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Focus on Pheochromocytoma
a Reproductive Biology and Medicine Branch, National Institutes of Child Health and Human Development, Bethesda, Maryland 20892, USA b Radiation Oncology Branch, National Cancer Institute, Bethesda, Maryland 20892, USA c National Institute of Neurological Disorders and Stroke/Mouse Imaging Facility, Charles River Labs, Bethesda, Maryland 20892, USA d Intramural Science PRGMS, National Institute of Biomedical Imaging and Bioengineering, Bethesda, Maryland 20892, USA
Key Words: pheochromocytoma anatomical imaging functional imaging animal model [18F]-6F-dopamine
Address for correspondence: Karel Pacak, M.D., Ph.D., D.Sc., Building 10, Room 1E3140, National Institutes of Health, 10 Center Drive MSC-1583, Bethesda, MD 20892-1583. Voice: 301-402-4594; fax: 301-402-4712. e-mail: karel{at}mail.nih.gov
This review focuses on anatomical (computed tomography, magnetic resonance imaging) and functional (positron emission tomography) imaging methods for tumor localization and identification of experimentally induced tumors in animal models, especially pheochromocytoma. Although anatomical imaging can precisely locate primary and metastatic tumors, functional imaging has high specificity for some tumors, especially those of endocrine origin. This is due to the fact that endocrine tumor cells take up hormone precursors, express hormone receptors and transporters, and synthesize, store, and release hormones. These characteristic properties of endocrine tumors enable investigators to create highly specific radiopharmaceuticals, particularly for positron emission tomography. For example, localization of pheochromocytoma involves [18F]-6F-dopamine. It is a highly specific radiopharmaceutical since it uses the norepinephrine transporter system expressed in most pheochromocytoma cells. Here we review both anatomical and functional imaging methods that are used conjointly in order to localize and identify specific characteristics of tumors.
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