Pre and post treatment images in patients treated with ERβ blocking (A.
Tamoxifen, B. Fulvestrant) and estrogen lowering therapies (C. aromatase
inhibitor). Tumor in the upper spine shows complete ER blockade. Tumor in
mediastinal nodes shows incomplete ER blockade. Sternal tumor shows no
blockade.
From Linden HM, Kurland BF, Peterson LM, et al. Fluoroestradiol positron emission
tomography reveals differences in pharmacodynamics of aromatase inhibitors,
tamoxifen, and fulvestrant in patients with metastatic breast cancer.
Clin Cancer Res. 2011;17:4799β4805; with
permission.