(A) 18F-FCH PET/CT whole body imaging in a patient with severe hyperparathyroidism depicting multiple brown tumors on maximum intensity projection (MIP) images (arrows), coronal CT (left) and fusion PET/CT (right) images depicting parathyroid adenoma (B1), axial (B2) and oblique (B3) CT (left) and fusion PET/CT (right) images depicting brown tumor (arrows), axial CT depicting sclerotic healed brown tumor (B4) following cure of hyperparathyroidism. (C) Comparison of acquisition protocols for 18F-FCH PET/CT showing cases where an earlier <10 min time point had higher uptake compared to a delayed >60min time point (C1, C2), cases where earlier and delayed time points where similar (C3, C4), and cases where the delayed time point had increased uptake (C5, C6). 18F-FCH, 18F-fluorocholine. Reproduced with permission from: (A, B)
Zhang-Yin J, Gaujoux S, Delbot T, GauthéM, Talbot JN. 18F-Fluorocholine PET/CT Imaging of Brown Tumors in a Patient With Severe Primary Hyperparathyroidism. Clin Nucl Med. 2019 Dec;44(12):971-974. doi: 0.1097/RLU.0000000000002814. PMID: 31652163. (C)
Morland D, Richard C, Godard F, Deguelte S, Delemer B. Temporal Uptake Patterns of 18F-Fluorocholine Among Hyperfunctioning Parathyroid Glands. Clin Nucl Med. 2018 Jul;43(7):504-505. doi: 10.1097/RLU.0000000000002132. PMID: 29762240.