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  1. 原著論文

Predominance and Homogeneity Patterns of Physiological FDG Accumulation in Thoracic and Lumbar Vertebrae: Suspected Mechanism of "Bone Pseudometastasis" on FDG-PET in Japanese Patients With Esophageal Cancer

https://repo.qst.go.jp/records/80032
https://repo.qst.go.jp/records/80032
8b1fab38-1da0-4486-9fc7-82d9b3462311
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-06-09
タイトル
タイトル Predominance and Homogeneity Patterns of Physiological FDG Accumulation in Thoracic and Lumbar Vertebrae: Suspected Mechanism of "Bone Pseudometastasis" on FDG-PET in Japanese Patients With Esophageal Cancer
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Okuyama, Chio

× Okuyama, Chio

WEKO 871337

Okuyama, Chio

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Higashi, Tatsuya

× Higashi, Tatsuya

WEKO 871338

Higashi, Tatsuya

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Nakamoto, Ryusuke

× Nakamoto, Ryusuke

WEKO 871339

Nakamoto, Ryusuke

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Ishizu, Koichi

× Ishizu, Koichi

WEKO 871340

Ishizu, Koichi

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Takahashi, Masaaki

× Takahashi, Masaaki

WEKO 871341

Takahashi, Masaaki

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Kusano, Kuninori

× Kusano, Kuninori

WEKO 871342

Kusano, Kuninori

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Kagawa, Shinya

× Kagawa, Shinya

WEKO 871343

Kagawa, Shinya

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Saga, Tsuneo

× Saga, Tsuneo

WEKO 871344

Saga, Tsuneo

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Yamauchi, Hiroshi

× Yamauchi, Hiroshi

WEKO 871345

Yamauchi, Hiroshi

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Higashi, Tatsuya

× Higashi, Tatsuya

WEKO 871346

en Higashi, Tatsuya

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抄録
内容記述タイプ Abstract
内容記述 Objective
False-positive bone lesions (bone pseudometastases) have been often reported in patients with esophageal cancer (EsoC). This study aimed to evaluate the vertebral 2-deoxy-2-[18F] fluoro-D-glucose (FDG) accumulation pattern in patients with newly diagnosed esophageal cancers and other malignancies (OtherT) to elucidate the possible mechanism that causes bone pseudometastasis.

Methods
FDG positron emission tomography/computed tomography performed for 90 patients with EsoC, and 112 patients with OtherT was retrospectively evaluated. The uptake pattern in the thoracic (Th) and lumbar (L) vertebrae was visually assessed regarding predominance (TL, Th ≒ L; Td, Th > L; Ld, L > Th), main intensity compared with the uptake in the blood pool (BP) (Grade 1 < BP, Grade 2 ≒ BP, or Grade 3 > BP), and homogeneity (homogeneous, heterogeneous, marginal, or spotty). The patterns between EsoC and OtherT and between Th and L were compared.

Results
TL, Td, and Ld patterns were observed in 51.1%, 48.9%, and 0% in EsoC and 79.7%, 20.3%, and 0% in OtherT. Though Grade 2 was most frequently observed in both groups, the ratio of Grade 3 in Th and Grade 1 in L was significantly higher in EsoC than in OtherT. Heterogeneous and spotty patterns were more frequently observed in L and in EsoC, and these were strongly associated with Td pattern.

Conclusion
Td pattern was frequently seen, especially in EsoC, and was strongly associated with a heterogeneous or marginal pattern in the L. Heterogeneous marrow distribution with declined lumbar uptake is suspected as the mechanism of bone pseudometastasis.
書誌情報 Annals of Nuclear Medicine

巻 34, p. 182-191, 発行日 2020-06
ISSN
収録物識別子タイプ ISSN
収録物識別子 0914-7187
DOI
識別子タイプ DOI
関連識別子 10.1007/s12149-019-01430-0
関連サイト
識別子タイプ URI
関連識別子 https://link.springer.com/article/10.1007%2Fs12149-019-01430-0
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