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Magnetic resonance imaging-based partial volume-corrected F-18-sodium fluoride positron emission tomography in the femoral neck
Journal article   Peer reviewed

Magnetic resonance imaging-based partial volume-corrected F-18-sodium fluoride positron emission tomography in the femoral neck

Cyrus Ayubcha, William Y. Raynor, Austin J. Borja, Siavash M. Seraj, Chaitanya Rojulpote, Thomas J. Werner, Mona-Elisabeth Revheim, Chamith S. Rajapakse and Abass Alavi
Nuclear medicine communications, v 42(4), pp 416-420
01 Apr 2021
PMID: 33306627

Abstract

Life Sciences & Biomedicine Radiology, Nuclear Medicine & Medical Imaging Science & Technology
Objectives F-18-sodium fluoride (NaF) is a radiotracer used in PET that reflects calcium metabolism and osteoblastic activity. In this study, we assessed the construct validity of a novel application of global assessment to measure NaF uptake in the femoral neck as a method of evaluating physiologic changes in osteoblastic metabolism with age. Methods Whole-body NaF-PET/computed tomography (CT) images and MRI of 24 male patients with a history of nonmetastatic prostate cancer between the ages of 36 and 82 years (67.8 +/- 9.6) were analyzed. A region of interest delineated the entire femoral neck on the PET/CT image to determine the mean standardized uptake value (SUVmean). Correction for the partial volume effect was performed by measuring the volume of inert yellow bone marrow by MRI segmentation. Multiple linear regression was used to assess the relationship of uptake with age and body weight. Results The SUVmean with and without partial volume correction decreased with respect to age (P = 0.001 and P = 0.002, respectively). Body weight was not significantly related to any measured PET parameter. Conclusion Our results support the use of global NaF uptake with magnetic resonance-derived partial volume correction in the femoral neck. Because osteoblastic metabolism is known to decrease with normal aging, the observed decrease in NaF uptake constitutes evidence for convergent validity, indicating that the proposed methodology likely reflects systemic osteoblastic activity. Future studies of this methodology are warranted in other instances of varying osteoblastic activity such as in metabolic bone diseases and for the evaluation of therapy targeting osteoblastic metabolism.

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Radiology, Nuclear Medicine & Medical Imaging
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