Some studies have assessed the expression of dopaminergic dopamine 2 (D2)/3 receptors in prolactinomas and nonfunctioning pituitary adenomas (NFPA) by positron emission tomography/computed tomography (PET/CT) with
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C-raclopride, proving that this modality can be useful to predict the response to treatment with dopamine agonists. However, the use of
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C-labeled radiotracers is limited, as it requires a cyclotron in the PET center.
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F-fallypride is a radiotracer that has proven useful in assessing the expression of D2/3 receptors. As it is labeled with
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F, it can be produced and transported to distant PET centers. There are no studies on the usefulness of
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F-fallypride for the evaluation of patients with prolactinomas and NFPA. The aim of this study was to describe the first case series of patients with prolactinomas and NFPA studied with
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F-fallypride and
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C-methionine PET/CT to reveal D2/3 expression and amino acid (AA) metabolism.
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F-fallypride and
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C-methionine uptake were assessed in a case series of six patients, five with prolactinomas and one with a NFPA, and compared with clinical presentation and follow-up at 6–18 months. All patients presented with macroadenomas, with a wide range of AA metabolism, as revealed by
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C-methionine PET/CT.
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F-fallypride PET/CT identified low to moderate/high D2/3 expression in the tumors. The patient that presented low expression of D2/3 in the tumor and high AA metabolism showed a poor response to DA therapy.
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F-fallypride was able to reveal D2/3 receptor expression in prolactinomas and NFPA, with the advantage of been a more accessible radiotracer in comparison with previous
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C labeled analogs.