Contributions of biological tumor parameters to the incorporation rate of L: -[methyl-(11)C] methionine into astrocytomas and oligodendrogliomas

J Neurooncol. 2009 Jun;93(2):233-41. doi: 10.1007/s11060-008-9767-2. Epub 2008 Dec 20.

Abstract

We compared the tumor uptake of (11)C-methionine (MET) with positron emission tomography (PET) with the results of a pathological analysis to examine the proliferative potential and microvessel density measured with immunostaining for MIB-1 and factor VIII, respectively, from 33 patients with glioma. The MET uptake in oligodendrogliomas was significantly greater than that in grade 2 astrocytomas and comparable to those in grade 3 and 4 astrocytomas. The MIB-1 index of oligodendroglioma meanwhile was comparable to that of grade 2 astrocytoma. The microvessel area in oligodendroglioma was significantly greater than that in grade 2 astrocytomas and comparable to those in grade 3 and 4 astrocytomas. According to a multivariate statistical analysis, MET uptake ratio was closely correlated with the MIB-1 index among astrocytomas. An increase in the microvessel area in the oligodendrogliomas contributed to the higher MET uptake among the tumors with a low-proliferative index. This information is important for interpreting the results of MET-PET studies for clinical use.

MeSH terms

  • Adult
  • Astrocytoma / blood supply
  • Astrocytoma / diagnostic imaging
  • Astrocytoma / metabolism*
  • Astrocytoma / pathology
  • Astrocytoma / surgery
  • Capillaries / metabolism
  • Capillaries / pathology
  • Carbon Radioisotopes
  • Cell Division
  • Factor VIII / metabolism
  • Female
  • Humans
  • Male
  • Methionine / metabolism*
  • Microcirculation
  • Middle Aged
  • Neoplasm Staging
  • Oligodendroglioma / blood supply
  • Oligodendroglioma / diagnostic imaging
  • Oligodendroglioma / metabolism*
  • Oligodendroglioma / pathology
  • Oligodendroglioma / surgery
  • Positron-Emission Tomography

Substances

  • Carbon Radioisotopes
  • Factor VIII
  • Methionine