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@ARTICLE{Filss:1018541,
author = {Filss, Christian and Cramer, Julian and Löher, Saskia and
Lohmann, Philipp and Stoffels, Gabriele and Stegmayr, Carina
and Kocher, Martin and Heinzel, Alexander and Galldiks,
Norbert and Wittsack, Hans J. and Sabel, Michael and
Neumaier, Bernd and Scheins, Jürgen and Shah, N. Jon and
Meyer, Philipp T. and Mottaghy, Felix M. and Langen,
Karl-Josef},
title = {{A}ssessment of {B}rain {T}umour {P}erfusion {U}sing
{E}arly-{P}hase 18{F}-{FET} {PET}: {C}omparison with
{P}erfusion-{W}eighted {MRI}},
journal = {Molecular imaging $\&$ biology},
volume = {26},
issn = {1536-1632},
address = {Cham},
publisher = {Springer Nature Switzerland},
reportid = {FZJ-2023-04869},
pages = {36-44},
year = {2024},
abstract = {AbstractPurpose Morphological imaging using MRI is
essential for brain tumour diagnostics. Dynamic
susceptibility contrast (DSC)perfusion-weighted MRI (PWI),
as well as amino acid PET, may provide additional
information in ambiguous cases. SincePWI is often
unavailable in patients referred for amino acid PET, we
explored whether maps of relative cerebral blood
volume(rCBV) in brain tumours can be extracted from the
early phase of PET using O-(2-18F-fluoroethyl)-L-tyrosine
(18F-FET).Procedure Using a hybrid brain PET/MRI scanner,
PWI and dynamic 18F-FET PET were performed in 33 patients
withcerebral glioma and four patients with highly
vascularized meningioma. The time interval from 0 to 2 min
p.i. was selectedto best reflect the blood pool phase in
18F-FET PET. For each patient, maps of MR-rCBV, early
18F-FET PET (0–2 min p.i.)and late 18F-FET PET (20–40
min p.i.) were generated and coregistered. Volumes of
interest were placed on the tumour(VOI-TU) and
normal-appearing brain (VOI-REF). The correlation between
tumour-to-brain ratios (TBR) of the differentparameters was
analysed. In addition, three independent observers evaluated
MR-rCBV and early 18F-FET maps (18F-FETrCBV)for concordance
in signal intensity, tumour extent and intratumoural
distribution.Results TBRs calculated from MR-rCBV and
18F-FET-rCBV showed a significant correlation (r = 0.89, p <
0.001), whilethere was no correlation between late 18F-FET
PET and MR-rCBV (r = 0.24, p = 0.16) and 18F-FET-rCBV (r =
0.27, p =0.11). Visual rating yielded widely agreeing
findings or only minor differences between MR-rCBV maps and
18F-FET-rCBVmaps in 93 $\%$ of the tumours (range of three
independent raters $91–94\%,$ kappa among raters
0.78–1.0).Conclusion Early 18F-FET maps (0–2 min p.i.)
in gliomas provide similar information to MR-rCBV maps and
may be helpfulwhen PWI is not possible or available. Further
studies in gliomas are needed to evaluate whether
18F-FET-rCBV providesthe same clinical information as
MR-rCBV.Keywords Brain tumour · Glioma · PWI · rCBV ·
Early FET PET · Glioma · O-(2-18F-Fluoroethyl)-L-tyrosine
· Aminoacid PET},
cin = {INM-3 / INM-4 / INM-5},
ddc = {570},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-4-20090406 /
I:(DE-Juel1)INM-5-20090406},
pnm = {5252 - Brain Dysfunction and Plasticity (POF4-525)},
pid = {G:(DE-HGF)POF4-5252},
typ = {PUB:(DE-HGF)16},
pubmed = {37848641},
UT = {WOS:001183226500001},
doi = {10.1007/s11307-023-01861-2},
url = {https://juser.fz-juelich.de/record/1018541},
}