52
review
18F-fluorodeoxyglucose and 18F-flumazenil positron emission tomography in patients with refractory epilepsy
Marina Hodolic12, Raffi Topakian3, Robert Pichler4
1	Nuclear Medicine Research Department, lason, Graz, Austria
2	Department of Nuclear Medicine, Palacky University Olomouc, Czech Republic
3	Department of Neurology, Klinikum Wels-Grieskirchen, Wels, Austria
4	Institute of Nuclear Medicine, Kepler Universitätsklinikum, Neuromed Campus, Linz, Austria
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Received 23 February 2016 Accepted 29 April 2016
Correspondence to: Marina Hodolic, M.D., Ph.D., Nuclear Medicine Research Department, lason, Graz-Seiersberg, Feldkirchner Straße 4, Austria. Phone: +43 (0) 664 830 94 93; Fax: +43 316 284 300 14; E-mail: marina.hodolic@gmail.com
Disclosure: No potential conflicts of interest were disclosed.
Background. Epilepsy is a neurological disorder characterized by epileptic seizures as a result of excessive neuronal activity in the brain. Approximately 65 million people worldwide suffer from epilepsy; 20-40% of them are refractory to medication therapy. Early detection of disease is crucial in the management of patients with epilepsy. Correct localization of the ictal onset zone is associated with a better surgical outcome. The modern non-invasive techniques used for structural-functional localization of the seizure focus includes electroencephalography (EEG) monitoring, magnetic resonance imaging (MRI), single photon emission tomography/computed tomography (SPECT/CT) and positron emission tomography/computed tomography (PET/CT). PET/CT can predict surgical outcome in patients with refractory epilepsy. The aim of the article is to review the current role of routinely used tracer 2-deoxy-2-[18F]fluoro-D-glucose (18F-FDG) as well as non routinely used 18F-Flumazenil (18F-FMZ) tracers PET/CT in patients with refractory epilepsy. Conclusions. Functional information delivered by PET and the morphologic information delivered by CT or MRI are essential in presurgical evaluation of epilepsy. Nowadays 18F-FDG PET/CT is a routinely performed imaging modality in localization of the ictal onset zone in patients with refractory epilepsy who are unresponsive to medication therapy. Unfortunately, 18F-FDG is not an ideal PET tracer regarding the management of patients with epilepsy: areas of glucose hypometabolism do not correlate precisely with the proven degree of change within hippocampal sclerosis, as observed by histopathology or MRI. Benzodiazepine-receptor imaging is a promising alternative in nuclear medicine imaging of epileptogenic focus. The use of 11C-FMZ in clinical practice has been limited by its short half-life and necessitating an on-site cyclotron for production. Therefore, 18F-FMZ might be established as one of the tracers of choice for patients with refractory epilepsy because of better sensitivity and anatomical resolution.
Key words: epilepsy; nuclear medicine; PET/CT; 18F-FDG; 18F-Flumazenil
Introduction
Epilepsy is a neurological disorder characterized by epileptic seizures as a result of excessive neuronal activity in the brain (the word "epilepsy" is derived from the Greek word meaning to be attacked or seized). For diagnosis of epilepsy at least two unprovoked seizures are required. Metabolic, genetic
or structural conditions can be recognized as causes of epilepsy, but in 60% of patients, the cause remains unknown.1 Approximately 65 million people worldwide suffer from epilepsy2, 20-40% of them are refractory to medication therapy.3 Depending on the epilepsy syndrome, dietary changes, neurostimulation or surgery may be considered as treatment options in patients whose seizures do not
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doi:10.1515/raon-2016-0025
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respond to medication therapy. With the advancement of surgical techniques and devices, surgical treatment has become the treatment of choice in patients who are unresponsive to medication therapy. In selected patients with focal structural lesions such as cortical dysplasia, mesial temporal sclerosis, vascular malformations and in some paediatric epilepsy syndromes, surgery may substantially reduce the frequency of epileptic seizures and improve the patient's quality of life. Several studies over the last decades support the statement that surgical treatment significantly improved long-term outcomes of seizure control.4-8
