Extraprostatic Uptake of 18F-Fluciclovine: Differentiation of Nonprostatic Neoplasms From Metastatic Prostate Cancer

AJR Am J Roentgenol. 2020 Mar;214(3):641-648. doi: 10.2214/AJR.19.21894. Epub 2020 Jan 15.

Abstract

OBJECTIVE. Fluciclovine is a synthetic radiolabeled amino acid analog used for imaging of biochemical recurrent prostate cancer. Uptake of fluciclovine is mediated by several amino acid transporters, including alanine-serine-cysteine transporter 2 and large neutral amino acid transporters, which are known to be overexpressed in other malignancies. CONCLUSION. Knowledge of the common patterns of prostate cancer recurrence, in addition to what other neoplasms can show uptake, is critical for accurate study interpretation.

Keywords: Axumin; PET/CT; amino acid transporter; fluciclovine; molecular imaging.

Publication types

  • Review

MeSH terms

  • Carboxylic Acids*
  • Cyclobutanes*
  • Diagnosis, Differential
  • Humans
  • Male
  • Neoplasm Metastasis / diagnostic imaging*
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Positron Emission Tomography Computed Tomography / methods*
  • Prostatic Neoplasms / diagnostic imaging*
  • Prostatic Neoplasms / pathology*
  • Radiopharmaceuticals

Substances

  • Carboxylic Acids
  • Cyclobutanes
  • Radiopharmaceuticals
  • fluciclovine F-18