However, regarding the staging of the disease, FDG-PET is not considered to be a sufficiently accurate diagnostic modality. Although the SUV does not correlate with the patho-histological prognostic factors, it may be useful in selecting patients who should undergo subsequent surgical treatment.
Pulmonary suture abscess with false-positive 18 F-fluorodeoxyglucose positron emission scan mimicking lung cancer recurrence. We present the case of a year-old woman with pulmonary suture abscess. She had undergone right S3 segmentectomy for early lung adenocarcinoma 7 years before and right breast-conserving surgery for invasive ductal carcinoma 5 months previously, followed by irradiation plus endocrine therapy.
Chest radiography and computed tomography revealed an irregular mass 3. Therefore, we could not rule out the possibility of local recurrence of lung cancer and resected it. Pathologically and microbiologically, the mass was a suture abscess arising around the nylon suture of the previous segmentectomy.
This lesion was the result of a foreign-body reaction, as confirmed by polarized microscopy. Moreover, titanium staples at the segmentectomy and breast-conserving surgery may also have contributed to this condition. The objective of our study was to analyze the diagnostic performance of 18 F-fluorodeoxyglucose positron emission tomography-computed tomography for lymph node staging in patients with bladder cancer before radical cystectomy and to compare it with that of computed tomography.
A total of 52 patients operated on between and were prospectively included in this prospective, mono-institutional, open, non-randomized pilot study. Patients who had received neoadjuvant chemotherapy or radiotherapy were excluded. Lymph node dissection during radical cystectomy was carried out. Findings from 18 F-fluorodeoxyglucose positron emission tomography-computed tomography and computed tomography were compared with the results of definitive histological examination of the lymph node dissection.
The diagnostic performance of the two imaging modalities was assessed and compared. The mean number of lymph nodes removed during lymph node dissection was Lymph node metastasis was confirmed on histological examination in 22 cases This had been suspected in five cases 9. Sensitivity, specificity, positive predictive value, negative predictive value, relative risk and accuracy were 9.
The maximal value of the baseline standardized uptake value SUV and the change in SUV after four cycles of an anthracycline-based regimen relative to baseline SUV were assessed for predicting pathological complete response pCR after sequential taxane. On PET scan after four cycles of chemotherapy, thirty-three patients The baseline SUV could not be a useful indicator for predicting pCR due to the wide range in sensitivity.
On the other hand, a relative change in SUV after completion of an anthracycline-based regimen could be useful for predicting pCR. Adenocarcinoma and squamous cell carcinoma were compared for maximum Standardised Uptake Value SUV max , involvement of local lymph nodes and distant metastases. There were 11 false negatives 5. SUV max was significantly lower for adenocarcinoma than squamous cell carcinoma median 9.
Adenocarcinoma and squamous cell carcinoma display significantly different FDG-avidity. Whole-body cTLG of greater than or equal to The scans were evaluated using standard uptake values [maximum standard uptake value SUVmax and partial volume corrected c mean standardized uptake value SUVmean Mean follow-up time was Multimodality imaging using proton magnetic resonance spectroscopic imaging and 18 F-fluorodeoxyglucose-positron emission tomography in local prostate cancer.
Whole-mount step-section pathology was used as the standard of reference. Specifically, index tumor localization rates were 0. Furthermore, only few tumors were FDG avid on PET, possibly because increased glycolysis represents a late and rather ominous event in the progression of PCa.
Simultaneous whole body 18 F-fluorodeoxyglucose positron emission tomography magnetic resonance imaging for evaluation of pediatric cancer : Preliminary experience and comparison with 18 F-fluorodeoxyglucose positron emission tomography computed tomography. To describe our preliminary experience with simultaneous whole body 18 F-fluorodeoxyglucose 18 F-FDG positron emission tomography and magnetic resonance imaging PET-MRI in the evaluation of pediatric oncology patients.
This prospective, observational, single-center study was Health Insurance Portability and Accountability Act-compliant, and institutional review board approved. PET-CT examinations were performed using standard department protocols. The mean patient age was Most of these cases are poorly differentiated with metastatic disease at the time of diagnosis.
However, cutaneous metastatic presentation is rare. We present an interesting case of a year-old woman presenting with cutaneous metastatic involvement from high grade poorly differentiated NET of unknown origin. She was referred to us with a diagnosis of lymphoma. Simultaneous whole body 18 F-fluorodeoxyglucose positron emission tomography magnetic resonance imaging for evaluation of pediatric cancer : Preliminary experience and comparison with 18 F-fluorodeoxyglucose positron emission tomography computed tomogra.
Early detection of recurrence is an important factor for long term survival of patients with colorectal cancer. Measurement of serum levels of carcinoembryonic antigen has been commonly used in the postoperative surveillance of colorectal cancer. The purpose of this study was to evaluate the ability of positron emission tomography-computed tomography to detect pathological substrate of elevated serum carcinoembryonic antigen in patients with colorectal cancer. Forty-eight 18 F-fluorodeoxyglucose positron emission tomography-computed tomography studies including 45 patients 14 women, 31 men; mean age: Serum levels of carcinoembryonic antigen were measured within 3 months after positron emission tomography-computed tomography examination.
