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Current Osteoporosis Reports
Erschienen in: Current Osteoporosis Reports 4/2016

15.06.2016 | Imaging (T Lang and F Wehrli, Section Editors)

Evolving Role of Molecular Imaging with 18F-Sodium Fluoride PET as a Biomarker for Calcium Metabolism

verfasst von: William Raynor, Sina Houshmand, Saeid Gholami, Sahra Emamzadehfard, Chamith S. Rajapakse, Björn Alexander Blomberg, Thomas J. Werner, Poul F. Høilund-Carlsen, Joshua F. Baker, Abass Alavi

Erschienen in: Current Osteoporosis Reports | Ausgabe 4/2016

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Abstract

18F-sodium fluoride (NaF) as an imaging tracer portrays calcium metabolic activity either in the osseous structures or in soft tissue. Currently, clinical use of NaF-PET is confined to detecting metastasis to the bone, but this approach reveals indirect evidence for disease activity and will have limited use in the future in favor of more direct approaches that visualize cancer cells in the read marrow where they reside. This has proven to be the case with FDG-PET imaging in most cancers. However, a variety of studies support the application of NaF-PET to assess benign osseous diseases. In particular, bone turnover can be measured from NaF uptake to diagnose osteoporosis. Several studies have evaluated the efficacy of bisphosphonates and their lasting effects as treatment for osteoporosis using bone turnover measured by NaF-PET. Additionally, NaF uptake in vessels tracks calcification in the plaques at the molecular level, which is relevant to coronary artery disease. Also, NaF-PET imaging of diseased joints is able to project disease progression in osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. Further studies suggest potential use of NaF-PET in domains such as back pain, osteosarcoma, stress-related fracture, and bisphosphonate-induced osteonecrosis of the jaw. The critical role of NaF-PET in disease detection and characterization of many musculoskeletal disorders has been clearly demonstrated in the literature, and these methods will become more widespread in the future. The data from PET imaging are quantitative in nature, and as such, it adds a major dimension to assessing disease activity.
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Metadaten
Titel
Evolving Role of Molecular Imaging with 18F-Sodium Fluoride PET as a Biomarker for Calcium Metabolism
verfasst von
William Raynor
Sina Houshmand
Saeid Gholami
Sahra Emamzadehfard
Chamith S. Rajapakse
Björn Alexander Blomberg
Thomas J. Werner
Poul F. Høilund-Carlsen
Joshua F. Baker
Abass Alavi
Publikationsdatum
15.06.2016
Verlag
Springer US
Erschienen in
Current Osteoporosis Reports / Ausgabe 4/2016
Print ISSN: 1544-1873
Elektronische ISSN: 1544-2241
DOI
https://doi.org/10.1007/s11914-016-0312-5

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