Early detection of disease is crucial in the management of patients with epilepsy. Correct localization of the ictal onset zone is associated with a better surgical outcome. Epilepsy surgery may lead to seizure freedom. When "surgical cure" is impossible, epilepsy surgery may help achieve palliative goals such as minimizing the frequency and severity of seizures. Following successful epilepsy surgery, quality of life, cognition and behaviour may improve substantially.9 However, careful patient selection and weighing of risks and benefits are of paramount importance, as surgery may not only fail in terms of improving seizure control, but come with serious adverse events such as intrac-ranial bleeding. Despite international guidelines recommending early and systematic assessment of patient's eligibility, epilepsy surgery is still being underused and referral of patients with drug refractory epilepsy is often delayed with deleterious consequences on outcome and quality of life.10 The scope of this paper on PET imaging in refractory epilepsy patients cannot cover all aspects of patient management including the range of indications, specific issues in children and adults, surgical techniques or predictors of outcome. For this, the interested reader is referred to a recent review of Ryvlin et al.11
Different modalities in diagnosis of epilepsy
Non-invasive focus localisation of seizures precedes invasive intracranial electrodes procedures. The modern non-invasive techniques used for structural-functional localization of the seizure focus includes electroencephalography (EEG) monitoring, magnetic resonance imaging (MRI), single photon emission tomography/computed tomography (SPECT/CT) and positron emission tomography/computed tomography (PET/CT).
EEG has low sensitivity in the diagnosis of seizure disorders (25-56%).
MRI is a sensitive and specific imaging modality for identifying hippocampal sclerosis as well as other lesions responsible for epilepsy. However 1-1.5 T MRI still fails to reveal approximately 20% of abnormalities in patients with medically refractory epilepsy12; MRI may miss mild changes and subtle lesions. In patients with intractable extratemporal epilepsy, the most common underlying pathology is microscopic cortical dysplasia which sometimes cannot be detected by MRI and hence may pass unnoticed by 18F-FDG PET/CT as well. A recent study of 194 adult patients with medically refractory focal epilepsy showed that 18F-FDG PET/CT is helpful for decision making in 53% of presurgical patients with normal or discordant MRI.13 Advanced MRI technologies (MR spectroscopy, MR volumetry, MR perfusion) may provide additional and more precise information.
In recent years brain perfusion SPECT imaging has been widely used for detection of epileptic focus. In their meta-analysis, Devous et al. reported a 44% (interictal), 75% (postictal) and 97% (ictal) sensitivity of SPECT in patients with temporal lobe epilepsy.14 Extratemporal lobe epilepsy showed SPECT sensitivity in 66% (ictal) and in 40% (inter-ictal) of patients.1516
PET procedures in patients with epilepsy
In recent years, multiple studies17-22 have demonstrated that 18F-FDG PET/CT can predict surgical outcome in patients with refractory epilepsy. Actually 18F-FDG PET/CT has proven to be the most sensitive imaging technique for presurgical localization of epileptogenic foci in patients with medically refractory partial epilepsy who have non-contributory MRI and EEG. In comparison to SPECT, PET technology provides much better resolution and allows quantitative measurement.23-26
There is a variety of PET tracers used for imaging of epileptic focus: tracers that measure glucose metabolism, serotonine receptors and transport, oxygen metabolism, cerebral blood flow and other receptor binding.27 PET scan findings at the area of a seizure focus are different according to the PET tracer used (Table 1). Multiple PET radiotracers for neurotransmitter and neuromodulator systems still form part of preclinical trials.
In this review article we focus on the routinely used tracer 18F-FDG as well as on 18F-labelled
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flumazenil tracers which are less available but becoming popular.
TABLE 1. Some PET tracers used for imaging of epileptic focus and PET scan findings
PET scan	Findings on PET scan
18F-FDG PET/CT in patients with epilepsy
The first application of 18F-FDG PET/CT in patients with epilepsy dates back to the early 1980s.28'29 As glucose is the main energy source for the brain, a radioactive glucose analogue has been the most widely used tracer for PET imaging in patients with refractory epilepsy. There is a good match of glucose metabolism and neuronal activity. Glucose transporters (predominantly GLUT1) transfer 18F-FDG from the blood into cells. Once in the cell, FDG is phosphorylated by hexokinase and forms FDG-6-phosphate. Further metabolism of FDG-6-phosphate is stopped and FDG-6-phosphate is essentially trapped in the cell.