Final diagnosis of recurrence was made by histopathological findings, radiology studies or clinical follow-up. Recurrences were diagnosed in 37 patients, the prevalence being One patient was diagnosed with metastasis in scar tissue. The overall sensitivity and specificity of positron emission tomography-computed tomography was The positive and negative predictive values were Influence of 18 F-fluorodeoxyglucose-positron emission tomography on computed tomography-based radiation treatment planning for oesophageal cancer.
The addition of positron emission tomography PET information to CT-based radiotherapy treatment planning has the potential to improve target volume definition through more accurate localization of the primary tumour and involved regional lymph nodes. For this patient, a geographic miss of tumour would have occurred if CT data alone were used for radiotherapy planning Copyright Blackwell Publishing Asia Pty Ltd.
The aim of this study was to describe the characteristics of lung cancers in patients with tuberculous fibrothorax or empyema. All patients underwent computed tomography, and underwent F-fluorodeoxyglucose positron emission tomography. Clinical, pathologic, and computed tomography characteristics and maximum standardized uptake values on positron emission tomography of 76 cancers ipsilateral to the fibrothorax or empyema group 1 were compared with those of 62 contralateral cancers group 2.
The median age at diagnosis of patients was 70 years, with a male-to-female ratio of 8. The most common type was squamous cell carcinoma Most were in the peripheral lung The median maximum standardized uptake value was 8. Tumors in group 1 were larger median, Lung cancers ipsilateral to tuberculous fibrothorax or empyema presented larger and advanced T stages, and the diagnosis could be delayed.
The most common type cancer was squamous cell carcinoma. Purpose: To identify prognostic biomarkers in pancreatic cancer using high-throughput quantitative image analysis. Methods and Materials: In this institutional review board—approved study, we retrospectively analyzed images and outcomes for locally advanced pancreatic cancer patients treated with stereotactic body radiation therapy SBRT.
A Cox proportional hazard regression model was built to predict overall survival OS in the training cohort using robust image features. To avoid over-fitting, we applied the elastic net to obtain a sparse set of image features, whose linear combination constitutes a prognostic imaging signature. Univariate and multivariate Cox regression analyses were used to evaluate the association with OS, and concordance index CI was used to evaluate the survival prediction accuracy. Results: The prognostic imaging signature included 7 features characterizing different tumor phenotypes, including shape, intensity, and texture.
In terms of CI, the proposed signature scored 0. Gillies, R. Currently, computed tomography CT is widely used to evaluate the efficacy of treatments on tumor regression in unresectable pancreatic head carcinomas. Recently, 18 F-fluorodeoxyglucose positron emission tomography PET examination has been used for the initial diagnosis of pancreatic tumors, for diagnosis of distant metastasis, and for recurrences of pancreatic carcinomas. PET has also been used for the qualitative diagnosis of existing tumors.
The current study was designed to observe if PET examination can be used to gauge the efficacy of multidisciplinary treatments, and to estimate the prognosis for unresectable pancreatic head carcinomas in similar clinical stages and during therapy. This was a prospective cohort study and included 18 cases. All cases were unresectable pancreatic head cancers diagnosed as TNM classification stage 3, and had undergone identical multidisciplinary treatment regimens.
The level of tumor markers, tumor-size reduction, and maximum standardized uptake values SUV max were correlated with prognosis. Pearson's correlation and Kaplan-Meyer survival rate curves were used for statistical analysis. Tumor-size reduction in CTs and the transition of tumor markers were not related to patient prognosis. The mean pretreatment tumor ABVmax decreased from Of the parameters tested, only pretreatment ABVmax was significantly different among those patients with a complete response CR and incomplete response Accordingly, such examination can potentially improve the preoperative staging of cystectomy patients with high-risk features, and may also reduce the number of futile operations in patients with advanced disease who are beyond cure.
The clinical usefulness of 18 F-fluorodeoxyglucose positron emission tomography-computed tomography PET-CT in follow-up of curatively resected pancreatic cancer patients. Computed tomography and serum tumor markers have limited value in detecting recurrence after curative surgery of pancreatic cancer. This study evaluated the clinical utility of 18 F-fluorodeoxyglucose positron emission tomography-computed tomography PET-CT in diagnosing recurrence.
One hundred ten patients underwent curative resection of pancreatic cancer were enrolled. PET-CT showed relatively higher sensitivity Nineteen patients showed recurrences only on PET-CT, with eleven having invisible or suspected benign lesions on CT, and eight had recurrences in areas not covered by CT.
SUVmax over 3. If active post-operative surveillance after curative resection of pancreatic cancer is deemed beneficial, then it should include PET-CT combined with CT. Published by Elsevier Ltd. All rights reserved. We wanted to investigate the incidence and the clinicopathologic and sonographic characteristics of thyroid cancers that exhibit positive PET scans.
