Article: [(18)F]fluoroacetate positron emission tomography for hepatocellular carcinoma and metastases: an alternative tracer for [(11)C]acetate?

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Title[(18)F]fluoroacetate positron emission tomography for hepatocellular carcinoma and metastases: an alternative tracer for [(11)C]acetate?
AuthorsHo, CL1 2
Cheung, MK1 2
Chen, S1 2
Cheung, TT1 2
Leung, YL1 2
Cheng, KC1 2
Yeung, WD1 2
Issue Date2012
PublisherBC Decker Inc.
CitationMolecular Imaging, 2012, v. 11 n. 3, p. 229-239 [How to Cite?]
DOI: http://dx.doi.org/10.2310/7290.2011.00043
Abstract[11C]Acetate (ACT) positron emission tomography/computed tomography (PET/CT) is useful in the detection of hepatocellular carcinoma (HCC). This study aimed to evaluate whether [18F]fluoroacetate (FAC) could be an alternative analogue of [11C]ACT for the diagnosis of HCC. [18F]FAC was synthesized using the precursor t-butyl 2-(methanesulfonyloxy)ethanoate. Five volunteer patients with known HCC were recruited after consent. Whole-body [18F]FAC PET/CT was performed at 20 minutes and 1 hour postinjection and compared to [11C]ACT PET/CT at 20 minutes postinjection to assess biodistribution and tumor uptake characteristics. Qualitative and semiquantitative analyses were performed with statistical correlations on the physiologic organs of accumulation and HCC lesions for both tracers. [18F]FAC was obtained with 99% radiochemical purity, and the reaction yield was 16.0% with 1-hour synthesis time. The biodistribution of [18F]FAC on PET/CT was significantly different from that of [11C]ACT (p < .05) by the lack of preferential uptake in any specific organ, particularly the pancreas, resembling the pattern of blood-pool retention although partly metabolized via the bowel. There was no significant defluorination, and none of the [11C]ACT-avid HCC lesions showed increased [18F]FAC activity. These were different from the results reported on other species. [18F]FAC may not be a potential alternative tracer for [11C]ACT in PET/CT evaluation of HCC in human subjects.
ISSN1535-3508
2011 Impact Factor: 3.18
2011 SCImago Journal Rankings: 0.359
DOIhttp://dx.doi.org/10.2310/7290.2011.00043
DC Field
Value
dc.contributor.authorHo, CL
dc.contributor.authorCheung, MK
dc.contributor.authorChen, S
dc.contributor.authorCheung, TT
dc.contributor.authorLeung, YL
dc.contributor.authorCheng, KC
dc.contributor.authorYeung, WD
dc.date.accessioned2012-02-03T06:15:05Z
dc.date.available2012-02-03T06:15:05Z
dc.date.issued2012
dc.description.abstract[11C]Acetate (ACT) positron emission tomography/computed tomography (PET/CT) is useful in the detection of hepatocellular carcinoma (HCC). This study aimed to evaluate whether [18F]fluoroacetate (FAC) could be an alternative analogue of [11C]ACT for the diagnosis of HCC. [18F]FAC was synthesized using the precursor t-butyl 2-(methanesulfonyloxy)ethanoate. Five volunteer patients with known HCC were recruited after consent. Whole-body [18F]FAC PET/CT was performed at 20 minutes and 1 hour postinjection and compared to [11C]ACT PET/CT at 20 minutes postinjection to assess biodistribution and tumor uptake characteristics. Qualitative and semiquantitative analyses were performed with statistical correlations on the physiologic organs of accumulation and HCC lesions for both tracers. [18F]FAC was obtained with 99% radiochemical purity, and the reaction yield was 16.0% with 1-hour synthesis time. The biodistribution of [18F]FAC on PET/CT was significantly different from that of [11C]ACT (p < .05) by the lack of preferential uptake in any specific organ, particularly the pancreas, resembling the pattern of blood-pool retention although partly metabolized via the bowel. There was no significant defluorination, and none of the [11C]ACT-avid HCC lesions showed increased [18F]FAC activity. These were different from the results reported on other species. [18F]FAC may not be a potential alternative tracer for [11C]ACT in PET/CT evaluation of HCC in human subjects.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationMolecular Imaging, 2012, v. 11 n. 3, p. 229-239 [How to Cite?]
DOI: http://dx.doi.org/10.2310/7290.2011.00043
dc.identifier.doihttp://dx.doi.org/10.2310/7290.2011.00043
dc.identifier.epage239
dc.identifier.hkuros198329
dc.identifier.issn1535-3508
2011 Impact Factor: 3.18
2011 SCImago Journal Rankings: 0.359
dc.identifier.issue3
dc.identifier.pmid22554487
dc.identifier.scopuseid_2-s2.0-84862661268
dc.identifier.spage229
dc.identifier.urihttp://hdl.handle.net/10722/144590
dc.identifier.volume11
dc.languageeng
dc.publisherBC Decker Inc.
dc.publisher.placeCanada
dc.relation.ispartofMolecular Imaging
dc.subject.meshCarcinoma, Hepatocellular - pathology - radionuclide imaging
dc.subject.meshFluorine Radioisotopes - diagnostic use - pharmacokinetics
dc.subject.meshLiver Neoplasms - pathology - radionuclide imaging
dc.subject.meshNeoplasm Metastasis - radionuclide imaging
dc.subject.meshPositron-Emission Tomography and Computed Tomography - methods
dc.title[(18)F]fluoroacetate positron emission tomography for hepatocellular carcinoma and metastases: an alternative tracer for [(11)C]acetate?
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong Sanatorium and Hospital