In 2009 the European Association of Nuclear Medicine established an imaging protocol for 18F-FDG PET/CT imaging of the brain.30 According to this protocol patients should fast at least 4 hours before scanning. Psychotropic pharmaceuticals may influence reagional metabolism of the glucose. Serum glucose levels must be checked before 18F-FDG PET/CT examination. If the value is greater than 160 mg/dl, the patient must be rescheduled. Diabetic patients should undergo scanning in euglycemic state. At least 30 minutes before examination as well as 30 minutes after tracer injection patients must rest in a quiet dimly-lighted room. They should be instructed not to talk, read or to be otherwise active. 18F-FDG dose for adults patients is 300-600 MBq in 2-D mode and 125-250 MBq in 3-D mode. For children, dose is calculated by body wight (EANM dosage card). Continuous EEG recording is required 2 hours before tracer injection (to exclude that tracer is not injected postic-tal state) and at least until 20 minutes after tracer injection. Static PET scan acquisition starts 30 up to 60 minutes after tracer injection and lasts for 15-30 minutes. There are small variations in the protocols depending on quality of imaging technology. In PET scans interpretation, combination of visual inspection and semiquantitive analysis is crucial. Semiquantitative analysis helps to detect abnormalities which are not present on visual inspection.
Physiological18F-FDG distribution is as follows: high in cerebral and cerebellar cortices and subcortical grey matter and mild in the white matter. In children and with normal aging there is decrease in
18F-FDG interictal	Decreased metabolism
18F-FDG ictal	Increased and decreased metabolism (complex pattern)
18F-FDG postictal	Increased and decreased metabolism (complex pattern)
Serotonin receptor (e.g. 18F-Mefway)	Reduced binding
Dopamine receptor (e.g. 18F-Fallypride)	Reduced binding
18F-Flumazenil (GABA receptor)	Decreased binding
15O-H20 interictal	Reduced perfusion
15O-H20 ictal	Increased perfusion
it
o	@
FIGURE 1. Focal epilepsy in 17 year old male patient. Interictal 18F-FDG PET (A): physiological distribution of 18F-FDG in the brain. Ictal 18F-FDG PET (B): hypermetabolism frontolateral in the right hemisphere (arrow).
cerebral metabolic rates (particularly in lateral, medial frontal cortex and anterior cingulate cortex).31,32 Regions involving epileptic foci may present increased, reduced, or, absent metabolic activity.
18F-FDG PET/CT scans in patients with epilepsy are usually obtained in the interictal phase. Ictal 18F-FDG PET/CT appears to be highly sensitive (Figure 1), but is difficult to obtain because of unpredictability and very rapid onset of major seizures. In addition, medical personnel and the radiotracer must be available at the patient's bedside at the time of seizure onset. Postictal 18F-FDG PET/ CT scans can be very complex, and it represents a mishmash of increased and/or decreased metabolism, depending on the time of 18F-FDG injection after the onset of seizure.
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Interictal 18F-FDG PET/CT in patients with epilepsy
The goal of implementing 18F-FDG PET/CT in the management of patients with drug refractory epilepsy was to obtain functional imaging of interictal brain glucose metabolism. Multiple studies have shown that interictal 18F-FDG PET/CT is more sensitive than interictal perfusion SPECT33-34,15, because in the interictal period, reduction of regional glucose cerebral metabolism is more pronounced than reduction of cerebral perfusion.35-37
Neuronal loss due to chronic seizure activity, reduction in density of synapses, inhibitory processes in the interictal period and diaschisis also influence glucose hypometabolism, the characteristic sign of epilepsy on interictal 18F-FDG PET/ CT. Interictal 18F-FDG PET/CT cannot precisely define the surgical margins, because some areas of hypometabolism extend beyond epileptic zones. Drzezga et al. showed that automated analysis of 18F-FDG PET/CT scans in patients with epilepsy is more sensitive than visual analysis in patients with temporal lobe epilepsy and extra temporal lobe epilepsy.36 The combination of MRI and interictal 18F-FDG PET/CT will probably evolve as the future modality of choice to get the best results for presur-gical evaluation.
