Temporal Uptake Patterns of 18F-Fluorocholine Among Hyperfunctioning Parathyroid Glands

Clin Nucl Med. 2018 Jul;43(7):504-505. doi: 10.1097/RLU.0000000000002132.

Abstract

Optimal scan time of F-fluorocholine (FCH) PET/CT for localization of hyperfunctioning parathyroid glands is poorly documented. We report a small series of 9 histologically proven hyperfunctioning parathyroid gland with heterogeneous temporal uptake profile. Thirty-minute dynamic acquisition starting just after F-fluorocholine administration and delayed acquisition were recorded. Three different uptake patterns are seen (early washout, stable uptake, late increase) indicating the importance of an early (5-10 minutes) acquisition. A late acquisition (60 minutes) could be useful when the early acquisition is negative. No correlations were noted between uptake profile and histological or genetic results.

Publication types

  • Case Reports

MeSH terms

  • Choline / analogs & derivatives*
  • Choline / pharmacokinetics
  • Female
  • Humans
  • Male
  • Parathyroid Glands / diagnostic imaging*
  • Positron Emission Tomography Computed Tomography
  • Radiopharmaceuticals / pharmacokinetics*

Substances

  • Radiopharmaceuticals
  • fluorocholine
  • Choline