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Dynamic study of supratentorial gliomas with L-methyl-/sup 11/C-methionine and positron emission tomography

Journal Article · · AJNR, Am. J. Neuroradiol.; (United States)
OSTI ID:5022357

The regional kinetics of intravenously injected L-methyl-/sup 11/C-methionine (/sup 11/C-L-methionine) in the brain was investigated by positron emission tomography (PET) in 14 patients with gliomas. In both tumor and unaffected brain the tracer uptake reached a nearly constant level in 5 min or less. The ratio between the uptake of /sup 11/C-L-methionine by high-grade tumors and the uptake by unaffected brain was 1.9-4.8. In two cases of low-grade astrocytoma the ratio was 0.8-1.0. High uptakes of /sup 11/C-L-methionine occurred in gliomas even in the absence of blood-brain barrier defects as observed by other methods. This indicates that besides active transport of amino acid, a larger extracellular space in tumor as compared with unaffected brain tissue may also contribute to the increased uptake of /sup 11/C-L-methionine--derived radioactivity. In some patients delineation of the tumors was improved by use of PET with /sup 11/C-L-methionine as compared with computed tomography, angiography, and, in some instances, PET with /sup 68/Ga-EDTA. PET with /sup 11/C-L-methionine permits better evaluation of the tumor extent and may affect preoperative grading.

Research Organization:
Uppsala Univ., Sweden
OSTI ID:
5022357
Journal Information:
AJNR, Am. J. Neuroradiol.; (United States), Journal Name: AJNR, Am. J. Neuroradiol.; (United States) Vol. 4; ISSN AAJND
Country of Publication:
United States
Language:
English

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