18F-Fluciclovine PET to Distinguish Tumor Progression From Radiation Necrosis

Inclusion Criteria

• •Subjects must have a confirmed diagnosis of brain metastases.
• •Subjects must have received prior intracranial SRS at least once for brain metastases. Prior WBRT is allowed.
• •Subjects must have had a clinical tumor protocol MRI of the brain including a DSC-MR perfusion sequence, which is equivocal for radiation necrosis versus tumor progression within 30 days of treatment scan. "Equivocal" will be defined as being inconclusive for radiation necrosis versus tumor progression as determined by the study neuroradiologist.
• •Physician assessed life expectancy of ≥ 6 months.
• •Subjects must have the ability to understand and the willingness to sign a written informed consent document.
• •For women of childbearing potential, a negative serum pregnancy test within 14 days of registration is required.