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18F-FDOPA PET Imaging of Brain Tumors: Comparison Study with 18F-FDG PET and Evaluation of Diagnostic Accuracy

Wei Chen1,2, Daniel H.S. Silverman1, Sibylle Delaloye1, Johannes Czernin1, Nirav Kamdar1, Whitney Pope3, Nagichettiar Satyamurthy1, Christiaan Schiepers1 and Timothy Cloughesy4

1 Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; 2 Department of Radiology, Kaiser Permanente Woodland Hills Medical Center, Woodland Hills, California; 3 Department of Radiology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; and 4 Department of Neurology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California


Figure 1
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FIGURE 1.  Time–activity curves for tracer uptake on 18F-FDOPA PET scans summarized for 11 patients over 75 min from time of injection. (A) Time course of tracer accumulation in tumor tissue, cerebellum, and striatum. Tumor uptake is expressed as mean values of voxels with top 20% SUVs. Error bars denote 1 SE from mean uptake. (B) Time course of tracer accumulation in tumor tissue, cortex, and white matter. Error bars denote 1 SE from mean uptake.

 

Figure 2
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FIGURE 2.  MRI (left), 18F-FDG PET (middle), and 18F-FDOPA PET (right) of newly diagnosed tumors. (A) Glioblastoma. (B) Grade II oligodendroglioma.

 

Figure 3
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FIGURE 3.  MRI (left), 18F-FDG PET (middle), and 18F-FDOPA PET (right) for evaluating recurrent tumors. (A) Recurrent glioblastoma. (B) Recurrent grade II oliogodendroglioma.

 

Figure 4
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FIGURE 4.  (A) Box plots of 18F-FDOPA T/N values in high-grade and low-grade brain tumors and radiation necrosis. There was no statistically significant difference between high-grade and low-grade tumors (P = 0.40). There was a statistically significant difference between tumors and radiation necrosis (P < 0.00001). Error bars indicate SEs. (B) Box plots of 18F-FDOPA T/N values in brain tumors that were contrast enhancing on MRI (CE) and those that did not take up contrast material on MRI (NCE). No statistical difference was seen between CE and NCE tumors (P = 0.40). Statistically significant difference was seen between CE tumors and radiation necrosis (P < 0.00001). Error bars indicate SEs.

 





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