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Positive [11C]Choline and Negative [18F]FDG with Positron Emission Tomography in Recurrence of Prostate Cancer

M. Picchio1, C. Landoni2, C. Messa2, L. Gianolli1, M. Matarrese3, F. De Cobelli4, A. Del Maschio4 and F. Fazio1,2,3

1 Department of Nuclear Medicine, Institute H San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
2 University of Milano-Bicocca, Via Olgettina 60, 20126, Milan, Italy.
3 IBFM-CNR, Via Olgettina 60, 20132, Milan, Italy.
4 Department of Radiology, Institute H San Raffaele, 20132, Milan, Italy.



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  		Fig. 1A. —75-year-old man with prostate cancer. FDG positron emission tomography (PET) coronal scan crossing left femoral bone lesions is negative for any abnormal uptake.

 


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  		Fig. 1C. —75-year-old man with prostate cancer. FDG PET coronal scan crossing right sacroiliac bone lesion FDG is negative for any abnormal uptake.

 


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  		Fig. 1B. —75-year-old man with prostate cancer. Methyl-11C choline PET scan clearly shows area of focal increased uptake corresponding to femoral metastasis (arrow) as suggested on MR imaging (not shown).

 


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  		Fig. 1D. —75-year-old man with prostate cancer. Methyl-11C choline PET scan clearly shows area of focal increased uptake corresponding to sacroiliac metastasis (arrow) as suggested on MR imaging (E and F).

 


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  		Fig. 1E. —75-year-old man with prostate cancer. Coronal spin-echo T1-weighted MR sequence (E) and coronal short tau inversion recovery (STIR) sequence (F) show metastatic lesion in sacroiliac joint as hypointense on spin-echo T1-weighted MR image (arrow, E) and hyperintense on STIR image (arrow, F).

 


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  		Fig. 1F. —75-year-old man with prostate cancer. Coronal spin-echo T1-weighted MR sequence (E) and coronal short tau inversion recovery (STIR) sequence (F) show metastatic lesion in sacroiliac joint as hypointense on spin-echo T1-weighted MR image (arrow, E) and hyperintense on STIR image (arrow, F).

 

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