Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brain
Abstract Background The large neutral amino acid [18F]fluoroethoxy-L-tyrosine ([18F]FET) is a popular tracer for detection and staging of intracranial tumors by positron emission tomography (PET). While its high tumoral uptake reflects over-expression of the L-type amino acid transporter (LAT1), the...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-07-01
|
| Series: | EJNMMI Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13550-025-01279-7 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849235680810500096 |
|---|---|
| author | Korbinian Krieger Thomas Pyka Clemens Mingels Hasan Sari Albert Gjedde Axel Rominger Paul Cumming |
| author_facet | Korbinian Krieger Thomas Pyka Clemens Mingels Hasan Sari Albert Gjedde Axel Rominger Paul Cumming |
| author_sort | Korbinian Krieger |
| collection | DOAJ |
| description | Abstract Background The large neutral amino acid [18F]fluoroethoxy-L-tyrosine ([18F]FET) is a popular tracer for detection and staging of intracranial tumors by positron emission tomography (PET). While its high tumoral uptake reflects over-expression of the L-type amino acid transporter (LAT1), there is little knowledge about the kinetics of [18F]FET uptake in healthy brain tissue, owing to the limited PET data in healthy volunteers, and to the requirement of an arterial input function for compartmental analysis. To address this, we used long axial field-of-view (LAFOV) dynamic 40-min recordings of 28 post-operative patients with intracranial tumors to undertake parametric brain mapping relative to an image-derived arterial input function (IDIF) obtained from the aorta. We averaged the individual parametric maps to obtain estimates of the physiological uptake relatively unaffected by individual residual lesions and resections, and tested simplified single-frame methods for quantitation. Results The analyses yielded estimates of regional unidirectional blood–brain clearance K1 (0.00825–0.0244 ml g−1 min−1), net blood–brain clearance Kin (0.00448–0.00913 ml g−1 min−1), and equilibrium distribution volume VT (0.126–0.495 ml g−1), where the lowest values depict white matter, and the highest values cerebellum. In our test of a simplified quantitation of [18F]FET uptake from single frame recordings, i.e., Gjedde–Patlak multilinear graphic analyses of K1 at five min post-injection and Kin at 40 min post injection, results were in good agreement with the analyses from the dynamic recordings (< 10% error). Conclusions Compartmental analysis results for [18F]FET uptake in extra-tumoral human brain regions are in accord with the few prior reports, mainly obtained in experimental animals, and support the use of single frame quantitation. Present findings in relatively healthy brain should inform the interpretation of pathological [18F]FET uptake in tumors. |
| format | Article |
| id | doaj-art-68e7e7b10be84614888e7d1d35e90aee |
| institution | Kabale University |
| issn | 2191-219X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | EJNMMI Research |
| spelling | doaj-art-68e7e7b10be84614888e7d1d35e90aee2025-08-20T04:02:42ZengSpringerOpenEJNMMI Research2191-219X2025-07-0115111010.1186/s13550-025-01279-7Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brainKorbinian Krieger0Thomas Pyka1Clemens Mingels2Hasan Sari3Albert Gjedde4Axel Rominger5Paul Cumming6Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of BernDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of BernDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of BernDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of BernTranslational Neuropsychiatry Unit, Department of Clinical Medicine, Faculty of Health Sciences, Aarhus UniversityDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of BernDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of BernAbstract Background The large neutral amino acid [18F]fluoroethoxy-L-tyrosine ([18F]FET) is a popular tracer for detection and staging of intracranial tumors by positron emission tomography (PET). While its high tumoral uptake reflects over-expression of the L-type amino acid transporter (LAT1), there is little knowledge about the kinetics of [18F]FET uptake in healthy brain tissue, owing to the limited PET data in healthy volunteers, and to the requirement of an arterial input function for compartmental analysis. To address this, we used long axial field-of-view (LAFOV) dynamic 40-min recordings of 28 post-operative patients with intracranial tumors to undertake parametric brain mapping relative to an image-derived arterial input function (IDIF) obtained from the aorta. We averaged the individual parametric maps to obtain estimates of the physiological uptake relatively unaffected by individual residual lesions and resections, and tested simplified single-frame methods for quantitation. Results The analyses yielded estimates of regional unidirectional blood–brain clearance K1 (0.00825–0.0244 ml g−1 min−1), net blood–brain clearance Kin (0.00448–0.00913 ml g−1 min−1), and equilibrium distribution volume VT (0.126–0.495 ml g−1), where the lowest values depict white matter, and the highest values cerebellum. In our test of a simplified quantitation of [18F]FET uptake from single frame recordings, i.e., Gjedde–Patlak multilinear graphic analyses of K1 at five min post-injection and Kin at 40 min post injection, results were in good agreement with the analyses from the dynamic recordings (< 10% error). Conclusions Compartmental analysis results for [18F]FET uptake in extra-tumoral human brain regions are in accord with the few prior reports, mainly obtained in experimental animals, and support the use of single frame quantitation. Present findings in relatively healthy brain should inform the interpretation of pathological [18F]FET uptake in tumors.https://doi.org/10.1186/s13550-025-01279-7Positron emission tomography (PET)[18F]Fluoroethoxy-L-tyrosine (FET)PhysiologicalBrainLarge neutral amino acidsL-type amino acid transporter |
| spellingShingle | Korbinian Krieger Thomas Pyka Clemens Mingels Hasan Sari Albert Gjedde Axel Rominger Paul Cumming Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brain EJNMMI Research Positron emission tomography (PET) [18F]Fluoroethoxy-L-tyrosine (FET) Physiological Brain Large neutral amino acids L-type amino acid transporter |
| title | Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brain |
| title_full | Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brain |
| title_fullStr | Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brain |
| title_full_unstemmed | Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brain |
| title_short | Kinetics of the amino acid uptake tracer O-(2-[18F]fluoroethyl)-L-tyrosine (FET) in human brain |
| title_sort | kinetics of the amino acid uptake tracer o 2 18f fluoroethyl l tyrosine fet in human brain |
| topic | Positron emission tomography (PET) [18F]Fluoroethoxy-L-tyrosine (FET) Physiological Brain Large neutral amino acids L-type amino acid transporter |
| url | https://doi.org/10.1186/s13550-025-01279-7 |
| work_keys_str_mv | AT korbiniankrieger kineticsoftheaminoaciduptaketracero218ffluoroethylltyrosinefetinhumanbrain AT thomaspyka kineticsoftheaminoaciduptaketracero218ffluoroethylltyrosinefetinhumanbrain AT clemensmingels kineticsoftheaminoaciduptaketracero218ffluoroethylltyrosinefetinhumanbrain AT hasansari kineticsoftheaminoaciduptaketracero218ffluoroethylltyrosinefetinhumanbrain AT albertgjedde kineticsoftheaminoaciduptaketracero218ffluoroethylltyrosinefetinhumanbrain AT axelrominger kineticsoftheaminoaciduptaketracero218ffluoroethylltyrosinefetinhumanbrain AT paulcumming kineticsoftheaminoaciduptaketracero218ffluoroethylltyrosinefetinhumanbrain |