We conducted a retrospective review of their clinical, radiologic and pathologic records and we evaluated the incidence of PET-positive thyroid cancer , as well as the associated clinicopathologic aggressiveness and the sonographic features. The incidence of PET-positive thyroid carcinoma was On univariate analysis, PET-positive thyroid cancer was significantly associated with tumor size, extracapsular invasion and central lymph node metastasis, but there was no association between the sonographic features of the thyroid cancer or the sonographic features of the 2 groups of tumor 1.
Uterine carcinosarcomas clinically confined to the uterus usually harbor occult metastases. We conducted a pilot study to evaluate the value of 18 F-fluorodeoxyglucose FDG positron emission tomography PET in uterine carcinosarcoma. Patients with histologically confirmed uterine carcinosarcoma were enrolled.
Positive impacts of scans were found in Two patients died of disease shortly after salvage therapy restaged by PET. The preliminary results suggest that 18 F-FDG PET is beneficial in excluding falsely inoperable disease for curative therapy and in making a decision on palliation for better quality of life instead of aggressive treatment under the guidance of PET.
PET seems to have limited value in post-therapy surveillance or restaging after failure. Evidence-based recommendations and cost-effectiveness. Aim, method: Recommendations for the use of FDG-PET in relapsed colorectal cancer and the decision of reimbursement should base on published studies and on their level of evidence. Either potentially curative operations were initiated in case of resectable tumour or futile operations were cancelled in case of multiple metastases.
The correct selection of patients is requested in the daily routine as well as in the clinical implementation of neoadjuvant therapies to prevent a selection-bias from a suboptimal restaging without PET. Background We evaluated the prognostic value of volume-based metabolic positron emission tomography PET parameters in patients with small cell lung cancer SCLC compared with other factors.
Volumetric metabolic parameters of intrathoracic malignant hypermetabolic lesions, including maximum and average standardized uptake value, sum of metabolic tumor volume MTV , and sum of total lesion glycolysis TLG were measured. Results patients had died during follow-up median The intensities of IMNs were graded into four categories no activity and lower, similar, and higher activities than that of the mediastinal blood pool.
IMNs were measured from the combined CT largest diameter of the short axis. Histologic data of the IMNs were obtained by ultrasonography-guided fine-needle aspiration biopsy or surgical excision. There were clinical stage III breast cancer patients age There were 27 metastatic and four nonmetastatic nodes PPV Metastatic nodes mostly presented with visual grade 3 The assessment of breast cancer response to neoadjuvant chemotherapy: comparison of magnetic resonance imaging and 18 F-fluorodeoxyglucose positron emission tomography.
Background: Neoadjuvant chemotherapy for locally advanced breast cancer is a widely accepted treatment. For assessment of the tumor response after chemotherapy, both magnetic resonance imaging MRI and 18 F-fluorodeoxyglucose positron emission tomography PET are promising methods. Purpose: To retrospectively compare MRI and PET in the assessment of tumor response to neoadjuvant chemotherapy for primary breast cancer with the pathologic response as the reference standard. The correspondence rates between each imaging modality and pathologic assessment were calculated.
For prediction of the pathologic complete response pCR , the sensitivity, specificity, positive predictive value PPV and negative predictive value NPV were analyzed using the McNemar test. Results: The pathologic assessment of tumor response to neoadjuvant chemotherapy identified eight complete responses The correspondence rate of response assessment was For the pCR, specificity False-positive positron emission tomography appearance with 18 F-fluorodeoxyglucose after definitive radiotherapy for cancer of the mobile tongue.
However, some false-positive appearances caused by physiological or pathological accumulation are reported. We report on three patients who showed a high accumulation of FDG in the lingual muscles but had no recurrent tumour after definitive radiotherapy for the mobile tongue. All patients had squamous cell carcinoma of the tongue and received interstitial radiotherapy with small sources. High uptake was seen in the lingual muscles without recurrence or inflammation, based on physical and MR examinations.
This false-positive appearance is thought to relate to ill-balanced high activity of the lingual muscles after definitive radiotherapy. Ohri, Nitin, E-mail: ohri. Here we validate those findings and generate tumor control probability TCP models. Visible hypermetabolic lesions primary tumors and lymph nodes were delineated on each patient's pretreatment PET scan.
Posttreatment imaging was reviewed to identify locations of disease progression. Competing risks analyses were performed to examine metabolic tumor volume MTV and radiation therapy dose as predictors of local disease progression. TCP modeling was performed to describe the likelihood of local disease control as a function of lesion size.
Results: Eighty-nine patients with hypermetabolic lesions 83 primary tumors and regional lymph nodes met the inclusion criteria. Twenty-eight patients were included in our previous report, and the remaining 61 constituted our validation cohort. The median follow-up time was In 20 patients, the first site of progression was a primary tumor or lymph node treated with radiation therapy.
The median time to progression for those patients was We found no evidence that radiation therapy dose was associated with local progression risk. Risk of malignancy in thyroid incidentalomas detected by 18 f-fluorodeoxyglucose positron emission tomography. Background: The expanding use of 18 F-fluorodeoxyglucose positron emission tomography 18 F-FDG PET has led to the identification of increasing numbers of patients with an incidentaloma in the thyroid gland.
