Metabolic Imaging of Ovarian Tumors with Carbon-11-Methionine: A PET Study

This study examines the potential of 11C-methionine as a PET tracer in metabolic imaging of benign and malignant ovarian tumors. Four patients with one or two benign ovarian tumors (endometriomas or cystadenomas), two patients with a tumor of borderline malignancy and seven patients with ovarian can...

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Veröffentlicht in:The Journal of nuclear medicine (1978) 1995-12, Vol.36 (12), p.2196-2200
Hauptverfasser: Lapela, Maria, Leskinen-Kallio, Sirkku, Varpula, Matti, Grenman, Seija, Salmi, Tuula, Alanen, Kalle, Nagren, Kjell, Lehikoinen, Pertti, Ruotsalainen, Ulla, Teras, Mika, Joensuu, Heikki
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container_issue 12
container_start_page 2196
container_title The Journal of nuclear medicine (1978)
container_volume 36
creator Lapela, Maria
Leskinen-Kallio, Sirkku
Varpula, Matti
Grenman, Seija
Salmi, Tuula
Alanen, Kalle
Nagren, Kjell
Lehikoinen, Pertti
Ruotsalainen, Ulla
Teras, Mika
Joensuu, Heikki
description This study examines the potential of 11C-methionine as a PET tracer in metabolic imaging of benign and malignant ovarian tumors. Four patients with one or two benign ovarian tumors (endometriomas or cystadenomas), two patients with a tumor of borderline malignancy and seven patients with ovarian cancer were studied with 11C-methionine and PET before laparotomy. CT or MRI were performed as a reference. Tracer uptake was quantitated by calculating tracer standardized uptake values (SUVs) and the kinetic influx constants (Ki values). Benign or borderline malignant tumors did not accumulate 11C-methionine, whereas all carcinomas had significant uptake. The mean SUV of the primary carcinomas was 7.0 (s.d., 2.2) and the mean Ki was 0.14 min-1 (s.d., 0.1 min-1), but the distribution of tracer uptake was highly heterogenous in four of six tumors. Ovarian cancer can be imaged with 11C-methionine and PET. This method also may be of value in the differential diagnosis between benign and malignant ovarian neoplasms. Due to physiological accumulations and methodological limitations, the value of 11C-methionine PET in the staging of ovarian cancer appears to be limited.
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Four patients with one or two benign ovarian tumors (endometriomas or cystadenomas), two patients with a tumor of borderline malignancy and seven patients with ovarian cancer were studied with 11C-methionine and PET before laparotomy. CT or MRI were performed as a reference. Tracer uptake was quantitated by calculating tracer standardized uptake values (SUVs) and the kinetic influx constants (Ki values). Benign or borderline malignant tumors did not accumulate 11C-methionine, whereas all carcinomas had significant uptake. The mean SUV of the primary carcinomas was 7.0 (s.d., 2.2) and the mean Ki was 0.14 min-1 (s.d., 0.1 min-1), but the distribution of tracer uptake was highly heterogenous in four of six tumors. Ovarian cancer can be imaged with 11C-methionine and PET. This method also may be of value in the differential diagnosis between benign and malignant ovarian neoplasms. 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Mammary gland ; Endometriosis - diagnosis ; Endometriosis - diagnostic imaging ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Medical sciences ; Methionine ; Middle Aged ; Ovarian Diseases - diagnosis ; Ovarian Diseases - diagnostic imaging ; Ovarian Neoplasms - diagnosis ; Ovarian Neoplasms - diagnostic imaging ; Radionuclide investigations ; Tomography, Emission-Computed ; Tomography, X-Ray Computed</subject><ispartof>The Journal of nuclear medicine (1978), 1995-12, Vol.36 (12), p.2196-2200</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2946137$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8523104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lapela, Maria</creatorcontrib><creatorcontrib>Leskinen-Kallio, Sirkku</creatorcontrib><creatorcontrib>Varpula, Matti</creatorcontrib><creatorcontrib>Grenman, Seija</creatorcontrib><creatorcontrib>Salmi, Tuula</creatorcontrib><creatorcontrib>Alanen, Kalle</creatorcontrib><creatorcontrib>Nagren, Kjell</creatorcontrib><creatorcontrib>Lehikoinen, Pertti</creatorcontrib><creatorcontrib>Ruotsalainen, Ulla</creatorcontrib><creatorcontrib>Teras, Mika</creatorcontrib><creatorcontrib>Joensuu, Heikki</creatorcontrib><title>Metabolic Imaging of Ovarian Tumors with Carbon-11-Methionine: A PET Study</title><title>The Journal of nuclear medicine (1978)</title><addtitle>J Nucl Med</addtitle><description>This study examines the potential of 11C-methionine as a PET tracer in metabolic imaging of benign and malignant ovarian tumors. 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Mammary gland</subject><subject>Endometriosis - diagnosis</subject><subject>Endometriosis - diagnostic imaging</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Methionine</subject><subject>Middle Aged</subject><subject>Ovarian Diseases - diagnosis</subject><subject>Ovarian Diseases - diagnostic imaging</subject><subject>Ovarian Neoplasms - diagnosis</subject><subject>Ovarian Neoplasms - diagnostic imaging</subject><subject>Radionuclide investigations</subject><subject>Tomography, Emission-Computed</subject><subject>Tomography, X-Ray Computed</subject><issn>0161-5505</issn><issn>1535-5667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9z11LwzAUBuAgypzTnyDkQsSbQtI0H_NujKmTyQTndTlN0zWjTWfSOvbv7Vjx6ly8z3k55wKNKWc84kLISzQmVNCIc8Kv0U0IO0KIUEqN0EjxmFGSjNH7h2khayqr8bKGrXVb3BR4_QvegsObrm58wAfblngOPmtcRGnUr5S2cdaZZzzDn4sN_mq7_HiLrgqogrkb5gR9vyw287dotX5dzmerqIyFaiNJNDfJVIEGncf9gdoYwpTKiWZGUS4LKWKdS1EkgsgpTQiYQmUSFGc5yxWboMdz7943P50JbVrboE1VgTNNF1IpZaJIcoL3A-yy2uTp3tsa_DEdnu_zhyGHoKEqPDhtwz-Lp4mgTPbs6cxKuy0P1pvUdboy4E-dO1czkdI4jelUsD8ekW9Q</recordid><startdate>19951201</startdate><enddate>19951201</enddate><creator>Lapela, Maria</creator><creator>Leskinen-Kallio, Sirkku</creator><creator>Varpula, Matti</creator><creator>Grenman, Seija</creator><creator>Salmi, Tuula</creator><creator>Alanen, Kalle</creator><creator>Nagren, Kjell</creator><creator>Lehikoinen, Pertti</creator><creator>Ruotsalainen, Ulla</creator><creator>Teras, Mika</creator><creator>Joensuu, Heikki</creator><general>Soc Nuclear Med</general><general>Society of Nuclear Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19951201</creationdate><title>Metabolic Imaging of Ovarian Tumors with Carbon-11-Methionine: A PET Study</title><author>Lapela, Maria ; Leskinen-Kallio, Sirkku ; Varpula, Matti ; Grenman, Seija ; Salmi, Tuula ; Alanen, Kalle ; Nagren, Kjell ; Lehikoinen, Pertti ; Ruotsalainen, Ulla ; Teras, Mika ; Joensuu, Heikki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h268t-70c5e498acacd2161cee0388d0c3e8157f762cd76f46079140aef8b7a853d3d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adenocarcinoma, Clear Cell - diagnosis</topic><topic>Adenocarcinoma, Clear Cell - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Carbon Radioisotopes</topic><topic>Carcinoma, Endometrioid - diagnosis</topic><topic>Carcinoma, Endometrioid - diagnostic imaging</topic><topic>Cystadenocarcinoma, Serous - diagnosis</topic><topic>Cystadenocarcinoma, Serous - diagnostic imaging</topic><topic>Cystadenoma - diagnosis</topic><topic>Cystadenoma - diagnostic imaging</topic><topic>Diagnosis, Differential</topic><topic>Endocrine glands. Genital system. Mammary gland</topic><topic>Endometriosis - diagnosis</topic><topic>Endometriosis - diagnostic imaging</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Methionine</topic><topic>Middle Aged</topic><topic>Ovarian Diseases - diagnosis</topic><topic>Ovarian Diseases - diagnostic