Ictal 18F-FDG PET/CT in patients with epilepsy
Ictal 18F-FDG PET in the presurgical workup of refractory epilepsy is rarely performed; it is performed either in status epilepticus or in a status of induced epileptic seizures. As status epilepticus is defined as seizure longer than 30 minutes or more than one seizure within thirty minutes without the person returning to normal, 18F-FDG PET is difficult to be obtained in those moments. Despite technical difficulties ictal 18F-FDG PET has the advantage of a high spatial resolution. Ictal 18F-FDG PET/CT shows hypermetabolism, although an ictal scan reveals a complex combination of hyper and hypometabolism and for that reason it is important to continuously monitor the patient with scalp EEG. A study from 2013 showed that in patients with incompatible EEG, MRI and clinical features, ictal 18F-FDG PET/CT helped to localize the origin of status epilepticus.38 Definition of an ictal onset zone is usually made visually with the support of semiquantitative analysis. A difference above 15% between the affected and the contralat-
eral side suggests significant physiological asymmetry.
Unfortunately, 18F-FDG is not an ideal PET tracer regarding the management of patients with epilepsy. Areas of glucose hypometabolism do not correlate with the proven degree of change within hippocampal sclerosis, as observed by histopathol-ogy or MRI; the area of hypometabolism may be larger than the pathological seizure focus.39 So, the presurgical definition of epileptogenic foci cannot be based on 18F-FDG PET/CT imaging alone, because 18F-FDG changes may appear larger than the real ictal onset zone. The reason for this anatomical-functional discrepancy has not been explained yet. However, 18F-FDG PET/CT can reveal and confirm surgical targets and therefore represents a valuable tool in the management of patients with intractable epilepsy.
18F- Flumazenil tracers for PET/CT of patients with epilepsy
Gamma-aminobutyric acid (GABA) is the most important inhibitory neurotransmitter in the central nervous system.40-43 Its main role consists of reducing neuronal excitability and regulating muscle tone. There are two types of GABA receptors: GABAA and GABAB; benzodiazepine receptors are modulatory sites on GABAA receptors. Benzodiazepine distribution in the human brain includes the occipital cortex, temporal cortex, cerebellum, thalamus, and the pons. The majority of GABAA receptors are benzodiazepine-sensitive, but there are also GABAA receptors which are insensitive to classical benzodiazepines. Benzodiazepines enhance the action of GABA on its receptors, thus having anticonvulsant, sedative, hypnotic, anxiolytic and muscle-relaxant effects.
Flumazenil blocks the benzodiazepine sites on GABAA receptors and thus antagonizes the action benzodiazepines have on the central nervous system. Flumazenil was introduced in 1987 and over time it was used as an antidote for the treatment of benzodiazepine overdoses. In epileptogenic regions a reduced level of benzodiazepine receptors is found44; also, irreversible ischemic cortical damage after stroke45, Alzheimer disease4647 chronic alcoholism48 and schizophrenia49 may influence benzodiazepine complex density.
In the 1980s, Flumazenil was proposed as a promising new marker for imaging of benzodi-azepine receptors by PET. The substance was ini-
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tially labelled with Carbon-11 (UC-FMZ)50 and used in some studies: the majority of patients with seizures refractory to medical treatment had hippocampal sclerosis characterized by neuronal loss and gliosis, which was detected by this positron-labelled GABAa receptor antagonist.51 Six years later a SPECT agent, 123I-iomazenil, was synthetized.5253 Both compounds showed high benzodiazepine binding potential in the brain. However, use of 11C-FMZ in clinical practice has been limited by its short half-life, necessitating an on-site cyclotron for production, and multiple syntheses if several subjects have to be examined. The first paper on a fluorinated analogue of flumazenil was published in 1992.54 18F-labelled PET radiotracers are more suited for clinical use. Also, the shorter positron range of 18F provides better image resolution, which may enhance the detection of small pathological complexes such as epileptic foci. Following this, several 18F-labelled FMZ tracers, including 5-(2'-[18F]fluoroethyl) flumazenil (18F-FEFMZ), 3-(2'-[18F]fluorofluma-zenil (18F-FFMZ), 5-(2'-[18F]fluoroethyl)fluma-zenil (18F-FEF) and [18F]flumazenil (18F-FMZ) have been developed.55-60 Compared to 11C-FMZ, 18F-FEFMZ has lower receptor affinity, and higher nonspecific binding due to faster metabolism and faster kinetics. 18F-FFMZ also has faster kinetics than 11C-FMZ. Compared to 11C-FMZ, 18F-FEF has lower affinity to benzodiazepine receptors, rapid kinetics in the brain and faster metabolism.55-60 18F-FMZ, with an identical structure to 11C-FMZ, has been shown to have similar pharmacokinet-ics and peripheral metabolism and PET imaging characteristics as 11C-FMZ.
