Pub Date : 2020-03-25DOI: 10.3760/CMA.J.CN321828-20190729-00138
Weiyan Zhou, Fengchun Hua, Jianfei Xiao, Ming Li, Yuhua Zhu, Tao Hua
Objective To assess the preoperative 11C-methionine (11C-MET) PET imaging in glioma grading efficacy and its predictive value for isocitrate dehydrogenase enzyme 1 (IDH1) gene mutation status. Methods A total of 118 glioma cases (70 males, 48 females; median age 45 years, age range: 10-71 years; Ⅱ grade 65 cases, Ⅲ grade 34 cases, Ⅳ grade 19 cases) received 11C-MET PET imaging in PET Center of Huashan Hospital from February 2012 to November 2017 were retrospectively analyzed. Lesion-based semi-quantitative analysis was conducted on the 11C-MET imaging. Maximum standardized uptake value (SUVmax), peak standardized uptake value (SUVpeak), tumor-to-background ratio (TBR; SUVmax in lesion/mean standardized uptake value (SUVmean) in normal contralateral cortex) were calculated. Independent-sample t test and one-way analysis of variance were applied to assess the differentiating efficacy of 11C-MET PET imaging for different glioma groups. Based on IDH1 immunohistochemical staining results, predictive efficacy of 11C-MET PET diagnostic parameters on IDH1 mutation status in glioma patients was further analyzed with receiver operating characteristic (ROC) curve analysis. Results Low-grade glioma (LGG; grade Ⅱ) group showed significant differences from high-grade glioma (HGG; grade Ⅲ-Ⅳ) group in SUVmax(2.458±1.100 vs 3.828±1.540; t=5.624, P<0.01), SUVpeak (2.160±0.991 vs 3.261±1.319; t=5.175, P<0.01) and TBR (2.283±0.942 vs 3.434±1.395; t=5.328, P<0.01). SUVmax (2.458±1.100, 3.591±1.611 and 4.251±1.343; F=17.67, P<0.01), SUVpeak(2.160±0.991, 3.040±1.335 and 3.656±1.225; F=15.48, P<0.01) and TBR (2.283±0.942, 3.010±1.242 and 4.192±1.358; F=22.73, P<0.01) were different in grade Ⅱ, Ⅲ and Ⅳ glioma subgroups. SUVmax, SUVpeak and TBR all showed significant differences between grade Ⅱ and grade Ⅲ gliomas, grade Ⅱ and grade Ⅳ gliomas, and there were also statistical differences between grade Ⅲ and grade Ⅳ glioma with TBR (all P<0.01). SUVmax indicated the best single-parameter prediction performance (area under curve (AUC) =0.808, z=7.193, P<0.01), while the SUVmax + SUVpeak showed the best performance (AUC=0.852, z=9.115, P<0.01). In the subgroup of grade Ⅱ (n=55), TBR of patients with IDH1 gene mutation (n=41) was lower than that of patients with IDH1 wild-types (n=14; 2.152±0.759 vs 2.793±1.208; t=2.326, P=0.02), while TBR of those with oligodendrogenic components (n=26) was higher than that of patients with IDH1 gene mutation only (n=18; 2.383±0.825 vs 1.854±0.478; t=2.447, P=0.02). Conclusions Preoperative semi-quantitative parameters (SUVmax, SUVpeak, TBR) of 11C-MET brain PET imaging have satisfactory grading discrimination performance for glioma patients. SUVmax is the best predictor for IDH1 mutation as a single parameter, while SUVmax + SUVpeak showed the most optimized predictive ability. The oligodendrogenic components in glioma can increase the uptake of 11C-MET, which may affect the effectiveness of 11C-MET in determining glioma g
目的探讨术前11c -蛋氨酸(11C-MET) PET显像在胶质瘤分级中的疗效及其对异柠檬酸脱氢酶1 (IDH1)基因突变状态的预测价值。方法118例胶质瘤患者(男70例,女48例;中位年龄45岁,年龄范围:10-71岁;回顾性分析2012年2月至2017年11月在华山医院PET中心接受11C-MET PET显像的病例(Ⅱ分级65例,Ⅲ分级34例,Ⅳ分级19例)。对11C-MET成像进行基于病变的半定量分析。最大标准化摄取值(SUVmax)、峰值标准化摄取值(SUVpeak)、肿瘤与背景比(TBR);计算病变SUVmax /正常对侧皮质平均标准化摄取值(SUVmean)。采用独立样本t检验和单因素方差分析评价11C-MET PET成像对不同胶质瘤组的鉴别效果。基于IDH1免疫组化染色结果,进一步采用受试者工作特征(ROC)曲线分析,分析11C-MET PET诊断参数对胶质瘤患者IDH1突变状态的预测效果。结果低级别胶质瘤;级别Ⅱ)组与高级别胶质瘤(HGG;分级Ⅲ-Ⅳ)组SUVmax(2.458±1.100 vs 3.828±1.540;t=5.624, P<0.01), SUVpeak(2.160±0.991 vs 3.261±1.319;t=5.175, P<0.01)和TBR(2.283±0.942 vs 3.434±1.395;t = 5.328, P < 0.01)。SUVmax分别为2.458±1.100、3.591±1.611和4.251±1.343;F=17.67, P<0.01), SUVpeak分别为2.160±0.991、3.040±1.335和3.656±1.225;F=15.48, P<0.01)、TBR(2.283±0.942、3.010±1.242、4.192±1.358);F=22.73, P<0.01),分别为Ⅱ、Ⅲ、Ⅳ级胶质瘤亚组。SUVmax、SUVpeak、TBR在Ⅱ级与Ⅲ级、Ⅱ级与Ⅳ级胶质瘤之间均有统计学差异,Ⅲ级与Ⅳ级胶质瘤与TBR之间也有统计学差异(均P<0.01)。单参数预测效果最好的是SUVmax(曲线下面积(area under curve, AUC) =0.808, z=7.193, P<0.01),最佳的是SUVmax + SUVpeak (AUC=0.852, z=9.115, P<0.01)。在Ⅱ级亚组(n=55)中,IDH1基因突变患者(n=41)的TBR低于IDH1野生型患者(n=14);2.152±0.759 vs 2.793±1.208;t=2.326, P=0.02),而具有少突基因成分的患者TBR (n=26)高于仅具有IDH1基因突变的患者(n=18;2.383±0.825 vs 1.854±0.478;t = 2.447, P = 0.02)。结论11C-MET脑PET成像术前半定量参数(SUVmax、SUVpeak、TBR)对胶质瘤患者具有满意的分级鉴别性能。SUVmax作为单参数对IDH1突变的预测效果最好,而SUVmax + SUVpeak的预测能力最优。胶质瘤中少突细胞成分可增加11C-MET的摄取,这可能在一定程度上影响11C-MET判断胶质瘤分级的有效性。关键词:胶质瘤;正电子发射断层扫描;蛋氨酸;基因;突变;异柠檬酸脱氢酶