Hoffmann, K. We report hemimegalencephaly in a year-old woman with mental retardation, epilepsy and a mild hemiparesis. The prognostic impact of the level of SUV was explored using simulated prognosis derived from computed program Adjuvant! Casey, Dana L. Receiver operator characteristic curves were used to determine the optimal cutoff for dichotomization of SUV1 and SUV2 values.
Future prospective trials may incorporate FDG-PET response data for risk-adapted therapy and early assessment of new treatment regimens. Quantitative gene expression underlying 18 f-fluorodeoxyglucose uptake in colon cancer. We extracted quantitative imaging characteristics from pre-SBRT "1"8F-fluorodeoxyglucose positron emission tomography, including statistical, morphologic, and texture features.
However, sensitivities of two imaging methods were not significantly different. When the cut-off value of SUVmax was 3. A highly accurate preoperative tumour, node, metastasis TNM staging is critical to proper patient management and treatment. This study retrospectively Material and methods.
From June to January , 48 consecutive patients diagnosed with bladder The differences in specificity and negative predictive values were not statistically significant. They graded the likelihood for the presence of primary gastric cancer based on a 4-point scale. Treatment of cervical cancer is usually surgery in the early stages and radiotherapy or chemoradiotherapy in more advanced stages of the disease.
Recurrence may occur in multiple sites following primary treatment. Although recurrent metastatic disease is not curable, surgical treatment may be of great help if locoregional recurrence is detected early. We retrospectively evaluated 53 histopathologically proved patients of cervical cancer. Significant uptake of FDG in the lymph nodes was considered to be a recurrence suggestive of metastasis.
Para-aortic lymph nodal involvement was considered to be distant metastasis. It had a sensitivity of Combination blockade of human epidermal growth factor receptor HER family signaling may confer enhanced antitumor activity than single-agent blockade. We performed a single-arm study of pertuzumab, a monoclonal antibody that inhibits HER2 dimerization, and erlotinib in relapsed non-small cell lung cancer NSCLC.
Patients received pertuzumab mg loading dose and mg maintenance intravenously every 3 weeks and erlotinib mg or mg dose orally, daily. Of 41 patients, 28 Investigator-assessed computed tomography RR at day 56 was FDG-PET suggests that pertuzumab plus erlotinib is an active combination, but combination therapy was poorly tolerated, which limits its clinical applicability.
More research is warranted to identify drug combinations that disrupt HER receptor signaling but that exhibit improved tolerability profiles. Material and Methods. Alberini, J. Methods: Sixty-two women mean age It seems also that some prognostic information can be derived from FDG uptake characteristics.
Clinical treatment decisions were changed in 7 The most recent knowledge regarding primary Role of [ 18 F]fluorodeoxyglucose positron emission tomography-computed tomography, sonography, and sonographically guided fine-needle aspiration biopsy in the diagnosis of axillary lymph nodes in patients with breast cancer : comparison of diagnostic performance.
From March to July , patients had a diagnosis of primary breast cancer. Among these patients, constituted the study population after exclusion of transferred patients and patients with breast cancer other than invasive ductal carcinoma. The diagnostic performance of the modalities was compared with pathologic reports. Univariate and multivariate analyses were used to evaluate the relationship between clinicopathologic factors symptoms, T stage, hormone receptors, and histologic grade , false-negative results, and true-negative results on PET-CT, sonography, and FNA.
Of the patients, 45 Full Text Available Abstract Background Experimental and clinical evidence suggest that hypoxia in solid tumours reduces their sensitivity to conventional treatment modalities modulating response to ionizing radiation or chemotherapeutic agents. Methods Eight patients with non-small-cell lung cancer underwent PET scans. Results FMISO PET allowed for the qualitative and quantitative definition of hypoxic sub-areas which may correspond to a localization of local recurrences.
Conclusion These preliminary results warrant validation in larger trials. If confirmed, several novel treatment strategies may be considered, including the early use of PET to evaluate the effectiveness of the selected therapy. Hanna, Gerard G. The purpose of this phase II study was to determine the safety and efficacy of TheraSphere treatment 90Y microspheres in patients with liver-dominant colorectal metastases in whom standard therapies had failed or were judged to be inappropriate.
Twenty-seven patients with unresectable hepatic colorectal metastases were treated at a targeted absorbed dose of Gy. Survival from first treatment was estimated with use of the Kaplan-Meier method. With the exception of these three patients whose sequelae were not considered to be related to treatment, all observed toxicities were transient and resolved without medical intervention. TheraSphere administration appears to provide stabilization of liver disease with minimal toxicity in patients in whom standard systemic chemotherapy regimens have failed.
Textural features of 18 F-fluorodeoxyglucose positron emission tomography scanning in diagnosing aortic prosthetic graft infection. Saleem, Ben R. Background: The clinical problem in suspected aortoiliac graft infection AGI is to obtain proof of infection. Although 18 F-fluorodeoxyglucose 18F-FDG positron emission tomography scanning PET has been suggested to play a pivotal role, an evidence-based interpretation is lacking.
The objective. Although 18 F-fluorodeoxyglucose 18 F-FDG positron emission tomography scanning PET has been suggested to play a pivotal role, an evidence-based interpretation is lacking. The study was powered to estimate the precision of the individual imaging tests.
