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Research ArticleClinical Investigations

Assessment of Progesterone Receptors in Breast Carcinoma by PET with 21-18F-Fluoro-16α,17α-[(R)-(1′-α-furylmethylidene)Dioxy]-19-Norpregn-4-Ene-3,20-Dione

Farrokh Dehdashti, Richard Laforest, Feng Gao, Rebecca L. Aft, Carmen S. Dence, Dong Zhou, Kooresh I. Shoghi, Barry A. Siegel, John A. Katzenellenbogen and Michael J. Welch
Journal of Nuclear Medicine March 2012, 53 (3) 363-370; DOI: https://doi.org/10.2967/jnumed.111.098319
Farrokh Dehdashti
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Richard Laforest
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Feng Gao
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Rebecca L. Aft
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Carmen S. Dence
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Dong Zhou
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Kooresh I. Shoghi
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Barry A. Siegel
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John A. Katzenellenbogen
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Michael J. Welch
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  • FIGURE 1.
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    FIGURE 1.

    Representative transverse 18F-FFNP PET images in patient with PR+ breast cancer (A) and another with PR– breast cancer (B). Arrows point to tumor.

  • FIGURE 2.
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    FIGURE 2.

    18F-FFNP uptake assessed by SUVmax (left) and T/N ratio (right) in PR+ and PR– breast cancers.

  • FIGURE 3.
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    FIGURE 3.

    Time–activity distribution in liver, tumor, normal breast, and blood (from ventricular chamber). Data were normalized for 370-MBq injection (patient 5, dynamic cohort) with ER+ and PR+ tumor. Uptake of 18F-FFNP in this patient's tumor was twice that in her normal breast.

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    FIGURE 4.

    Typical whole-body coronal images of patient at 1 h (A) and 2 h (B) after injection of 370 MBq (10 mCi) of 18F-FFNP. Accumulation of activity is primarily seen in liver and small intestines

  • FIGURE 5.
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    FIGURE 5.

    Sagittal 18F-FFNP images registered to CT images showing accumulation in liver, intestines, uterus, and urinary bladder.

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    TABLE 1

    Patient Demographic Data

    PatientAge (y)Injected dose (MBq)Mass (μg)ER/PR/HER2Tumor T/NTumor SUVDVR
    Dynamic patients
     1593595.38–/–/–/1.93.42.4
     2392810.84+/+/–/, +/+/–/*2.3, 2.5*3.0, 3.2*1.9, 2.7
     3592223.41–/–/–/1.91.51.4
     4321780.83+/–/–/1.13.91.4
     5573660.53+/+/–/, +/+/–/*3.5, 2.8*3.4, 2.7*3.7, 2.8
     6581481.91+/+/–/1.22.11.1
     7713660.56+/+/–/2.22.92.0
     8583700.34+/+/–/1.71.21.6
    Dosimetry patients
     149891.39+/+/–/2.41.2Not applicable
     2521851.87+/+/–/1.92.3Not applicable
     3643702.67+/+/–/1.82.4Not applicable
     4491040.83–/–/–/1.51.6Not applicable
     5533290.75–/–/–/1.51.2Not applicable
     6472701.32–/–/–/1.20.5Not applicable
     7683590.90+/+/–/1.51.2Not applicable
     8643700.31+/+/–/4.04.4Not applicable
     9442150.90+/+/–/2.61.8Not applicable
     10623520.54+/+/–/4.03.2Not applicable
     11553150.76+/+/–/3.21.9Not applicable
     12492590.70+/+/–/3.82.3Not applicable
    • ↵* Second breast cancer in patients with 2 breast cancers.

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    TABLE 2

    Organ Residence Times in Minutes from Human Whole-Body PET Images

    OrganResidence times (min)
    Liver16.3 ± 5.1
    Small intestine20.8 ± 5.2
    Gallbladder4.14 ± 1.04
    Bone/marrow4.60 ± 1.15
    Uterus0.47 ± 0.12
    Blood (left ventricle)11.4 ± 2.8
    • Data are mean ± SD.

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    TABLE 3

    Human Organ Radiation Doses Estimated from Human PET Images in mGy/MBq

    OrganOrgan dose human PET (mGy/MBq)
    Adrenals0.017
    Brain0.010
    Breasts0.010
    Gallbladder0.113
    Lower large intestine0.020
    Small intestine0.096
    Stomach0.017
    Upper large intestine0.030
    Heart wall0.015
    Kidneys0.017
    Liver0.051
    Lungs0.013
    Muscle0.013
    Ovaries0.023
    Pancreas0.018
    Red marrow0.015
    Osteogenic cells0.024
    Skin0.009
    Spleen0.014
    Thymus0.012
    Thyroid0.011
    Urinary bladder wall0.016
    Uterus0.034
    Whole body0.015
    Effective dose (mSv/MBq)0.020

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Journal of Nuclear Medicine: 53 (3)
Journal of Nuclear Medicine
Vol. 53, Issue 3
March 1, 2012
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Assessment of Progesterone Receptors in Breast Carcinoma by PET with 21-18F-Fluoro-16α,17α-[(R)-(1′-α-furylmethylidene)Dioxy]-19-Norpregn-4-Ene-3,20-Dione
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Assessment of Progesterone Receptors in Breast Carcinoma by PET with 21-18F-Fluoro-16α,17α-[(R)-(1′-α-furylmethylidene)Dioxy]-19-Norpregn-4-Ene-3,20-Dione
Farrokh Dehdashti, Richard Laforest, Feng Gao, Rebecca L. Aft, Carmen S. Dence, Dong Zhou, Kooresh I. Shoghi, Barry A. Siegel, John A. Katzenellenbogen, Michael J. Welch
Journal of Nuclear Medicine Mar 2012, 53 (3) 363-370; DOI: 10.2967/jnumed.111.098319

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Assessment of Progesterone Receptors in Breast Carcinoma by PET with 21-18F-Fluoro-16α,17α-[(R)-(1′-α-furylmethylidene)Dioxy]-19-Norpregn-4-Ene-3,20-Dione
Farrokh Dehdashti, Richard Laforest, Feng Gao, Rebecca L. Aft, Carmen S. Dence, Dong Zhou, Kooresh I. Shoghi, Barry A. Siegel, John A. Katzenellenbogen, Michael J. Welch
Journal of Nuclear Medicine Mar 2012, 53 (3) 363-370; DOI: 10.2967/jnumed.111.098319
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