01-11-2009 | Research Article
Initial Experience with the Radiotracer Anti-1-amino-3-[18F]Fluorocyclobutane-1-Carboxylic Acid (Anti-[18F]FACBC) with PET in Renal Carcinoma
Published in: Molecular Imaging and Biology | Issue 6/2009
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Purpose
Assessment of renal masses with conventional imaging may be challenging. Anti-1-amino-3-[18F]fluorocyclobutane-1-carboxylic acid (anti-[18F]FACBC) is a synthetic l-leucine analog with relatively little renal excretion. The present study examines anti-[18F]FACBC positron emission tomography uptake in patients with renal masses.
Procedures
Six patients with seven renal lesions were imaged dynamically for 2 h after injection of 10–10.9 mCi (370–403 MBq) anti-[18F]FACBC. Lesions were evaluated qualitatively and quantitatively and correlated with histology.
Results
Four clear cell and one Rosai–Dorfman lesion were hypo/isointense to normal cortex; two papillary lesions in the same patient were hyperintense. Mean SUVmax ± SD at 30 min was 2.8 ± 0.24 for clear cell carcinomas and 4.5 ± 1.7 for papillary cell lesions. Mean SUVmax/SUVmean ratios ± SD of lesion to normal cortex at 30 min was 1.15 ± 0.19 for the clear cell carcinomas and 2.3 ± 0.84 for papillary cell.
Conclusions
In this small patient sample, relative amino acid transport compared with renal cortex is elevated in renal papillary cell carcinoma but not in clear cell carcinoma.