imaging</topic><topic>Ovarian Neoplasms - diagnosis</topic><topic>Ovarian Neoplasms - diagnostic imaging</topic><topic>Radionuclide investigations</topic><topic>Tomography, Emission-Computed</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lapela, Maria</creatorcontrib><creatorcontrib>Leskinen-Kallio, Sirkku</creatorcontrib><creatorcontrib>Varpula, Matti</creatorcontrib><creatorcontrib>Grenman, Seija</creatorcontrib><creatorcontrib>Salmi, Tuula</creatorcontrib><creatorcontrib>Alanen, Kalle</creatorcontrib><creatorcontrib>Nagren, Kjell</creatorcontrib><creatorcontrib>Lehikoinen, Pertti</creatorcontrib><creatorcontrib>Ruotsalainen, Ulla</creatorcontrib><creatorcontrib>Teras, Mika</creatorcontrib><creatorcontrib>Joensuu, Heikki</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nuclear medicine (1978)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lapela, Maria</au><au>Leskinen-Kallio, Sirkku</au><au>Varpula, Matti</au><au>Grenman, Seija</au><au>Salmi, Tuula</au><au>Alanen, Kalle</au><au>Nagren, Kjell</au><au>Lehikoinen, Pertti</au><au>Ruotsalainen, Ulla</au><au>Teras, Mika</au><au>Joensuu, Heikki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metabolic Imaging of Ovarian Tumors with Carbon-11-Methionine: A PET Study</atitle><jtitle>The Journal of nuclear medicine (1978)</jtitle><addtitle>J Nucl Med</addtitle><date>1995-12-01</date><risdate>1995</risdate><volume>36</volume><issue>12</issue><spage>2196</spage><epage>2200</epage><pages>2196-2200</pages><issn>0161-5505</issn><eissn>1535-5667</eissn><abstract>This study examines the potential of 11C-methionine as a PET tracer in metabolic imaging of benign and malignant ovarian tumors. Four patients with one or two benign ovarian tumors (endometriomas or cystadenomas), two patients with a tumor of borderline malignancy and seven patients with ovarian cancer were studied with 11C-methionine and PET before laparotomy. CT or MRI were performed as a reference. Tracer uptake was quantitated by calculating tracer standardized uptake values (SUVs) and the kinetic influx constants (Ki values). Benign or borderline malignant tumors did not accumulate 11C-methionine, whereas all carcinomas had significant uptake. The mean SUV of the primary carcinomas was 7.0 (s.d., 2.2) and the mean Ki was 0.14 min-1 (s.d., 0.1 min-1), but the distribution of tracer uptake was highly heterogenous in four of six tumors. Ovarian cancer can be imaged with 11C-methionine and PET. This method also may be of value in the differential diagnosis between benign and malignant ovarian neoplasms. Due to physiological accumulations and methodological limitations, the value of 11C-methionine PET in the staging of ovarian cancer appears to be limited.</abstract><cop>Reston, VA</cop><pub>Soc Nuclear Med</pub><pmid>8523104</pmid><tpages>5</tpages></addata></record>
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subjects Adenocarcinoma, Clear Cell - diagnosis
Adenocarcinoma, Clear Cell - diagnostic imaging
Biological and medical sciences
Carbon Radioisotopes
Carcinoma, Endometrioid - diagnosis
Carcinoma, Endometrioid - diagnostic imaging
Cystadenocarcinoma, Serous - diagnosis
Cystadenocarcinoma, Serous - diagnostic imaging
Cystadenoma - diagnosis
Cystadenoma - diagnostic imaging
Diagnosis, Differential
Endocrine glands. Genital system. Mammary gland
Endometriosis - diagnosis
Endometriosis - diagnostic imaging
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Magnetic Resonance Imaging
Medical sciences
Methionine
Middle Aged
Ovarian Diseases - diagnosis
Ovarian Diseases - diagnostic imaging
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - diagnostic imaging
Radionuclide investigations
Tomography, Emission-Computed
Tomography, X-Ray Computed
title Metabolic Imaging of Ovarian Tumors with Carbon-11-Methionine: A PET Study
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