18F-FMZ has been established as the tracer of choice for patients with refractory epilepsy in some neurological centres in Europe. PET/CT imaging using flumazenil tracers identify a more restricted region of abnormality in the epileptogen-ic zone than 18F-FDG PET/CT.61 In comparison to 18F-FDG PET/CT scans benzodiazepine-receptor scans appears "sharper" (Figure 2, 3).
Imaging protocol for PET/CT with 18F-labelled-flumazenil radiotracers is almost similar to protocol for 18F-FDG PET/CT, except no serum glucose level measurement is required. All flumazenil tracers bind non-selectively to all benzodiazepine receptor subtypes, so pre-treatment with unla-belled flumazenil can result in reduced tracer uptake on benzodiazepine receptors. As a young modality, benzodiazepine-receptor PET imaging is still strengthening its place in neurology.
FIGURE 2. 18F-FDG PET (B) scan vs. 18F-Flumazenil PET (C) in a 19 year old female patient with bilateral hippocampal sclerosis as shown by MRI (A). Both PET modalities present low temporomesial uptake being larger on the left side, but benzodiazepine-receptor imaging appears sharper and presents a focal defect.
FIGURE 3. Focal epilepsy in 56 year old male patient. (A) MRI: astrogliosis of the right hippocampus (later proven by histology); (B) 18F-FDG PET: minal temporomesial hypometabolism of both sides; (C) 18F-Flumazenil PET: focal defect of tracer uptake at the right hippocampus.
Conclusions
Functional information delivered by PET and the morphologic information delivered by CT or MR are essential in presurgical evaluation of epilepsy. Nowadays 18F-FDG PET/CT is a routinely performed imaging modality in localization of the ic-tal onset zone in patients with refractory epilepsy who are unresponsive to medication therapy. Unfortunately, 18F-FDG is not an ideal PET tracer regarding the management of patients with epilepsy: areas of glucose hypometabolism do not correlate precisely with the proven degree of change within hippocampal sclerosis, as observed by histopathol-ogy or MRI. Benzodiazepine-receptor imaging is a promising alternative in nuclear medicine imaging of epileptogenic focus. The use of 11C-FMZ in clinical practice has been limited by its short half-life and necessitating an on-site cyclotron for production. Therefore, 18F-FMZ might be established as one of the tracers of choice for patients with refrac-
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tory epilepsy because of better sensitivity and anatomical resolution.
Multiple new PET tracers for presurgical evaluation of patients with epilepsy are still under pre-clinical investigations; tracers for neurotransmit-ter and neuromodulator systems, including the GABA, serotonin, dopamine, glutamate, acetylcho-line, adenosine and opioid systems.
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Radiol Oncol 2016; 50(3): 247-253.
Slovenian abstracts
I
Radiol Oncol 2016; 50(3): 247-253.
