Evidence map›Paper›PMID 25453047›Full record

ArticleJournal of nuclear medicine : official publication, Society of Nuclear Medicine2014

Anti-1-amino-3-18F-fluorocyclobutane-1-carboxylic acid: physiologic uptake patterns, incidental findings, and variants that may simulate disease.

David M Schuster, Cristina Nanni, Stefano Fanti, Shuntaro Oka, Hiroyuki Okudaira, Yusuke Inoue, Jens Sörensen, Rikard Owenius, Peter Choyke, Baris Turkbey and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. [European journal of nuclear medicine and molecular imaging · 2020
    Guideline
  4. Pooled it
  5. AnCurrent radiopharmaceuticals · 2024
    Trial
  6. [Tomography (Ann Arbor, Mich.) · 2022
    Trial
  7. Randomized Trial of Conventional Versus Conventional Plus Fluciclovine (International journal of radiation oncology, biology, physics · 2022
    Trial
  8. [European journal of nuclear medicine and molecular imaging · 2021
    Trial
  9. A PET/MRI study towards finding the optimal [European journal of nuclear medicine and molecular imaging · 2017
    Trial
  10. Trial
  11. Physiological biodistribution ofFrontiers in nuclear medicine · 2026
    Article
  12. Review
  13. Article
  14. Tracing prostate cancer - the evolution of PET-CT applications.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
    Review
  15. Diagnostic Accuracy of PET withDiagnostics (Basel, Switzerland) · 2023
    Review
  16. Review
  17. Review
  18. Differences in Failure-Free Survival After Salvage Radiotherapy Guided by Conventional Imaging VersusJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 6 countries.

David M SchusterDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia dschust@emory.edu.
Cristina NanniDepartment of Nuclear Medicine, Policlinico S. Orsola, University of Bologna, Bologna, Italy.
Stefano FantiDepartment of Nuclear Medicine, Policlinico S. Orsola, University of Bologna, Bologna, Italy.
Shuntaro OkaResearch Center, Nihon Medi-Physics Co., Ltd., Chiba, Japan.
Hiroyuki OkudairaResearch Center, Nihon Medi-Physics Co., Ltd., Chiba, Japan.
Yusuke InoueDepartment of Diagnostic Radiology, Kitasato University School of Medicine, Kitasato, Japan.
Jens SörensenDepartment of Radiology, Oncology and Radiation Sciences, Uppsala University, Uppsala, Sweden.
Rikard OweniusGE Healthcare, Life Sciences, Imaging R&D, Uppsala, Sweden.
Peter ChoykeMolecular Imaging Program, National Cancer Institute, Bethesda, Maryland.
Baris TurkbeyMolecular Imaging Program, National Cancer Institute, Bethesda, Maryland.
Trond V BogsrudDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway; and Department of Nuclear Medicine and PET-Center, Aarhus University Hospital, Aarhus, Denmark.
Tore Bach-GansmoDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway; and.
Raghuveer K HalkarDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia.
Jonathon A NyeDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia.
Oluwaseun A OdewoleDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia.
Bital Savir-BaruchDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia.
Mark M GoodmanDepartment of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia.
Emory University · USNational Cancer Institute · USNihon Medi-Physics (Japan) · JPAarhus University Hospital · DKKitasato University · JPOslo University Hospital · NOPoliclinico S.Orsola-Malpighi · ITUniversity of Bologna · ITUppsala University · SE

Funding

Prostate Cancer ImagingZIABC010655 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI CHOYKE, PETER L · 2009 to 2025
$49.2M
uPAR Targeted in Vivo Molecular Magnetic Resonance Imaging of....P50CA128301 · NCI · EMORY UNIVERSITY · PI SCHUSTER, DAVID MICHAEL · 2008 to 2012
$6.8M
Molecular Imaging with FACBC PET-CT to Improve Post prostatectomy RadiotherapyR01CA169188 · NCI · EMORY UNIVERSITY · PI JANI, ASHESH, SCHUSTER, DAVID MICHAEL · 2012 to 2016
$2.1M
18F-FACBC PET-CT for the Detection and Staging of Recurrent Prostate CarcinomaR01CA129356 · NCI · EMORY UNIVERSITY · PI SCHUSTER, DAVID MICHAEL · 2007 to 2011
$1.6M
NCI NIH HHS 5R01CA129356NCI NIH HHS P50 CA 128301NCI NIH HHS P50 CA128301NCI NIH HHS R01 CA129356NCI NIH HHS R01 CA169188
6 · The paper itself

Abstract

unlabelledAnti-1-amino-3-(18)F-fluorocyclobutane-1-carboxylic acid ((18)F-FACBC) is a synthetic amino acid analog PET radiotracer undergoing clinical trials for the evaluation of prostate and other cancers. We aimed to describe common physiologic uptake patterns, incidental findings, and variants in patients who had undergone (18)F-FACBC PET.

methodsSixteen clinical trials involving 611 (18)F-FACBC studies from 6 centers, which included dosimetry studies on 12 healthy volunteers, were reviewed. Qualitative observations of common physiologic patterns, incidental uptake, and variants that could simulate disease were recorded and compared with similar observations in studies of the healthy volunteers. Quantitative analysis of select data and review of prior published reports and observations were also made.

resultsThe liver and pancreas demonstrated the most intense uptake. Moderate salivary and pituitary uptake and variable mild to moderate bowel activity were commonly visualized. Moderate bone marrow and mild muscle activity were present on early images, with marrow activity decreasing and muscle activity increasing with time. Brain and lungs demonstrated activity less than blood pool. Though (18)F-FACBC exhibited little renal excretion or bladder uptake during the clinically useful early imaging time window, mild to moderate activity might accumulate in the bladder and interfere with evaluation of adjacent prostate bed and seminal vesicles in 5%-10% of patients. Uptake might also occur from benign processes such as infection, inflammation, prostatic hyperplasia, and metabolically active benign bone lesions such as osteoid osteoma.

conclusionCommon physiologic uptake patterns were similar to those noted in healthy volunteers. The activity in organs followed the presence of amino acid transport and metabolism described with other amino acid-based PET radiotracers. As with other PET radiotracers such as (18)F-FDG, focal nonphysiologic uptake may represent incidental malignancy. Uptake due to benign etiologies distinct from physiologic background also occurred and could lead to misinterpretations if the reader is unaware of them.

Indexed as

Carboxylic AcidsCyclobutanesIncidental FindingsRadiopharmaceuticalsAdultAgedArtifactsCentral Nervous SystemFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedPositron-Emission TomographyReference StandardsReproducibility of ResultsCarboxylic AcidsCyclobutanesfluciclovine F-18Radiopharmaceuticals18F-FACBCphysiologic uptakepositron emission tomography

Identifiers

PMID25453047
PMCPMC4844004
OpenAlexW2032988677

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.