“…The ability to noninvasively characterize tumor integrin expression, vascular permeability, and proliferation will allow for more accurate patient selection, monitoring, and therapeutic intervention. In the case of glioblastoma multiforme, 18 F-FDG has shown poor specificity in characterizing size, functional activity, and heterogeneity of primary and recurrent brain tumors due to the high basal glucose metabolic rate of normal brain tissue. Specifically, 18 F-FDG uptake of low-grade tumors is similar to that of normal white matter, and high-grade tumor uptake may approximate normal gray matter, decreasing the sensitivity of tumor detection (45).…”