{"title":"Preoperative 11C-methionine PET imaging in glioma grading efficacy and its predictive value for IDH1 gene mutation status","authors":"Weiyan Zhou, Fengchun Hua, Jianfei Xiao, Ming Li, Yuhua Zhu, Tao Hua","doi":"10.3760/CMA.J.CN321828-20190729-00138","DOIUrl":"https://doi.org/10.3760/CMA.J.CN321828-20190729-00138","url":null,"abstract":"Objective \u0000To assess the preoperative 11C-methionine (11C-MET) PET imaging in glioma grading efficacy and its predictive value for isocitrate dehydrogenase enzyme 1 (IDH1) gene mutation status. \u0000 \u0000 \u0000Methods \u0000A total of 118 glioma cases (70 males, 48 females; median age 45 years, age range: 10-71 years; Ⅱ grade 65 cases, Ⅲ grade 34 cases, Ⅳ grade 19 cases) received 11C-MET PET imaging in PET Center of Huashan Hospital from February 2012 to November 2017 were retrospectively analyzed. Lesion-based semi-quantitative analysis was conducted on the 11C-MET imaging. Maximum standardized uptake value (SUVmax), peak standardized uptake value (SUVpeak), tumor-to-background ratio (TBR; SUVmax in lesion/mean standardized uptake value (SUVmean) in normal contralateral cortex) were calculated. Independent-sample t test and one-way analysis of variance were applied to assess the differentiating efficacy of 11C-MET PET imaging for different glioma groups. Based on IDH1 immunohistochemical staining results, predictive efficacy of 11C-MET PET diagnostic parameters on IDH1 mutation status in glioma patients was further analyzed with receiver operating characteristic (ROC) curve analysis. \u0000 \u0000 \u0000Results \u0000Low-grade glioma (LGG; grade Ⅱ) group showed significant differences from high-grade glioma (HGG; grade Ⅲ-Ⅳ) group in SUVmax(2.458±1.100 vs 3.828±1.540; t=5.624, P<0.01), SUVpeak (2.160±0.991 vs 3.261±1.319; t=5.175, P<0.01) and TBR (2.283±0.942 vs 3.434±1.395; t=5.328, P<0.01). SUVmax (2.458±1.100, 3.591±1.611 and 4.251±1.343; F=17.67, P<0.01), SUVpeak(2.160±0.991, 3.040±1.335 and 3.656±1.225; F=15.48, P<0.01) and TBR (2.283±0.942, 3.010±1.242 and 4.192±1.358; F=22.73, P<0.01) were different in grade Ⅱ, Ⅲ and Ⅳ glioma subgroups. SUVmax, SUVpeak and TBR all showed significant differences between grade Ⅱ and grade Ⅲ gliomas, grade Ⅱ and grade Ⅳ gliomas, and there were also statistical differences between grade Ⅲ and grade Ⅳ glioma with TBR (all P<0.01). SUVmax indicated the best single-parameter prediction performance (area under curve (AUC) =0.808, z=7.193, P<0.01), while the SUVmax + SUVpeak showed the best performance (AUC=0.852, z=9.115, P<0.01). In the subgroup of grade Ⅱ (n=55), TBR of patients with IDH1 gene mutation (n=41) was lower than that of patients with IDH1 wild-types (n=14; 2.152±0.759 vs 2.793±1.208; t=2.326, P=0.02), while TBR of those with oligodendrogenic components (n=26) was higher than that of patients with IDH1 gene mutation only (n=18; 2.383±0.825 vs 1.854±0.478; t=2.447, P=0.02). \u0000 \u0000 \u0000Conclusions \u0000Preoperative semi-quantitative parameters (SUVmax, SUVpeak, TBR) of 11C-MET brain PET imaging have satisfactory grading discrimination performance for glioma patients. SUVmax is the best predictor for IDH1 mutation as a single parameter, while SUVmax + SUVpeak showed the most optimized predictive ability. The oligodendrogenic components in glioma can increase the uptake of 11C-MET, which may affect the effectiveness of 11C-MET in determining glioma g","PeriodicalId":10099,"journal":{"name":"中华核医学与分子影像杂志","volume":"40 1","pages":"153-158"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43192371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-25DOI: 10.3760/CMA.J.CN321828-20190821-00178
Fu-qiang Zhang, Qiang Li, Hui Yang, Zhansheng Zhang, Hong-Tao Hu
Objective To investigate the clinical value of 125I seeds implantation in the treatment of primary liver cancer with portal vein tumor thrombus. Methods A total of 218 patients (184 males and 34 females, age: (53.8±9.2) years) with primary liver cancer with portal vein tumor thrombus between January 2015 and June 2018 were retrospectively analyzed. All patients underwent 125I seeds implantation under CT guidance. CT examination and liver function test were repeated 2-3 months after the implantation, and the portal vein tumor thrombus diameter, liver function parameters and ascites before and after treatment were compared. All patients were followed up for 2-26 months and the survival time were calculated. Paired t test was used for data analysis. Results Among 218 patients, 8 patients (3.7%) had complete remission of tumor thrombus, 111 patients (50.9%) had partial remission, 80 patients (36.7%) had no change, and 19 patients (8.7%) had disease progression 2-3 months after the implantation. The total effective rate was 91.3%(199/218). The diameter of tumor thrombus after treatment was (12.63±4.64) mm, which was significantly smaller than that before treatment ((26.65±10.88) mm; t=18.74, P 0.05). Ascites in 86/142 patients were better after the implantation. No serious complications associated with treatment were seen. There were 162 patients died and 56 patients survived till the end of follow-up. The survival time of all patients was (9.23±0.59) months. Conclusion 125I seeds implantation can safely and effectively treat the portal vein tumor thrombus in patients with primary liver cancer, and improve the clinical symptoms such as ascites. Key words: Liver neoplasms; Thrombosis; Portal vein; Brachytherapy; Iodine radioisotopes
