[Metabolic imaging for supratentorial oligodendrogliomas]

Neurochirurgie. 2005 Sep;51(3-4 Pt 2):309-22. doi: 10.1016/s0028-3770(05)83492-7.
[Article in French]

Abstract

Metabolic imaging with positron emission tomography (PET) provides, in neuro-oncology, information complementary to that provided by anatomic imaging obtained with CT-scanner or MRI. Only a few publications have yet reported its use in oligodendroglial tumors. These findings and partial results obtained in ongoing work, suggest some preliminary conclusions: 11C-MET (L-methyl-methionine) is a more appropriate tracer than 18F-FDG (fluoro-deoxy-glucose), in terms of both specificity and sensitivity, for the assessment of patients with this category of tumor. PET/MET allows differentiation between grade II and grade III oligodendrogliomas; better targeting for stereotactic biopsy; more accurate assessment of the post-operative residual tumor; identification of progression from low-grade to anaplastic grade during the disease course; differentiation between recurrence and a post-radiation processes. PET/MET allows, to some extent, prediction of response to radiotherapy; and, probably, to chemotherapy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amino Acids / metabolism
  • Brain* / diagnostic imaging
  • Brain* / pathology
  • Female
  • Glucose / metabolism
  • Glycolysis
  • Humans
  • Imaging, Three-Dimensional
  • Magnetic Resonance Imaging
  • Male
  • Methionine / analogs & derivatives
  • Methionine / pharmacokinetics
  • Oligodendroglioma / diagnosis
  • Oligodendroglioma / drug therapy
  • Oligodendroglioma / metabolism*
  • Positron-Emission Tomography*
  • Radioactive Tracers
  • Supratentorial Neoplasms / diagnosis
  • Supratentorial Neoplasms / drug therapy
  • Supratentorial Neoplasms / metabolism*
  • Tomography, X-Ray Computed

Substances

  • Amino Acids
  • Radioactive Tracers
  • Methionine
  • methionine methyl ester
  • Glucose