Images were visually interpreted using a four-point assessment scale, and readers were blinded to other test results. The reference standard was biopsy along with treatment decisions and clinical follow-up median, 17 months. For distant recurrence, the area under the receiver operating curve was 0. It allowed for distant recurrence to be correctly ruled out and resulted in only a small number of false-positive cases.
Between and , patients diagnosed with HCC at seven hospitals were enrolled. Among these, patients underwent curative treatments including resection, liver transplantation, and radiofrequency ablation. TACE was performed in patients. The prognostic significance of TLR and other clinical variables was assessed using Cox regression models. Differences in the overall survival OS associated with TLR or other significant clinical factors were examined using the Kaplan-Meier method.
Over a median follow-up period of 46 months, 77 patients died from cancer. The VR ranged from 0. Median follow-up was Of the non-pCR patients, 9 relapsed at 3 years. The aim of this study was to evaluate the value of 18 F-fluorodeoxyglucose FDG positron emission tomography PET in predicting tumor response to radiochemotherapy in nasopharyngeal carcinoma NPC. Factors potentially affecting tumor response to treatment were studied by multiple logistic regression analysis.
After radiochemotherapy, 32 patients had a clinical complete response CR , making the CR rate The area under the receiver operating characteristic ROC curve was 0. Vascular prosthetic graft infection VPGI is a severe complication after vascular surgery. The incidence of a false-negative result using CT is relatively high, especially in the presence of low-grade infections.
Based on the available literature it is suggested that a linear, diffuse, and homogeneous uptake should not be regarded as an infection whereas focal or heterogeneous uptake with a projection over the vessel on CT is highly suggestive of infection. However an accurate uptake and pattern recognition is warranted and cut-off uptake values and patterns need to be standardized before considering the technique to be the new standard.
Early detection of recurrent can improve prognosis and survival of patients with cancer. The fused imaging provided by PET-CT can precisely localize the foci and demonstrate the complementary roles of functional and anatomic assessments in the diagnosis of cancer recurrence.
Endometriosis is a frequent and clinically relevant problem in young women. Laparoscopy is still the gold standard for the diagnosis of endometriosis, but frequently both morphologic and functional imaging techniques are involved in the diagnostic course before achieving a conclusive diagnosis. Nevertheless, a pathologic confirmation is needed in cases of a focal 18F FDG uptake in the thyroid gland. This article reports a rare case of a focal 18F FDG uptake lesion by PET, which was revealed pathologically to be lymphocytic thyroiditis.
Testicular adrenal rest tumors TARTs are secondary to hypertrophy of adrenal rest cells in the rete testis in settings of hypersecretion of androgens. Evaluation of myocardial glucose metabolism in hypertrophic cardiomyopathy using 18 F-fluorodeoxyglucose positron emission tomography. Thirty HCM patients Reduction of that maximum SUV was particularly significant in the lateral region from 5.
Nasopharyngeal carcinoma staging by 18 F-fluorodeoxyglucose positron emission tomography. Chang, J. Methods and materials: A total of 95 patients, including 85 with primary and 10 with recurrent, NPC were enrolled. Eighty-one patients without distant metastases underwent repeat studies months after initial radical treatment. Results: Of 14 patients with distant metastases, all had lesions detected by FDG-PET, and the conventional workup detected the metastases in only 4. Four patients without distant metastases on their initial workup were found to have new lesions on FDG-PET months after initial treatment.
Of the 95 patients, the FDG-PET results for distant metastasis were true positive in 14 patients, false positive in 8, and true negative in None of our patients had a false-negative result. The accuracy was Fried, David V. Purpose: To determine whether previously identified quantitative image features QIFs based on 18 F-fluorodeoxyglucose positron emission tomography FDG-PET co-occurrence matrix energy and solidity are able to isolate subgroups of patients who would receive a benefit or detriment from dose escalation in terms of overall survival OS or progression-free survival PFS.
Methods and Materials: Subgroups of a previously analyzed patient cohort were generated with the use of 5-percentile increment cutoff values of disease solidity and primary tumor co-occurrence matrix energy. The subgroups were analyzed with a log-rank test to determine whether there was a difference in OS and PFS between patients treated with 60 to 70 Gy and those receiving 74 Gy.
Results: In the entire patient cohort, there was no statistical difference in terms of OS or PFS between patients receiving 74 Gy and those receiving 60 to 70 Gy. It was qualitatively observed that as disease solidity and primary co-occurrence matrix energy increased, patients receiving 74 Gy had an improved OS and PFS compared with those receiving 60 to 70 Gy. The opposite trend detriment of receiving 74 Gy was also observed regarding low values of disease solidity and primary co-occurrence matrix energy.
Niedzielski, Joshua S. Methods and Materials: This retrospective study was approved by the local institutional review board, with written informed consent obtained before enrollment. We used nSUV metrics to classify esophagitis grade at the time of the PET study, as well as maximum severity by treatment completion, according to National Cancer Institute Common Terminology Criteria for Adverse Events, using multivariate least absolute shrinkage and selection operator LASSO logistic regression and repeated 3-fold cross validation training, validation, and test folds.
