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Choline C 11 is a radiopharmaceutical diagnostic agent used in positron emission tomography (PET) imaging to detect and evaluate prostate cancer. As a radiolabeled analog of the essential nutrient choline, it is taken up by cells via choline transporters and subsequently phosphorylated by choline kinase into phosphocholine, which is then incorporated into cell membranes as phosphatidylcholine. Because malignant prostate cells exhibit significantly increased rates of proliferation and membrane synthesis, they demonstrate higher uptake and retention of the tracer compared to normal tissues. This allows for the identification of primary tumors and metastatic spread to lymph nodes and bone. Wake Forest University Health Sciences has specifically studied Choline C 11 PET-CT as a tool for the metastatic evaluation of patients with newly diagnosed high-risk adenocarcinoma of the prostate.
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