{"title":"Clinical value of 125I seeds implantation in the treatment of primary liver cancer with portal vein tumor thrombus","authors":"Fu-qiang Zhang, Qiang Li, Hui Yang, Zhansheng Zhang, Hong-Tao Hu","doi":"10.3760/CMA.J.CN321828-20190821-00178","DOIUrl":"https://doi.org/10.3760/CMA.J.CN321828-20190821-00178","url":null,"abstract":"Objective \u0000To investigate the clinical value of 125I seeds implantation in the treatment of primary liver cancer with portal vein tumor thrombus. \u0000 \u0000 \u0000Methods \u0000A total of 218 patients (184 males and 34 females, age: (53.8±9.2) years) with primary liver cancer with portal vein tumor thrombus between January 2015 and June 2018 were retrospectively analyzed. All patients underwent 125I seeds implantation under CT guidance. CT examination and liver function test were repeated 2-3 months after the implantation, and the portal vein tumor thrombus diameter, liver function parameters and ascites before and after treatment were compared. All patients were followed up for 2-26 months and the survival time were calculated. Paired t test was used for data analysis. \u0000 \u0000 \u0000Results \u0000Among 218 patients, 8 patients (3.7%) had complete remission of tumor thrombus, 111 patients (50.9%) had partial remission, 80 patients (36.7%) had no change, and 19 patients (8.7%) had disease progression 2-3 months after the implantation. The total effective rate was 91.3%(199/218). The diameter of tumor thrombus after treatment was (12.63±4.64) mm, which was significantly smaller than that before treatment ((26.65±10.88) mm; t=18.74, P 0.05). Ascites in 86/142 patients were better after the implantation. No serious complications associated with treatment were seen. There were 162 patients died and 56 patients survived till the end of follow-up. The survival time of all patients was (9.23±0.59) months. \u0000 \u0000 \u0000Conclusion \u0000125I seeds implantation can safely and effectively treat the portal vein tumor thrombus in patients with primary liver cancer, and improve the clinical symptoms such as ascites. \u0000 \u0000 \u0000Key words: \u0000Liver neoplasms; Thrombosis; Portal vein; Brachytherapy; Iodine radioisotopes","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"142-146"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48525447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-25DOI: 10.3760/CMA.J.CN321828-20190716-00133
Tianyu Meng, Jiangyuan Yu, Nan Li
Chemotherapy-related cardiotoxicity is common and has become one of the factors that affect the prognosis of patients. Early identification and intervention of chemotherapy-related cardiotoxicity is very important. Currently, the commonly used clinical, imaging and laboratory examination methods have their own shortcomings, while PET/CT imaging has not been widely used for chemotherapy-related cardiotoxicity. This article reviews the current application and deficiencies of PET/CT imaging in animal experiments and human trials of chemotherapy-related cardiotoxicity. Key words: Cardiotoxicity; Drug therapy; Positron-emission tomography; Tomography, X-ray computed; Trends
{"title":"Application of PET/CT imaging in chemotherapy-related cardiotoxicity","authors":"Tianyu Meng, Jiangyuan Yu, Nan Li","doi":"10.3760/CMA.J.CN321828-20190716-00133","DOIUrl":"https://doi.org/10.3760/CMA.J.CN321828-20190716-00133","url":null,"abstract":"Chemotherapy-related cardiotoxicity is common and has become one of the factors that affect the prognosis of patients. Early identification and intervention of chemotherapy-related cardiotoxicity is very important. Currently, the commonly used clinical, imaging and laboratory examination methods have their own shortcomings, while PET/CT imaging has not been widely used for chemotherapy-related cardiotoxicity. This article reviews the current application and deficiencies of PET/CT imaging in animal experiments and human trials of chemotherapy-related cardiotoxicity. \u0000 \u0000 \u0000Key words: \u0000Cardiotoxicity; Drug therapy; Positron-emission tomography; Tomography, X-ray computed; Trends","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"179-182"},"PeriodicalIF":0.0,"publicationDate":"2020-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48296651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.006
Enli Chen, Hongtao Zhang, Zezhou Liu, Jinxin Zhao, Ke Xu, Yansong Liang, A. Sui, Juan Wang
