrenal glands with PHEO and normal adrenal glands.

Key Words: 6-18F-fluorodopamine • pheochromocytoma • paraganglioma • PET

COPYRIGHT © 2007 by the Society of Nuclear Medicine, Inc.


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