doi:10.1515/raon-2016-0032
Pozitronska emisijska tomografija z 18F-FDG in 18F-flumazenilom pri bolnikih z neodzivno epilepsijo
Hodolič M, Topakian R, Pichler R
Izhodišča. Epilepsija je nevrološka motnja, za katero so značilni epileptični napadi, ki so posledica prekomerne nevronske aktivnosti v možganih. Približno 65 milijonov ljudi po svetu trpi zaradi epilepsije; 20-40 % se jih na terapijo z zdravli ne odziva. Zgodnje odkrivanje bolezni je ključnega pomena pri zdravljenju bolnikov z epilepsijo, saj pravilna lokalizacija mesta epilepto-genega žarišča izboljša obravnavo teh bolnikov. Sodobne neinvazivne tehnike, ki jih uporabljajmo za strukturno in funkcionalno lokalizacijo žarišča, so elektroencefalografija (EEG), slikanje z magnetno resonanco (MRI), nuklearnomedicinska tomografija v kombinaciji z računalniško tomografijo (SPECT/CT) in pozitronska emisijska tomografija s CT ali MRI (PET/CT oz. PET/MRI). V zadnjih letih številne raziskave opisujejo, da lahko s pomočjo PET/CT napovemo izhod kirurškega zdravljenja bolnikov z neodzivno epilepsijo. Namen članka je sistematično preučiti vlogo dveh PET/CT radiofarmakov: 18F-fluorodeoksiglukoze (18F-FDG), ki jo pri bolnikih z neodzivno epilepsijo uporabljamo rutinsko, in 18F-flumazenila (18F-FMZ), ki ga uporabljamo le v kliničnih študijah.
Zaključki. Informacije o delovanju, ki jih dobimo s pomočjo PET in informacije o morfologiji, ki jih dobimo s CT ali MRI, so bistvenega pomena za predkirurško oceno bolnika z epilepsijo. 18F-FDG PET/CT je danes rutinska metoda slikanja za določitev mesta epileptogenega žarišča pri bolnikih z neodzivno epilepsijo. Na žalost 18F-FDG PET/CT ni idealna metoda: področja z zmanjšanim metabolizmom glukoze se ne ujemajo natančno s histopatološko ali MRI dokazano stopnjo sprememb skleroze hipokampusa. Nova obetavna nuklearnomedicinska metoda je prikaz epileptogenega žarišča z gostoto benzodiazepinskih receptorjev. Zaradi boljše občutljivosti in anatomske ločljivosti bi bil lahko 18F-FMZ pomemben radiofarmak pri bolnikih z neodzivno epilepsijo.
Radiol Oncol 2016; 50(3): 254-262.
doi:10.1515/raon-2016-0023
Razlike pri vrisovanju tarčnih volumnov v radioterapiji. Kako pomembne so in kaj lahko storimo?
Šegedin B, Petrič P
Izhodišča. Moderne obsevalne tehnike omogočajo obsevanje tarčnega volumna z visoko dozo ob upoštevanju doznih omejitev za rizične organe, kar omogoča boljšo lokalno kontrolo ob ohranjevanju kakovosti življenja. Neujemanje med vriso-valci pri vrisovanju tarčnih volumnov je opisano za različne tumorske lokalizacije. Nekatere raziskave kažejo, da so razlike pri vrisovanju večje kot napake v vseh ostalih korakih načrtovanja in izvajanja obsevanja. Namen članka je povzeti nivo razlik pri vrisovanju tarčnih volumnov opisanem v literaturi in oceniti učinkovitost strategij za njihovo zmanjševanje. Zaključki. Pregled je potrdil pomembne razlike pri vrisovanju tarčnih volumnov za večino tumorskih lokalizacij, kar bi lahko vplivalo na lokalno kontrolo pri posameznih bolnikih. Kljub obetavnim rezultatom raziskav glede uporabe različnih anatomskih in funkcionalnih slikovnih metod pri vrisovanju tarčnih volumnov, bodo potrebne dodatne raziskave za opredelitev optimalne kombinacije le-teh. Dosledna uporaba priporočil za vrisovanje zmanjša neujemanje med vrisovalci. Njihova uporaba je priporočljiva tako v vsakdanji klinični praksi kot v sklopu kliničnih raziskav, saj je interpretacija rezultatov raziskav ob obstoječi stopnji razlik med vrisovalci lahko vprašljiva. Pomanjkanje znanja pri interpretaciji različnih slikovnih metod je pogost vzrok za neujemanje med vrisovalci, kar kaže, da sedanji obseg izobraževanja v sklopu specializacije radioterapije in onkologije ter v rednem kliničnem delu ni zadosten.
Radiol Oncol 2016; 50(3): I-VIII.