Objective To analyze the factors influencing the short-term efficacy of CT-guided 125I seeds implantation in the treatment of recurrent and metastatic tumors in head and neck. Methods A total of 73 patients (61 males, 12 females; age: (59.1±11.5) years) with head and neck tumors recurrence and metastasis treated by 125I seeds implantation in Hebei General Hospital from January 2015 to April 2019 were retrospectively enrolled. The implanted seeds activity was 11.1-29.6 MBq, and the prescription dose was 80.0-145.0 Gy. CT examination was conducted 3 months after 125I seeds implantation. According to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, short-term efficacy was classified as effective (complete remission (CR), partial remission (PR)) and ineffective (stable disease (SD), progressive disease (PD)). Univariate analysis of factors affecting short-term effect (gender, age, history of radiation therapy, Karnofsky performance status (KPS) scores, pathological type, the longest diameter of tumor, implantation patterns, seeds activity, immediate postoperative dose delivered to 90% gross tumor volume (D90), and with adjuvant chemotherapy post-surgery or not) were conducted. Variables with P<0.2 were enrolled in logistic multivariate regression analysis. In addition, artificial neural network (ANN) was constructed with all influencing factors as independent variables and short-term efficacy as dependent variables. Finally, receiver operating characteristic (ROC) curve analysis was performed for the common influencing factors in logistic regression analysis and ANN analysis. Results There were 34 with effective results and 39 with ineffective results. Logistic regression analysis indicated that the longest diameter of tumor, immediate postoperative D90, with adjuvant chemotherapy post-surgery or not had significant impacts on the short-term efficacy (Wald values: 6.950, 4.804, 4.790, all P<0.05); According to results of ANN analysis, the top 5 in order of importance for short-term efficacy prediction were immediate postoperative D90, the longest diameter of tumor, age, seeds activity and gender. ROC curve analysis indicated that the longest diameter of tumor and immediate postoperative D90 were the best predictors for short-term efficacy, with the threshold of 5.25 cm and 110.05 Gy respectively, and the area under the curve (AUC) was 0.843 and 0.847 respectively (both P<0.001). Conclusions The short-term efficacy of 125I seeds implantation in the recurrence and metastasis of head and neck tumors is mainly related to the longest diameter of tumor and immediate postoperative D90. Patients with the longest diameter of tumor 110.05 Gy can achieve better efficacy. Key words: Head and neck neoplasms; Recurrence; Neoplasm metastasis; Brachytherapy; Iodine radioisotopes; Radiotherapy, image-guided; Tomography, X-ray computed
{"title":"Factors influencing the short-term efficacy of CT-guided 125I seeds implantation in the treatment of recurrent and metastatic tumors of head and neck","authors":"Enli Chen, Hongtao Zhang, Zezhou Liu, Jinxin Zhao, Ke Xu, Yansong Liang, A. Sui, Juan Wang","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.006","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.006","url":null,"abstract":"Objective \u0000To analyze the factors influencing the short-term efficacy of CT-guided 125I seeds implantation in the treatment of recurrent and metastatic tumors in head and neck. \u0000 \u0000 \u0000Methods \u0000A total of 73 patients (61 males, 12 females; age: (59.1±11.5) years) with head and neck tumors recurrence and metastasis treated by 125I seeds implantation in Hebei General Hospital from January 2015 to April 2019 were retrospectively enrolled. The implanted seeds activity was 11.1-29.6 MBq, and the prescription dose was 80.0-145.0 Gy. CT examination was conducted 3 months after 125I seeds implantation. According to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, short-term efficacy was classified as effective (complete remission (CR), partial remission (PR)) and ineffective (stable disease (SD), progressive disease (PD)). Univariate analysis of factors affecting short-term effect (gender, age, history of radiation therapy, Karnofsky performance status (KPS) scores, pathological type, the longest diameter of tumor, implantation patterns, seeds activity, immediate postoperative dose delivered to 90% gross tumor volume (D90), and with adjuvant chemotherapy post-surgery or not) were conducted. Variables with P<0.2 were enrolled in logistic multivariate regression analysis. In addition, artificial neural network (ANN) was constructed with all influencing factors as independent variables and short-term efficacy as dependent variables. Finally, receiver operating characteristic (ROC) curve analysis was performed for the common influencing factors in logistic regression analysis and ANN analysis. \u0000 \u0000 \u0000Results \u0000There were 34 with effective results and 39 with ineffective results. Logistic regression analysis indicated that the longest diameter of tumor, immediate postoperative D90, with adjuvant chemotherapy post-surgery or not had significant impacts on the short-term efficacy (Wald values: 6.950, 4.804, 4.790, all P<0.05); According to results of ANN analysis, the top 5 in order of importance for short-term efficacy prediction were immediate postoperative D90, the longest diameter of tumor, age, seeds activity and gender. ROC curve analysis indicated that the longest diameter of tumor and immediate postoperative D90 were the best predictors for short-term efficacy, with the threshold of 5.25 cm and 110.05 Gy respectively, and the area under the curve (AUC) was 0.843 and 0.847 respectively (both P<0.001). \u0000 \u0000 \u0000Conclusions \u0000The short-term efficacy of 125I seeds implantation in the recurrence and metastasis of head and neck tumors is mainly related to the longest diameter of tumor and immediate postoperative D90. Patients with the longest diameter of tumor 110.05 Gy can achieve better efficacy. \u0000 \u0000 \u0000Key words: \u0000Head and neck neoplasms; Recurrence; Neoplasm metastasis; Brachytherapy; Iodine radioisotopes; Radiotherapy, image-guided; Tomography, X-ray computed","PeriodicalId":10099,"journal":{"name":"中华核医学与分子影像杂志","volume":"40 1","pages":"93-97"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46820671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.001
W. Fang
{"title":"Novel myocardial perfusion imaging tracers promote the development of nuclear cardiology","authors":"W. Fang","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.001","url":null,"abstract":"","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"65-68"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49580655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective To explore the biodistribution and quantitative value of 18F-Flurpiridaz in mini-swine, and compare with 13N-NH3·H2O. Methods Ten Bama mini-swine were divided into normal group and myocardial infarction group (n=5 in each group). Normal group was not treated and myocardial infarction group was modeled by thoracotomy and coronary artery ligation. Both groups were preceded by 13N-NH3·H2O imaging, followed by 18F-Flurpiridaz imaging (time interval >40 min). Injection dosage of 2 tracers was the same (185-370 MBq). 18F-Flurpiridaz whole-body PET/CT imaging was also performed in normal group. Biological distribution of 18F-Flurpiridaz was observed, and the ratio of radioactive uptake of 18F-Flurpiridaz between myocardium and adjacent tissues or organs was calculated. Image quality score and rest myocardial blood flow (rMBF) of 2 imaging tracers in normal group were measured and compared. MPI image quality score, cardiac function parameters such as summed rest score (SRS), myocardial infarction area percentage, total perfusion defect (TPD), and left ventricular ejection fraction (LVEF) of 2 imaging tracers were compared in myocardial infarction group. Data was analyzed by paired t test. Results In normal group, 18F-Flurpiridaz in the myocardium was clearly observed, with high radioactive uptake maintaining within 2 h postinjection. The radioactivity count ratios of left ventricular myocardium to cardiac pool, the lungs and liver were high (5.19-12.87, 4.17-50.51, 2.08-6.92). The quality of 18F-Flurpiridaz MPI images in both groups was excellent (10/10). The rMBF (ml·g-1·min-1) in different regions of left ventricle measured by 18F-Flurpiridaz and 13N-NH3·H2O imaging were not significantly different (left anterior descending: 0.98±0.06 vs 0.92±0.13; left circumflex: 0.98±0.05 vs 0.88±0.12; right coronary artery: 0.95±0.07 vs 0.88±0.15; left ventricle: 0.96±0.07 vs 0.90±0.13; t values: from -1.70 to -0.90, all P>0.05). There was no significant difference in SRS, myocardial infarction area percentage, TPD, rMBF or LVEF between 18F-Flurpiridaz and 13N-NH3·H2O (SRS: 10.6±4.1 vs 9.2±4.6; myocardial infarction area percentage: (15.2±9.0)% vs (12.6±6.6)%; TPD: (11.6±6.3)% vs (9.6±3.9)%; LVEF: (68.6±11.1)% vs (71.4±11.3)%; t values: -2.33-2.75, all P>0.05). Conclusions Comparing with 13N-NH3·H2O, 18F-Flurpiridaz has the advantages of good MPI image quality, accurate measurement of cardiac function parameters and quantitative potential of myocardial blood flow, which make it as a promising positron myocardial perfusion imaging agent. Key words: Myocardial perfusion imaging; Pyridazines; Fluorine radioisotopes; Ammonia; Positron-emission tomography; Tomography, X-ray computed; Swine