Dose-volume metrics were also tested in both the multivariate classification and the symptom progression prediction analyses. Classification performance was quantified with the area under the curve AUC from receiver operating characteristic analysis on the test set from the 3-fold analyses. Results: Statistical analysis showed increasing nSUV is related to esophagitis severity.
Utility of 18 F-fluorodeoxyglucose-positron emission tomography in the differential diagnosis of benign and malignant gynaecological tumours. However, the differential diagnosis of benign and malignant gynaecological tumours according to FDG accumulation is unclear. We assessed the maximum standardized uptake value SUVmax and determined its utility in the diagnosis of benign and malignant tumours using a receiver operating characteristic ROC curve analysis.
Among the 63 patients with ovarian tumours, the mean SUVmax of 22 patients with benign ovarian tumours was 2. Immunoglobulin G4 IgG4 -related disease encompasses a wide variety of immune disorders previously thought be distinct. IgG4-related retroperitoneal fibrosis is one such entity. We performed correlation analyses between FDG uptake and intima-media thickness IMT , and soluble biomarkers of inflammation. Characteristics of [ 18 F ] fluorodeoxyglucose uptake in human colon cancer cells.
Cancer tissues are characterized by increased glucose uptake. This study was aimed to compare the glucose uptake and glucose transporter 1 GLUT1 expression in various human colon cancer cells. Dose-response and time-course studies represent that FDG uptake of cancer cells were dose dependent and time dependent. These results represent that FDG uptake into human colon cancer cells are different from each other.
Kang, B. A year-old, neutered male, Maltese dog presented with a three week history of intention tremor, right hind limb rigidity, poor coordination, and occasional circling to the left. On magnetic resonance imaging MRI of the brain, a mass was identified in the right occipital lobe and cerebellum.
The FDG-PET demonstrated areas of hypermetabolism in the right occipital lobe, cerebellum, pons, and medulla oblongata. When the standardized uptake value was calculated, the hypermetabolic lesion was higher than the gray matter values.
The dog was definitively diagnosed as a primary histiocytic sarcoma of the brain. This is the first report of PET findings of an intracranial histiocytic sarcoma in a dog. Urinary bladder diverticular carcinomas are uncommon with a lesser incidence of 0. Cystoscopy is the most reliable method, but evaluating diverticulum with narrow orifices is difficult.
Before the initiation of appropriate treatment, proper detection of bladder diverticular carcinoma and its locoregional and distant sites of involvement is necessary. This review focuses on the use of FDG Clinical impact of 18 F-fluorodeoxyglucose positron emission tomography in the diagnosis of neurological diseases. In this review it will be discussed in which neurological disorders positron emission tomography can yield important diagnostic information.
Because positron emission tomography is an expensive method indications have to be cleary defined. One important question concerns the differentiation of tumor recurrence and scar due to radiation therapy or an operation. The grading of brain tumors is another application. In HIV patients fluorodeoxyglucose positron emission tomography can separate lymphoma and toxoplasmosis. In the evaluation of dementia positron emission tomography can help to clarify the differential diagnosis.
Another important area is the presurgical evaluation of epilepsy patients and patients with cerebrovascular disease in whom a surgical revascularization procedure is planned. In extrapyramidal disorders, positron emission tomography can often help to establish the final diagnosis.
Regional cerebral metabolic alterations in dementia of the Alzheimer type: positron emission tomography with [ 18 F]fluorodeoxyglucose. Friedland, R. Alzheimer disease is the most common cause of dementia in adults. Despite recent advances in our understanding of its anatomy and chemistry, we remain largely ignorant of its pathogenesis, physiology, diagnosis, and treatment. Dynamic positron emission tomography using [ 18 F]fluorodeoxyglucose FDG was performed on the Donner crystal ring in 10 subjects with dementia of the Alzheimer type and six healthy age-matched controls.
Ratios comparing mean counts per resolution element in frontal, temporoparietal, and entire cortex regions in brain sections 10 mm thick obtained min following FDG injection showed relatively less FDG uptake in the temporoparietal cortex bilaterally in all the Alzheimer subjects p less than 0. Left-right alterations were less prominent than the anteroposterior changes.
This diminished uptake was due to lowered rates of FDG use and suggests that the metabolic effects of Alzheimer disease are most concentrated in the temporoparietal cortex. Positron emission tomography is a most powerful tool for the noninvasive in vivo assessment of cerebral pathophysiology in dementia. Full Text Available Abstract Introduction The occurrence of granulomatous disease in the setting of Hodgkin's disease is rare; however, when it occurs it can pose significant clinical and diagnostic challenges for physicians treating these patients.
A subsequent biopsy of her post-chemotherapy PET-positive nodes demonstrated sarcoidosis with no evidence of Hodgkin's disease. Advantages of 18 F-fluorodeoxyglucose positron emission tomography combined with computed tomography in detecting post cardiac surgery infections.
