Evaluation of treatment response using integrated 18F-labeled choline positron emission tomography/magnetic resonance imaging in adolescents with intracranial non-germinomatous germ cell tumours

Pediatr Blood Cancer. 2015 Sep;62(9):1661-3. doi: 10.1002/pbc.25538. Epub 2015 Apr 8.

Abstract

The efficacy of hybrid 18F-Fluroethyl-Choline (FEC) positron emission tomography (PET)/magnetic resonance imaging (MRI) was investigated as an imaging modality for diagnosis and assessment of treatment response and remission status in four patients with proven or suspected intracranial non-germinomatous germ cell tumours (NGGCT). In two patients faint or absent choline avidity correlated with negative histology, whereas in other two patients, persistent choline avidity in the residual mass was suggestive of presence of viable tumour, subsequently confirmed histologically. We conclude that FEC-PET/MRI may be an effective imaging tool in detecting viable residual tumour in patients with intracranial NGGCT post treatment.

Keywords: 18F-fluoroethyl-choline; PET; choline; intracranial germ cell tumours; neuro-oncolgy; positron emission tomography.

Publication types

  • Case Reports
  • Evaluation Study

MeSH terms

  • Adolescent
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biomarkers, Tumor / blood
  • Brain Neoplasms / diagnostic imaging*
  • Brain Neoplasms / therapy
  • Cerebral Ventricle Neoplasms / diagnostic imaging*
  • Cerebral Ventricle Neoplasms / therapy
  • Choline / analogs & derivatives
  • Combined Modality Therapy
  • Cranial Irradiation
  • Craniotomy
  • Female
  • Fluorine Radioisotopes
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Multimodal Imaging
  • Neoplasms, Germ Cell and Embryonal / diagnostic imaging*
  • Neoplasms, Germ Cell and Embryonal / therapy
  • Neuroimaging / methods*
  • Pineal Gland / diagnostic imaging
  • Pinealoma / diagnostic imaging*
  • Pinealoma / therapy
  • Positron-Emission Tomography*
  • Radiopharmaceuticals
  • Young Adult

Substances

  • Biomarkers, Tumor
  • Fluorine Radioisotopes
  • Radiopharmaceuticals
  • fluorocholine
  • Choline