F-18胆碱PET和PET/CT在前列腺癌中的作用

S. Kohlfürst, P. Malle, I. Igerc, H. J. Gallowitsch, P. Lind
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引用次数: 0

摘要

F-18氟胆碱[氟甲基二甲基-2-羟乙基铵(FCH)]是胆碱类似物,与天然胆碱具有很大的结构相似性。胆碱及其衍生物用于前列腺癌(PC)成像的病理生理学基础是恶性细胞中胆碱水平的升高和胆碱激酶活性的上调。为了使肿瘤快速生长,恶性细胞能够捕获胆碱产生磷脂酰胆碱,这是细胞膜的一部分。最近的研究表明,在前列腺特异性抗原(PSA)血清水平升高的情况下,F-18胆碱PET和PET/CT可能是检测原发性肿瘤的有价值的工具。然而,数据并不一致,在对F-18胆碱PET和PET/CT给出一般性建议之前,还需要进一步的研究。此外,一些研究探讨了F-18胆碱PET和PET/CT在有PC病史的患者PSA复发时检测淋巴结或骨转移和局部复发的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Role of F-18 Choline PET and PET/CT in Prostate Cancer

F-18 fluorocholine [fluoromethyl-dimethyl-2-hydroxyethyl-ammonium (FCH)] is a choline analogue that shows great structural similarity to natural choline. The pathophysiological basis for the use of choline and its derivates for prostate cancer (PC) imaging are the elevation of choline levels and the up-regulation of choline kinase activity in malignant cells. In order to allow rapid tumour growth, malignant cells are able to trap choline to produce phosphatidylcholine, part of the cellular membrane. As shown in recent studies, F-18 choline PET and PET/CT might be a valuable tool in detecting the primary tumour in case of elevated prostate-specific antigen (PSA) serum levels. However, data are not consistent, and further research is necessary before general recommendations concerning F-18 choline PET and PET/CT can be given in this setting. Furthermore, some studies investigated the accuracy of F-18 choline PET and PET/CT in detecting lymph node or bone metastases and local recurrences in case of PSA relapse in patients with a history of PC.

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