目的探讨18f -氟吡达滋在小型猪体内的生物分布及定量价值,并与13N-NH3·H2O进行比较。方法选取巴马迷你猪10头,分为正常组和心肌梗死组,每组5头。正常组不治疗,心肌梗死组采用开胸结扎造模。两组均先行13N-NH3·H2O显像,后行18f -氟吡唑显像(时间间隔bb0 ~ 40min)。两种示踪剂的注射剂量相同(185 ~ 370 MBq)。正常组行18f -氟吡达全身PET/CT成像。观察18f -氟吡达的生物分布,计算心肌与邻近组织或器官对18f -氟吡达的放射性摄取比。比较正常组2种显像示踪剂的图像质量评分和静息心肌血流量(rMBF)。比较2种显像示踪剂在心肌梗死组的MPI图像质量评分、心功能参数如总休息评分(SRS)、心肌梗死面积百分比、总灌注缺损(TPD)、左室射血分数(LVEF)。数据分析采用配对t检验。结果在正常组,18f -氟吡达在心肌中明显可见,注射后2 h内仍保持高放射性摄取。左室心肌与心池、肺、肝的放射性计数比较高(5.19 ~ 12.87、4.17 ~ 50.51、2.08 ~ 6.92)。两组18F-Flurpiridaz MPI图像质量均为极好(10/10)。18f -氟吡达和13N-NH3·H2O成像测量左心室不同区域的rMBF (ml·g-1·min-1)无显著差异(左前降:0.98±0.06 vs 0.92±0.13;左旋:0.98±0.05 vs 0.88±0.12;右冠状动脉:0.95±0.07 vs 0.88±0.15;左心室:0.96±0.07 vs 0.90±0.13;t值为-1.70 ~ -0.90,P值均为0.05)。18f -氟吡达与13N-NH3·H2O在SRS、心肌梗死面积百分比、TPD、rMBF或LVEF方面无显著差异(SRS: 10.6±4.1 vs 9.2±4.6;心肌梗死面积百分比:(15.2±9.0)% vs(12.6±6.6)%;TPD:(11.6±6.3)% vs(9.6±3.9)%;LVEF:(68.6±11.1)% vs(71.4±11.3)%;t值为-2.33-2.75,P值均为0.05)。结论与13N-NH3·H2O相比,18F-Flurpiridaz具有MPI图像质量好、心功能参数测量准确、心肌血流定量电位等优点,是一种很有前景的正电子心肌灌注显像剂。关键词:心肌灌注成像;邻二氮杂苯;氟放射性同位素;氨;正电子发射断层扫描;断层扫描,x射线计算机;猪
{"title":"Comparison of 18F-Flurpiridaz and 13N-NH3·H2O PET/CT myocardial perfusion imaging in animal experiments","authors":"Jiao Wang, Shuai Li, Tian-wen Liu, Jie-min Zhang, Yue Chen","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.003","url":null,"abstract":"Objective \u0000To explore the biodistribution and quantitative value of 18F-Flurpiridaz in mini-swine, and compare with 13N-NH3·H2O. \u0000 \u0000 \u0000Methods \u0000Ten Bama mini-swine were divided into normal group and myocardial infarction group (n=5 in each group). Normal group was not treated and myocardial infarction group was modeled by thoracotomy and coronary artery ligation. Both groups were preceded by 13N-NH3·H2O imaging, followed by 18F-Flurpiridaz imaging (time interval >40 min). Injection dosage of 2 tracers was the same (185-370 MBq). 18F-Flurpiridaz whole-body PET/CT imaging was also performed in normal group. Biological distribution of 18F-Flurpiridaz was observed, and the ratio of radioactive uptake of 18F-Flurpiridaz between myocardium and adjacent tissues or organs was calculated. Image quality score and rest myocardial blood flow (rMBF) of 2 imaging tracers in normal group were measured and compared. MPI image quality score, cardiac function parameters such as summed rest score (SRS), myocardial infarction area percentage, total perfusion defect (TPD), and left ventricular ejection fraction (LVEF) of 2 imaging tracers were compared in myocardial infarction group. Data was analyzed by paired t test. \u0000 \u0000 \u0000Results \u0000In normal group, 18F-Flurpiridaz in the myocardium was clearly observed, with high radioactive uptake maintaining within 2 h postinjection. The radioactivity count ratios of left ventricular myocardium to cardiac pool, the lungs and liver were high (5.19-12.87, 4.17-50.51, 2.08-6.92). The quality of 18F-Flurpiridaz MPI images in both groups was excellent (10/10). The rMBF (ml·g-1·min-1) in different regions of left ventricle measured by 18F-Flurpiridaz and 13N-NH3·H2O imaging were not significantly different (left anterior descending: 0.98±0.06 vs 0.92±0.13; left circumflex: 0.98±0.05 vs 0.88±0.12; right coronary artery: 0.95±0.07 vs 0.88±0.15; left ventricle: 0.96±0.07 vs 0.90±0.13; t values: from -1.70 to -0.90, all P>0.05). There was no significant difference in SRS, myocardial infarction area percentage, TPD, rMBF or LVEF between 18F-Flurpiridaz and 13N-NH3·H2O (SRS: 10.6±4.1 vs 9.2±4.6; myocardial infarction area percentage: (15.2±9.0)% vs (12.6±6.6)%; TPD: (11.6±6.3)% vs (9.6±3.9)%; LVEF: (68.6±11.1)% vs (71.4±11.3)%; t values: -2.33-2.75, all P>0.05). \u0000 \u0000 \u0000Conclusions \u0000Comparing with 13N-NH3·H2O, 18F-Flurpiridaz has the advantages of good MPI image quality, accurate measurement of cardiac function parameters and quantitative potential of myocardial blood flow, which make it as a promising positron myocardial perfusion imaging agent. \u0000 \u0000 \u0000Key words: \u0000Myocardial perfusion imaging; Pyridazines; Fluorine radioisotopes; Ammonia; Positron-emission tomography; Tomography, X-ray computed; Swine","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47859504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.009
Minmin Tang
{"title":"Differentiation of an atrium mass with 18F-FDG PET/CT imaging: a case report","authors":"Minmin Tang","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.009","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.009","url":null,"abstract":"","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"103-104"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45138626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.004
Ya-wen Wang, Kai Han, Zuoquan Zhao