Consequently, it is a reliable tool for excluding an infectious phenomenon in case of negativity. We have reported the case of a year-old man who presented with a fever of unknown origin and recurrent septic shocks after a biological Bentall procedure combined with left anterior descending LAD coronary artery revascularization by the left internal thoracic artery. A year-old female with complaints of gastrointestinal symptoms such as abdominal pain, fatigue, vomiting, nausea, and weight loss was diagnosed with neuroendocrine tumor after removal of a 2 mm lesion from the stomach with endoscopic biopsy.
Her magnetic resonance imaging that was performed due to on-going symptoms showed multiple linear hypointense lesions in the liver. Clinical and laboratory findings revealed the final diagnosis as Fasciola hepatica. Full Text Available A year-old female with complaints of gastrointestinal symptoms such as abdominal pain, fatigue, vomiting, nausea, and weight loss was diagnosed with neuroendocrine tumor after removal of a 2 mm lesion from the stomach with endoscopic biopsy.
Usefulness of 18 F-fluorodeoxyglucose positron emission tomography in follicular lymphoma management. Le Dortz, L. Patients and methods a retrospective study was performed on 45 patients with untreated biopsy-proven follicular lymphoma who underwent F. Poor prognosis was defined as incomplete therapeutic response or early relapse. The median progression free survival P. Her diagnosis was confirmed by liver biopsy. Clinical symptoms of hepatic amyloidosis are generally mild at its first stage, with most frequent findings being hepatomegaly and alkaline phosphatase elevation.
Recent advances in the understanding of the pathophysiology of systemic amyloidosis have made several treatments available. However, its prognosis is occasionally poor. Because liver biopsy is not always safe, other modalities for the diagnosis are needed.
Of interest was that fluorodeoxyglucose FDG uptake into the liver was observed, compared with that into the spleen, in this patient, indicating that FDG positron emission tomography and computed tomography might be useful for the diagnosis of hepatic amyloidosis with mild liver dysfunction. Purpose: To develop a prediction model to identify a low-risk group for distant recurrence in patients with locally advanced cervical cancer treated by concurrent chemoradiation.
Methods and Materials: Prospectively, 62 patients with locally advanced cervical cancer were recruited as a training cohort. Clinical variables and parameters obtained from positron emission tomography PET and magnetic resonance imaging were analyzed by logistic regression.
For the test set, 54 patients were recruited independently. To identify the low-risk group, negative likelihood ratio LR less than 0. Using the two parameters, criteria to determine a low-risk subset for distant recurrence were postulated: 1 FIGO Stage IIB or less and 2 pretreatment SCC cancer who are treated with concurrent chemoradiation. Conventional imaging included the following: bone scintigraphy; chest X-ray in Results: Distant metastases were observed in nine patients On patient-based analysis, conventional imaging identified distant metastases in all 9 patients.
Comparison of primary tumour volumes delineated on four-dimensional computed tomography maximum intensity projection and 18 F-fluorodeoxyglucose positron emission tomography computed tomography images of non-small cell lung cancer. Results and Conclusions.
Background Carcinoma of unknown primary CUP encompasses a heterogeneous group of tumors with varying clinical features. The management of patients of CUP remains a clinical challenge. Methods One hundred and forty-nine patients with histologically-proven metastases of CUP were included. For all patients,the conventional diagnostic work-up was unsuccessful in localizing the primary site. Results In Forty-seven The two sets of findings were compared both at baseline and during follow-up.
Serial HRCT and pulmonary function tests were used to evaluate outcome in patients with lung involvement. PET-CT showed additional lesions in seven patients, mostly involving bones, and differentiated inactive from active lesions. PET was undertaken within 1 week after computed tomography CT. Clinical impacts of additional PET were determined on a scan basis. A total of 14 patients were recruited. Sixteen PET scans were performed, with one patient having three serial studies.
Benefits of additional PET were seen in 7 of 16 On the other hand, in two instances there were false-negative PET findings, six scans yielded no benefit, and one showed an indeterminate lesion. The use of molecular sieves to simulate hot lesions in 18 F-fluorodeoxyglucose--positron emission tomography imaging. We investigated the use of a kind of zeolite, the Bowie chabazite, to produce radioactive sources of different shapes, dimensions and activity concentrations that can be used for lesion simulation in positron emission tomography PET imaging.
The 18 F-fluorodeoxyglucose 18 F-FDG uptake of a group of 12 zeolites was studied as a function of their weight , mg and of the activity concentration of the 18 F-FDG solution MBq ml -1 , using a multiple linear regression model. The reproducibility, homogeneity and stability over time of the 18 F-FDG uptake were assessed. This relation allows the production of zeolites of a desired 18 F-FDG activity using knowledge of the concentration of the soaking solution and the weight of the zeolite.
The almost complete regeneration of the zeolites allows us to reuse them in successive experiments. The stability of the 18 F-FDG uptake on zeolites is far from ideal. When placed in a saline solution the 'activated' zeolites release the 18 F-FDG with an effective half-time of 53 min.
