[18F]FLT-PET in oncology: current status and opportunities

In recent years, [18F]-fluoro-3'-deoxy-3'-L: -fluorothymidine ([18F]FLT) has been developed as a proliferation tracer. Imaging and measurement of proliferation with PET could provide us with a non-invasive staging tool and a tool to monitor the response to anticancer treatment. In this rev...

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Veröffentlicht in:European journal of nuclear medicine and molecular imaging 2004-12, Vol.31 (12), p.1659-1672
Hauptverfasser: Been, Lukas B, Suurmeijer, Albert J H, Cobben, David C P, Jager, Pieter L, Hoekstra, Harald J, Elsinga, Philip H
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container_issue 12
container_start_page 1659
container_title European journal of nuclear medicine and molecular imaging
container_volume 31
creator Been, Lukas B
Suurmeijer, Albert J H
Cobben, David C P
Jager, Pieter L
Hoekstra, Harald J
Elsinga, Philip H
description In recent years, [18F]-fluoro-3'-deoxy-3'-L: -fluorothymidine ([18F]FLT) has been developed as a proliferation tracer. Imaging and measurement of proliferation with PET could provide us with a non-invasive staging tool and a tool to monitor the response to anticancer treatment. In this review, the basis of [18F]FLT as a proliferation tracer is discussed. Furthermore, an overview of the current status of [18F]FLT-PET research is given. The results of this research show that although [18F]FLT is a tracer that visualises cellular proliferation, it also has certain limitations. In comparison with the most widely used PET tracer, [18F]FDG, [18F]FLT uptake is lower in most cases. Furthermore, [18F]FLT uptake does not always reflect the tumour cell proliferation rate, for example during or shortly after certain chemotherapy regimens. The opportunities provided by, and the limitations of, [18F]FLT as a proliferation tracer are addressed in this review, and directions are given for further research, taking into account the strong and weak points of the new tracer.
doi_str_mv 10.1007/s00259-004-1687-6
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subjects Animals
Dideoxynucleosides
Humans
Neoplasm Invasiveness - diagnostic imaging
Neoplasm Staging - methods
Neoplasm Staging - trends
Neoplasms - classification
Neoplasms - diagnostic imaging
Neoplasms - pathology
Positron-Emission Tomography - methods
Positron-Emission Tomography - trends
Radiopharmaceuticals
Severity of Illness Index
title [18F]FLT-PET in oncology: current status and opportunities
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