Objective To investigate the biodistribution of 4-chloro-2-tert-butyl-5-[2-[[1-[2-[2-18F-fluroethoxy]ethoxymethyl]-1H-1, 2, 3-triazol-4-yl]methyl]phenylmethoxy]-3(2H)-pyridazinone (18F-MyoZone) and evaluate its clinical potential as a PET myocardial perfusion imaging (MPI) tracer in mini-swine. Methods 18F-MyoZone was prepared. Twelve Bama mini-swine were intravenously injected with approximately 111 MBq of 18F-MyoZone to evaluate PET imaging characteristics. Whole-body PET scans were performed at the timing of 5, 20, 40, 60 and 120 min postinjection to measure time-dependent mean standardized uptake value (SUVmean) in multiple organs of health animals (n=6). SUVmean ratios of myocardium/liver and myocardium/lung over time were then calculated. Mini-swine with induced acute myocardial infarction (n=3) and chronic myocardial ischemia (n=3) accompanying with health mini-swine (n=3) were utilized to evaluate the diagnostic capability of 18F-MyoZone PET MPI. Results The typical decay-corrected radiochemical yield of 18F-MyoZone reached (52.0±4.3)%(n=3) with a high radiochemical purity (>98%). In the biodistribution study, high initial myocardial uptake (SUVmean=10.40±2.40 at 5 min postinjection) and remarkable myocardial retention (SUVmean=9.30±2.00 at 120 min postinjection) were observed. The adjacent organs (like the liver and lungs) indicated low tracer uptake and rapid clearance. The heart/liver and heart/lung SUVmean ratios were 4.77±0.91 and 17.14±5.84 respectively at 5 min postinjection, with an increase to 11.16±1.38 and 21.69±7.09 at 120 min postinjection. In the MPI study of mini-swine, normal myocardium demonstrated uniform tracer distribution with clearly visualizable myocardial boundary, infarct myocardium and severe ischemia myocardium performed intense resting perfusion defect, and ischemia myocardium revealed reversible perfusion defect by stress/rest MPI. The myocardial image quality remained stable within 120 min postinjection. Conclusions MPI with 18F-MyoZone exhibits high initial myocardial uptake and low extracardiac activities in adjacent organs. Advantages in early imaging and wide diagnostic time window make it a promising PET MPI tracer. Key words: Myocardial perfusion imaging; MyoZone; Fluorine radioisotopes; Positron-emission tomography; Swine
目的研究4-氯-2-叔丁基-5-[2-[[1-[2-[2-18F-氟乙氧基]乙氧基甲基]-1H-1,2,3-三唑-4-基]甲基]苯基甲氧基]-3(2H)-哒嗪酮(18F-MyoZone)的生物分布,评价其作为小型猪心肌灌注显像(MPI)示踪剂的临床应用潜力。方法制备18F MyoZone。12头巴马小型猪静脉注射约111MBq的18F MyoZone,以评估PET成像特征。在注射后5、20、40、60和120分钟进行全身PET扫描,以测量健康动物(n=6)多个器官中与时间相关的平均标准摄取值(SUVmean)。然后计算心肌/肝和心肌/肺随时间的SUV平均比值。利用诱发急性心肌梗死的小型猪(n=3)和伴随健康小型猪(n=3)的慢性心肌缺血的小型猪来评估18F MyoZone PET MPI的诊断能力。结果18F MyoZone的典型衰变校正放射化学产率达到(52.0±4.3)%(n=3),放射化学纯度较高(>98%)。在生物分布研究中,观察到高的初始心肌摄取(注射后5分钟SUVmean=10.40±2.40)和显著的心肌滞留(注射后120分钟SUV均值=9.30±2.00)。邻近器官(如肝和肺)显示示踪剂摄取低,清除快。心/肝和心/肺SUV平均比值在注射后5min分别为4.77±0.91和17.14±5.84,在注射后120min分别增加到11.16±1.38和21.69±7.09。在小型猪的MPI研究中,正常心肌表现出均匀的示踪剂分布,心肌边界清晰可见,梗死心肌和严重缺血心肌表现出强烈的静息灌注缺陷,缺血心肌通过应力/静息MPI表现出可逆的灌注缺陷。心肌图像质量在注射后120分钟内保持稳定。结论含18F肌带的MPI表现出较高的初始心肌摄取和较低的心外活动。早期成像和宽诊断时间窗口的优势使其成为一种有前途的PET MPI示踪剂。关键词:心肌灌注成像;MyoZone;氟放射性同位素;正电子发射断层扫描;猪
{"title":"Experimental research of PET imaging with novel 18F-labeled myocardial perfusion imaging tracer: 18F-MyoZone","authors":"Ya-wen Wang, Kai Han, Zuoquan Zhao","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.004","url":null,"abstract":"Objective \u0000To investigate the biodistribution of 4-chloro-2-tert-butyl-5-[2-[[1-[2-[2-18F-fluroethoxy]ethoxymethyl]-1H-1, 2, 3-triazol-4-yl]methyl]phenylmethoxy]-3(2H)-pyridazinone (18F-MyoZone) and evaluate its clinical potential as a PET myocardial perfusion imaging (MPI) tracer in mini-swine. \u0000 \u0000 \u0000Methods \u000018F-MyoZone was prepared. Twelve Bama mini-swine were intravenously injected with approximately 111 MBq of 18F-MyoZone to evaluate PET imaging characteristics. Whole-body PET scans were performed at the timing of 5, 20, 40, 60 and 120 min postinjection to measure time-dependent mean standardized uptake value (SUVmean) in multiple organs of health animals (n=6). SUVmean ratios of myocardium/liver and myocardium/lung over time were then calculated. Mini-swine with induced acute myocardial infarction (n=3) and chronic myocardial ischemia (n=3) accompanying with health mini-swine (n=3) were utilized to evaluate the diagnostic capability of 18F-MyoZone PET MPI. \u0000 \u0000 \u0000Results \u0000The typical decay-corrected radiochemical yield of 18F-MyoZone reached (52.0±4.3)%(n=3) with a high radiochemical purity (>98%). In the biodistribution study, high initial myocardial uptake (SUVmean=10.40±2.40 at 5 min postinjection) and remarkable myocardial retention (SUVmean=9.30±2.00 at 120 min postinjection) were observed. The adjacent organs (like the liver and lungs) indicated low tracer uptake and rapid clearance. The heart/liver and heart/lung SUVmean ratios were 4.77±0.91 and 17.14±5.84 respectively at 5 min postinjection, with an increase to 11.16±1.38 and 21.69±7.09 at 120 min postinjection. In the MPI study of mini-swine, normal myocardium demonstrated uniform tracer