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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/800328b1fab38-1da0-4486-9fc7-82d9b3462311
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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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 | |||||
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言語 | eng | |||||
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資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
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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× Higashi, Tatsuya× Nakamoto, Ryusuke× Ishizu, Koichi× Takahashi, Masaaki× Kusano, Kuninori× Kagawa, Shinya× Saga, Tsuneo× Yamauchi, Hiroshi× Higashi, Tatsuya |
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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. |
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書誌情報 |
Annals of Nuclear Medicine 巻 34, p. 182-191, 発行日 2020-06 |
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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 | |||||
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識別子タイプ | URI | |||||
関連識別子 | https://link.springer.com/article/10.1007%2Fs12149-019-01430-0 |