Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case series

We report the efficacy of dual positron emission tomography/computed tomography (PET/CT) imaging with [18F]-2'-fluoro-2'-deoxy-D-glucose ([18F]-FDG) and [18F]-fluorocholine ([18F]-FCH) in patients with gestational trophoblastic neoplasia (GTN) for primary diagnosis and staging of this rare...

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Main Authors: Tanyaluck Thientunyakit, Thonnapong Thongpraparn, Tossaporn Siriprapa, Juri G. Gelovani
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-01-01
Series:World Journal of Nuclear Medicine
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_91_18
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author Tanyaluck Thientunyakit
Thonnapong Thongpraparn
Tossaporn Siriprapa
Juri G. Gelovani
author_facet Tanyaluck Thientunyakit
Thonnapong Thongpraparn
Tossaporn Siriprapa
Juri G. Gelovani
author_sort Tanyaluck Thientunyakit
collection DOAJ
description We report the efficacy of dual positron emission tomography/computed tomography (PET/CT) imaging with [18F]-2'-fluoro-2'-deoxy-D-glucose ([18F]-FDG) and [18F]-fluorocholine ([18F]-FCH) in patients with gestational trophoblastic neoplasia (GTN) for primary diagnosis and staging of this rare pregnancy-related disorder. Whole-body PET/CT with [18F]-FDG and [18F]-FCH was performed in three patients with GTN in 2 consecutive days. Each detectable lesion was characterized by visual and quantitative analyses. As compared to CT alone, PET/CT with [18F]-FDG and [18F]-FCH PET/CT revealed more hypermetabolic metastatic lesions in the body, but not in the brain. The standard uptake value of [18F]-FDG was generally higher than [18F]-FCH in all detectable tumor lesions. In conclusion, both [18F]-FDG and [18F]-FCH PET/CT can be used for diagnosis and staging for GTN, based on their sensitivity for small extracerebral metastatic lesions. Additional studies are warranted to determine whether the PET/CT imaging with [18F]-FDG and [18F]-FCH can serve as a biomarker of GTN aggressiveness, for prediction of treatment response.
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spelling doaj-art-c2fef4caa0ca4e8aaa0ff2511ffc8fcf2025-08-20T02:54:42ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122020-01-011901727710.4103/wjnm.WJNM_91_18Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case seriesTanyaluck Thientunyakit0Thonnapong Thongpraparn1Tossaporn Siriprapa2Juri G. Gelovani3Department of Radiology, Division of Nuclear Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Radiology, Division of Nuclear Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Radiology, Division of Nuclear Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandDepartment of Neurosurgery, Oncology, OBGYN, Biomedical Engineering, School of Medicine, College of Engineering, and Karmanos Cancer Institute, Wayne State University, Detroit, Michigan, USAWe report the efficacy of dual positron emission tomography/computed tomography (PET/CT) imaging with [18F]-2'-fluoro-2'-deoxy-D-glucose ([18F]-FDG) and [18F]-fluorocholine ([18F]-FCH) in patients with gestational trophoblastic neoplasia (GTN) for primary diagnosis and staging of this rare pregnancy-related disorder. Whole-body PET/CT with [18F]-FDG and [18F]-FCH was performed in three patients with GTN in 2 consecutive days. Each detectable lesion was characterized by visual and quantitative analyses. As compared to CT alone, PET/CT with [18F]-FDG and [18F]-FCH PET/CT revealed more hypermetabolic metastatic lesions in the body, but not in the brain. The standard uptake value of [18F]-FDG was generally higher than [18F]-FCH in all detectable tumor lesions. In conclusion, both [18F]-FDG and [18F]-FCH PET/CT can be used for diagnosis and staging for GTN, based on their sensitivity for small extracerebral metastatic lesions. Additional studies are warranted to determine whether the PET/CT imaging with [18F]-FDG and [18F]-FCH can serve as a biomarker of GTN aggressiveness, for prediction of treatment response.http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_91_18[18f]-2'-fluoro-2'-deoxy-d-glucose[18f]-fluorocholinechoriocarcinomagestational trophoblastic neoplasiapositron emission tomography/computed tomography
spellingShingle Tanyaluck Thientunyakit
Thonnapong Thongpraparn
Tossaporn Siriprapa
Juri G. Gelovani
Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case series
World Journal of Nuclear Medicine
[18f]-2'-fluoro-2'-deoxy-d-glucose
[18f]-fluorocholine
choriocarcinoma
gestational trophoblastic neoplasia
positron emission tomography/computed tomography
title Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case series
title_full Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case series
title_fullStr Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case series
title_full_unstemmed Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case series
title_short Head-to-head comparison of [18F]-fluorodeoxyglucose and [18F]-fluorocholine positron emission tomography/computed tomography in three patients with rare gestational trophoblastic neoplasms: A case series
title_sort head to head comparison of 18f fluorodeoxyglucose and 18f fluorocholine positron emission tomography computed tomography in three patients with rare gestational trophoblastic neoplasms a case series
topic [18f]-2'-fluoro-2'-deoxy-d-glucose
[18f]-fluorocholine
choriocarcinoma
gestational trophoblastic neoplasia
positron emission tomography/computed tomography
url http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_91_18
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