distribution with clearly visualizable myocardial boundary, infarct myocardium and severe ischemia myocardium performed intense resting perfusion defect, and ischemia myocardium revealed reversible perfusion defect by stress/rest MPI. The myocardial image quality remained stable within 120 min postinjection. \u0000 \u0000 \u0000Conclusions \u0000MPI with 18F-MyoZone exhibits high initial myocardial uptake and low extracardiac activities in adjacent organs. Advantages in early imaging and wide diagnostic time window make it a promising PET MPI tracer. \u0000 \u0000 \u0000Key words: \u0000Myocardial perfusion imaging; MyoZone; Fluorine radioisotopes; Positron-emission tomography; Swine","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"82-87"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41473031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.013
Huimin Zhou
Pretargeting is an imaging strategy different from the imaging of traditional radiolabeled antibody, in which the antibody and radioisotope are administered in turn and then combined by coupling system within the body. Due to the high specificity and affinity between the coupling systems, the radioisotope is localized to the target in vivo, and then the radioactive labeling is achieved for imaging. Nuclear imaging using pretargeting methods can decrease the circulation duration of the radioisotope so as to reduce the uptake of the radioactivity in normal tissues, and facilitate the use of short-lived radioisotopes. This article provides a bird′s-eye view of 4 main strategies: biotin-streptavidin (SA) system, bispecific antibodies (BsAb) system, complementary oligonucleotides sequence, and bioorthogonal click chemistry system. Key words: Radioimmunodetection; Isotope labeling; Antibodies; Trends
{"title":"Research progress of pretargeting strategies in antibody radiolabeling","authors":"Huimin Zhou","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.013","url":null,"abstract":"Pretargeting is an imaging strategy different from the imaging of traditional radiolabeled antibody, in which the antibody and radioisotope are administered in turn and then combined by coupling system within the body. Due to the high specificity and affinity between the coupling systems, the radioisotope is localized to the target in vivo, and then the radioactive labeling is achieved for imaging. Nuclear imaging using pretargeting methods can decrease the circulation duration of the radioisotope so as to reduce the uptake of the radioactivity in normal tissues, and facilitate the use of short-lived radioisotopes. This article provides a bird′s-eye view of 4 main strategies: biotin-streptavidin (SA) system, bispecific antibodies (BsAb) system, complementary oligonucleotides sequence, and bioorthogonal click chemistry system. \u0000 \u0000 \u0000Key words: \u0000Radioimmunodetection; Isotope labeling; Antibodies; Trends","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"118-121"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47836337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-02-25DOI: 10.3760/CMA.J.ISSN.2095-2848.2020.02.012
Jingnan Wang, Yaping Luo, L. Huo
6-[18F]fluoro-L-dopa (18F-DOPA) is a levodopa analogue. 18F-DOPA PET/CT imaging is considered as an ideal tool in the diagnosis and evaluation of Parkinson′s disease, brain tumors, pheochromocytoma/paraganglioma, neuroblastoma, gastrointestinal carcinoid, medullary thyroid cancer and congenital hyperinsulinemia. This paper reviews the synthesis, mechanism of localization, imaging procedures, clinical indications and research advances of 18F-DOPA. Key words: Levodopa; Fluorine radioisotopes; Positron-emission tomography; Tomography, X-ray computed; Trends
{"title":"Research progress of 6-[18F]fluoro-L-dopa PET/CT imaging","authors":"Jingnan Wang, Yaping Luo, L. Huo","doi":"10.3760/CMA.J.ISSN.2095-2848.2020.02.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.2095-2848.2020.02.012","url":null,"abstract":"6-[18F]fluoro-L-dopa (18F-DOPA) is a levodopa analogue. 18F-DOPA PET/CT imaging is considered as an ideal tool in the diagnosis and evaluation of Parkinson′s disease, brain tumors, pheochromocytoma/paraganglioma, neuroblastoma, gastrointestinal carcinoid, medullary thyroid cancer and congenital hyperinsulinemia. This paper reviews the synthesis, mechanism of localization, imaging procedures, clinical indications and research advances of 18F-DOPA. \u0000 \u0000 \u0000Key words: \u0000Levodopa; Fluorine radioisotopes; Positron-emission tomography; Tomography, X-ray computed; Trends","PeriodicalId":10099,"journal":{"name":"Chinese Journal of Nuclear Medicine and Molecular Imaging","volume":"40 1","pages":"113-117"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42209239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}