The sealing of the zeolites in plastic film bags has been demonstrated to be effective in preventing any release of 18 F-FDG. These features, together with their variable dimensions and shapes, make them ideal 18 F-FDG sources with a fixed target-to-background ratio that can be placed anywhere in a phantom to study lesion detectability in PET imaging. Influence of [ 18 F ] fluorodeoxyglucose positron emission tomography on salvage treatment decision making for locally persistent nasopharyngeal carcinoma.
Purpose: The purpose of this study was to evaluate the role of [ 18 F ] fluorodeoxyglucose positron emission tomography FDG-PET in influencing salvage treatment decision making for locally persistent nasopharyngeal carcinoma NPC. The salvage treatment decisions, with regard to the decision to offer salvage treatment and the definition of gross tumor volume GTV , were made before knowledge of the FDG-PET findings. Spontaneous remission was observed in repeat biopsies and no local recurrence was found in these 4 cases.
Conclusion: Use of FDG-PET was found to influence the salvage treatment decision making for locally persistent NPC by identifying patients who were not likely to benefit from additional treatment and by improving accuracy of GTV definition in salvage treatment planning. A computed tomography-based spatial normalization for the analysis of [ 18 F ] fluorodeoxyglucose positron emission tomography of the brain.
We developed a new computed tomography CT -based spatial normalization method and CT template to demonstrate its usefulness in spatial normalization of positron emission tomography PET images with [ 18 F ] fluorodeoxyglucose FDG PET studies in healthy controls. T1-weighted magnetic resonance MR images were acquired for all subjects. The skull-stripped MR and CT images were spatially normalized to each structural template. PET images were spatially normalized by applying spatial transformation parameters to normalize skull-stripped MR and CT images.
All three spatial normalization methods underestimated regional SUV values by 0. The CT-based method showed slightly greater underestimation bias. Regional SUV values derived from all three spatial normalization methods were correlated significantly p normalization may be an alternative method for structure-based spatial normalization of [ 18 F] FDG PET when MR imaging is unavailable.
The role of 18 F-fluorodeoxyglucose positron emission tomography in gestational trophoblastic tumours: a pilot study. Our preliminary results suggest that 18 F-FDG PET is potentially useful in selected patients with GTT by providing precise mapping of metastases and tumour extent upfront, by monitoring treatment response and by localising viable tumours after chemotherapy. In these patients, the diagnoses could not be confirmed using conventional modalities.
The patients' clinical courses were retrospectively reviewed. On the basis of surgical, microbiological and clinical follow-up findings, the aortic grafts were considered infected in 4 patients and not infected in 5. All 4 patients with graft infection root: 2 cases, arch: 1 case and descending: 1 case eventually underwent in situ re-replacement. Two of the 4 patients also had abdominal grafts; however, only the thoracic grafts were replaced because uptake was low around the abdominal grafts. The maximal standardized uptake value SUVmax in the perigraft area was higher in the infected group than in the non-infected group An SUVmax value greater than 8 around a graft suggests the presence of graft infection.
This is especially useful if multiple separated prosthetic grafts have been implanted. The use of molecular sieves to simulate hot lesions in 18 F-fluorodeoxyglucose-positron emission tomography imaging. The 18 F-fluorodeoxyglucose 18 F-FDG uptake of a group of 12 zeolites was studied as a function of their weight mg and of the activity concentration of the 18 F-FDG solution MBq ml -1 , using a multiple linear regression model.
The clinical problem in suspected aortoiliac graft infection AGI is to obtain proof of infection. Sixteen patients were suspected to have an AGI group I. AGI was considered proven only in the case of a positive bacterial culture. Positive cultures were found in 10 of the 16 patients group Ia , and in the other six patients, cultures remained negative group Ib.
The objective of this retrospective study was to examine the feasibility and utility of 18 F-FDG uptake heterogeneity characterized by textural features to diagnose AGI. Textural features of "1"8F-fluorodeoxyglucose positron emission tomography scanning in diagnosing aortic prosthetic graft infection. Although "1"8F-fluorodeoxyglucose "1"8F-FDG positron emission tomography scanning PET has been suggested to play a pivotal role, an evidence-based interpretation is lacking.
The objective of this retrospective study was to examine the feasibility and utility of "1"8F-FDG uptake heterogeneity characterized by textural features to diagnose AGI. SUVmax was found predictive. We report the contrast-enhanced computed tomography CT and 18 F-fluorodeoxyglucose positron emission tomography findings in adrenal histoplasmosis and candidiasis.
Both demonstrated bilateral hypermetabolic heterogeneous adrenal masses with limited wash-out on delayed CT. Adrenal candidiasis has not been previously reported, nor have the CT wash-out findings in either infection. The adrenal imaging findings are indistinguishable from malignancy, which is more common; but in this setting, physicians should be alert to the differential diagnosis of fungal infections, since it can be equally deadly.
Published by Elsevier Inc. Timmers, Henri J. Background Pheochromocytomas and paragangliomas PPGLs are rare tumors of the adrenal medulla and extra-adrenal sympathetic chromaffin tissues; their anatomical and functional imaging are critical to guiding treatment decisions. Methods A total of patients men, women, aged Sensitivity and specificity were measured as endpoints and compared by the McNemar test, using two-sided P values only.
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