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@ARTICLE{Galldiks:202241,
author = {Galldiks, Norbert and Langen, K. J. and Pope, W.},
title = {{F}rom the clinician's point of view - {W}hat is the status
quo of {PET} in patients with brain tumors?},
journal = {Neuro-Oncology},
volume = {17},
number = {11},
issn = {1522-8517},
address = {Oxford},
publisher = {Oxford Univ. Press},
reportid = {FZJ-2015-04530},
pages = {1434-1444},
year = {2015},
abstract = {The most common type of primary brain tumor is malignant
glioma. Despite intensive therapeutic efforts, the majority
of these neoplasms remain incurable. Imaging techniques are
important for initial tumor detection and comprise
indispensable tools for monitoring treatment. Structural
imaging using contrast-enhanced MRI is the method of choice
for brain tumor surveillance, but its capacity to
differentiate tumor from nonspecific tissue changes can be
limited, particularly with posttreatment gliomas. Metabolic
imaging using positron-emission-tomography (PET) can provide
relevant additional information, which may allow for better
assessment of tumor burden in ambiguous cases. Specific PET
tracers have addressed numerous molecular targets in the
last decades, but only a few have achieved relevance in
routine clinical practice. At present, PET studies using
radiolabeled amino acids appear to improve clinical
decision-making as these tracers can offer better
delineation of tumor extent as well as improved targeting of
biopsies, surgical interventions, and radiation therapy.
Amino acid PET imaging also appears useful for
distinguishing glioma recurrence or progression from
postradiation treatment effects, particularly radiation
necrosis and pseudoprogression, and provides information on
histological grading and patient prognosis. In the last
decade, the tracers O-(2-[18F]fluoroethyl)-L-tyrosine (FET)
and 3,4-dihydroxy-6-[18F]-fluoro-L-phenylalanine (FDOPA)
have been increasingly used for these indications. This
review article focuses on these tracers and summarizes their
recent applications for patients with brain tumors. Current
uses of tracers other than FET and FDOPA are also discussed,
and the most frequent practical questions regarding PET
brain tumor imaging are reviewed.},
cin = {INM-3 / INM-4},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406 / I:(DE-Juel1)INM-4-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000364783900003},
pubmed = {pmid:26130743},
doi = {10.1093/neuonc/nov118},
url = {https://juser.fz-juelich.de/record/202241},
}