title: Estimation of local cerebral glucose utilization by positron emission tomography: comparison of [18F]2-fluoro-2-deoxy-D-glucose and [18F]2-fluoro-2-deoxy-D-mannose in patients with focal brain lesions.
abstract: A comparative PET study of [18F]2-fluoro-2-deoxy-D-glucose (FDG) and [18F]2-fluoro-2-deoxy-D-mannose (FDM) uptake was performed in 13 patients with focal brain lesions. Differences between FDG and FDM with respect to model rate constants, lumped constant, and estimated metabolic rate for glucose were determined on a regional basis. Across whole brain, the transport rate constant K1* was almost unchanged, whereas k2*, describing the transport back from tissue to plasma, was 6% higher, and the phosphorylation rate constant k3* was 9% lower for FDM compared to FDG. This implies a 20% lower lumped constant for FDM. No significant regional variability of this differential tracer behavior was observed in normal or in lesioned brain tissue. Thus, results from previous FDG studies, where the radiotracer was not 100% pure FDG but contained varying amounts of FDM, can easily be corrected by adjustment of the lumped constant employed in metabolic quantitation.
authors.affiliation: Max-Planck-Institut für Neurologische Forschung, Köln, F.R.G.
authors.forename: K
authors.initials: K
authors.lastname: Wienhard
authors.forename: G
authors.initials: G
authors.lastname: Pawlik
authors.forename: B
authors.initials: B
authors.lastname: Nebeling
authors.forename: J
authors.initials: J
authors.lastname: Rudolf
authors.forename: G
authors.initials: G
authors.lastname: Fink
authors.forename: K
authors.initials: K
authors.lastname: Hamacher
authors.forename: G
authors.initials: G
authors.lastname: Stöcklin
authors.forename: W D
authors.initials: WD
authors.lastname: Heiss
mesh_terms: D000328:Adult; D001692:Biological Transport; D001786:Blood Glucose / Q000378:metabolism; D001921:Brain / Q000378:metabolism*; D001927:Brain Diseases / Q000378:metabolism*; D001932:Brain Neoplasms / Q000378:metabolism; D002543:Cerebral Hemorrhage / Q000378:metabolism; D002544:Cerebral Infarction / Q000378:metabolism; D003847:Deoxyglucose / Q000031:analogs & derivatives* / Q000378:metabolism; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007700:Kinetics; D008297:Male; D008433:Mathematics; D008875:Middle Aged; D010766:Phosphorylation; D012210:Rhamnose / Q000031:analogs & derivatives* / Q000378:metabolism; D014055:Tomography, Emission-Computed
chemical_list: D001786:Blood Glucose; D019788:Fluorodeoxyglucose F18; C017190:2-deoxy-2-fluoromannose; D003847:Deoxyglucose; D012210:Rhamnose