PET imaging of bone metastases with FDG, fluoride and gallium-somatostatin analogs

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Imaging is aimed at identifying skeletal involvement as early as possible, to determine the extent of skeletal disease, to evaluate the presence of complications, to monitor response to therapy, and occasionally to guide biopsy. Detection of bone metastases in nuclear medicine is based on either direct visualization of tumor cells using radiotracers that accumulate in these cells, or tracers, the uptake of which reflects bone reaction secondary to the presence of malignant cells. The following summary describes the role of positron emission tomography-computed tomography (PET-CT) in assessment of bone metastases using three different PET tracers: 18F-fluo-rdeoxyglucose (18F-FDG), which directly accumulates in tumor cells of FDG-avid malignancies; 68Ga-somato-statin, which accumulates in neuroendocrine tumors that show high expression of somatostatin receptors; and 18F-fluoride, a bone-seeking agent that reflects secondary bone reactive changes.

Original languageEnglish
Title of host publicationMusculoskeletal Diseases 2013-2016
Subtitle of host publicationDiagnostic Imaging and Interventional Techniques
PublisherSpringer-Verlag Milan
Pages226-228
Number of pages3
ISBN (Electronic)9788847052925
ISBN (Print)9788847052918
DOIs
StatePublished - 1 Jan 2013

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