NCIt definition : Ethylcholine labeled with fluorine F 18, a positron-emitting isotope. Fluorine F 18
fluoroethylcholine incorporates into tumor cells through an active, carrier-mediated
transport mechanism for choline and then is phosphorylated intracellularly by choline
kinase, yielding a phosphoryl derivative, and finally is integrated into cellular
phospholipids, probably primarily into a phosphatidyl derivative; concentration of
this agent in tumor cells as various fluorine F 18 fluoroethylcholine derivatives
enables tumor imaging using positron emission tomography (PET). Choline kinase, the
enzyme responsible for the phosphorylation of choline, is frequently up-regulated
in human tumor cell lines.;