Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance Imaging

Antiangiogenic treatment using bevacizumab in brain tumor patients may cause difficulties in the diagnosis of tumor progression (ie, nonenhancing tumor progression). Newly defined criteria for treatment assessment and diagnosis of tumor progression (ie, RANO [Response Assessment in Neuro-Oncology] c...

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Main Authors: Norbert Galldiks, Marion Rapp, Gabriele Stoffels, Veronika Dunkl, Michael Sabel, Karl-Josef Langen
Format: Article
Language:English
Published: SAGE Publishing 2013-07-01
Series:Molecular Imaging
Online Access:https://doi.org/10.2310/7290.2013.00051
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author Norbert Galldiks
Marion Rapp
Gabriele Stoffels
Veronika Dunkl
Michael Sabel
Karl-Josef Langen
author_facet Norbert Galldiks
Marion Rapp
Gabriele Stoffels
Veronika Dunkl
Michael Sabel
Karl-Josef Langen
author_sort Norbert Galldiks
collection DOAJ
description Antiangiogenic treatment using bevacizumab in brain tumor patients may cause difficulties in the diagnosis of tumor progression (ie, nonenhancing tumor progression). Newly defined criteria for treatment assessment and diagnosis of tumor progression (ie, RANO [Response Assessment in Neuro-Oncology] criteria) have implemented signal alterations on T 2 /fluid-attenuated inversion recovery (FLAIR) sequences to changes in contrast enhancement. However, T 2 /FLAIR hyperintensity may be influenced by other causes (eg, radiation-induced leukoencephalopathy, peritumoral edema, gliosis). Positron emission tomography using the radiolabeled amino acid O-(2-[ 18 F]fluoroethyl)-L-tyrosine ( 18 F-FET-PET) may help detect the metabolically active tumor extent. We present 18 F-FET-PET imaging findings in a glioblastoma patient during bevacizumab treatment suggesting an earlier diagnosis of tumor progression than magnetic resonance imaging changes, which are based on the RANO criteria.
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institution Kabale University
issn 1536-0121
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publishDate 2013-07-01
publisher SAGE Publishing
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series Molecular Imaging
spelling doaj-art-d6077fccfd644dfc8225d1aefa3c26992025-01-03T01:22:46ZengSAGE PublishingMolecular Imaging1536-01212013-07-011210.2310/7290.2013.0005110.2310_7290.2013.00051Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance ImagingNorbert GalldiksMarion RappGabriele StoffelsVeronika DunklMichael SabelKarl-Josef LangenAntiangiogenic treatment using bevacizumab in brain tumor patients may cause difficulties in the diagnosis of tumor progression (ie, nonenhancing tumor progression). Newly defined criteria for treatment assessment and diagnosis of tumor progression (ie, RANO [Response Assessment in Neuro-Oncology] criteria) have implemented signal alterations on T 2 /fluid-attenuated inversion recovery (FLAIR) sequences to changes in contrast enhancement. However, T 2 /FLAIR hyperintensity may be influenced by other causes (eg, radiation-induced leukoencephalopathy, peritumoral edema, gliosis). Positron emission tomography using the radiolabeled amino acid O-(2-[ 18 F]fluoroethyl)-L-tyrosine ( 18 F-FET-PET) may help detect the metabolically active tumor extent. We present 18 F-FET-PET imaging findings in a glioblastoma patient during bevacizumab treatment suggesting an earlier diagnosis of tumor progression than magnetic resonance imaging changes, which are based on the RANO criteria.https://doi.org/10.2310/7290.2013.00051
spellingShingle Norbert Galldiks
Marion Rapp
Gabriele Stoffels
Veronika Dunkl
Michael Sabel
Karl-Josef Langen
Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance Imaging
Molecular Imaging
title Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance Imaging
title_full Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance Imaging
title_fullStr Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance Imaging
title_full_unstemmed Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance Imaging
title_short Earlier Diagnosis of Progressive Disease during Bevacizumab Treatment Using O-(2-F-Fluorethyl)-L-Tyrosine Positron Emission Tomography in Comparison with Magnetic Resonance Imaging
title_sort earlier diagnosis of progressive disease during bevacizumab treatment using o 2 f fluorethyl l tyrosine positron emission tomography in comparison with magnetic resonance imaging
url https://doi.org/10.2310/7290.2013.00051
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