The management of pyothorax-associated lymphoma using 18F-FDG PET/CT

Objective Pyothorax-associated lymphoma (PAL) is a rare form of lymphoma and its management on 18 F-fluorodeoxyglucose (FDG) positron emission tomography (PET) combined computed tomography (CT) has not been well reported. The purpose of this study was to evaluate the usefulness of FDG PET/CT in pati...

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Veröffentlicht in:Annals of nuclear medicine 2010-11, Vol.24 (9), p.649-654
Hauptverfasser: Ito, Kimiteru, Shida, Yoshitaka, Kubota, Kazuo, Morooka, Miyako, Aruga, Takashi, Itami, Jun, Matsuda, Hiroshi
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container_end_page 654
container_issue 9
container_start_page 649
container_title Annals of nuclear medicine
container_volume 24
creator Ito, Kimiteru
Shida, Yoshitaka
Kubota, Kazuo
Morooka, Miyako
Aruga, Takashi
Itami, Jun
Matsuda, Hiroshi
description Objective Pyothorax-associated lymphoma (PAL) is a rare form of lymphoma and its management on 18 F-fluorodeoxyglucose (FDG) positron emission tomography (PET) combined computed tomography (CT) has not been well reported. The purpose of this study was to evaluate the usefulness of FDG PET/CT in patients with PAL. Materials and methods Twenty-four PET/CT images in seven patients (5 men and 2 women) with PAL were studied retrospectively. Five of the 24 PET/CT scans were done for diagnosis and staging, 6 for restaging, 3 for follow-up, and 10 to evaluate the treatment response. PET/CT scan interpretations were performed visually and using the maximum standardized uptake values (SUVmax). Additionally, the efficacy of the enhanced CT findings in pre- and post-treatments was described. Results Six of the 7 patients with PAL received radiotherapy, and the efficacy of treatment was observed in their lesions. The percentage decrease of SUVmax in PAL was useful in providing complementary information. Enhanced CT findings showed decreasing enhancement of PAL after treatment; however, in five cases, residual masses were confirmed after treatment. Conclusion FDG PET/CT may be an ideal modality for reducing the false-positive interpretation of residual masses occurring after treatment for PAL. The SUVmax provides complementary information for the management of PAL.
doi_str_mv 10.1007/s12149-010-0408-4
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The purpose of this study was to evaluate the usefulness of FDG PET/CT in patients with PAL. Materials and methods Twenty-four PET/CT images in seven patients (5 men and 2 women) with PAL were studied retrospectively. Five of the 24 PET/CT scans were done for diagnosis and staging, 6 for restaging, 3 for follow-up, and 10 to evaluate the treatment response. PET/CT scan interpretations were performed visually and using the maximum standardized uptake values (SUVmax). Additionally, the efficacy of the enhanced CT findings in pre- and post-treatments was described. Results Six of the 7 patients with PAL received radiotherapy, and the efficacy of treatment was observed in their lesions. The percentage decrease of SUVmax in PAL was useful in providing complementary information. Enhanced CT findings showed decreasing enhancement of PAL after treatment; however, in five cases, residual masses were confirmed after treatment. Conclusion FDG PET/CT may be an ideal modality for reducing the false-positive interpretation of residual masses occurring after treatment for PAL. The SUVmax provides complementary information for the management of PAL.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/s12149-010-0408-4</identifier><identifier>PMID: 20740330</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Aged ; Aged, 80 and over ; Biological Transport ; Empyema, Pleural - complications ; Female ; Fluorodeoxyglucose F18 - metabolism ; Follow-Up Studies ; Humans ; Imaging ; Lymphoma - complications ; Lymphoma - diagnosis ; Lymphoma - pathology ; Lymphoma - therapy ; Male ; Medicine ; Medicine &amp; Public Health ; Neoplasm Staging ; Nuclear Medicine ; Original Article ; Positron-Emission Tomography ; Radiology ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Annals of nuclear medicine, 2010-11, Vol.24 (9), p.649-654</ispartof><rights>The Japanese Society of Nuclear Medicine 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3054-5b05a8dfff9f163e082cde0a331cdd0dba58f14722e02b22e1b539fc55a0375a3</citedby><cites>FETCH-LOGICAL-c3054-5b05a8dfff9f163e082cde0a331cdd0dba58f14722e02b22e1b539fc55a0375a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12149-010-0408-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12149-010-0408-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20740330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ito, Kimiteru</creatorcontrib><creatorcontrib>Shida, Yoshitaka</creatorcontrib><creatorcontrib>Kubota, Kazuo</creatorcontrib><creatorcontrib>Morooka, Miyako</creatorcontrib><creatorcontrib>Aruga, Takashi</creatorcontrib><creatorcontrib>Itami, Jun</creatorcontrib><creatorcontrib>Matsuda, Hiroshi</creatorcontrib><title>The management of pyothorax-associated lymphoma using 18F-FDG PET/CT</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><addtitle>Ann Nucl Med</addtitle><description>Objective Pyothorax-associated lymphoma (PAL) is a rare form of lymphoma and its management on 18 F-fluorodeoxyglucose (FDG) positron emission tomography (PET) combined computed tomography (CT) has not been well reported. The purpose of this study was to evaluate the usefulness of FDG PET/CT in patients with PAL. Materials and methods Twenty-four PET/CT images in seven patients (5 men and 2 women) with PAL were studied retrospectively. Five of the 24 PET/CT scans were done for diagnosis and staging, 6 for restaging, 3 for follow-up, and 10 to evaluate the treatment response. PET/CT scan interpretations were performed visually and using the maximum standardized uptake values (SUVmax). Additionally, the efficacy of the enhanced CT findings in pre- and post-treatments was described. Results Six of the 7 patients with PAL received radiotherapy, and the efficacy of treatment was observed in their lesions. The percentage decrease of SUVmax in PAL was useful in providing complementary information. Enhanced CT findings showed decreasing enhancement of PAL after treatment; however, in five cases, residual masses were confirmed after treatment. Conclusion FDG PET/CT may be an ideal modality for reducing the false-positive interpretation of residual masses occurring after treatment for PAL. 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The purpose of this study was to evaluate the usefulness of FDG PET/CT in patients with PAL. Materials and methods Twenty-four PET/CT images in seven patients (5 men and 2 women) with PAL were studied retrospectively. Five of the 24 PET/CT scans were done for diagnosis and staging, 6 for restaging, 3 for follow-up, and 10 to evaluate the treatment response. PET/CT scan interpretations were performed visually and using the maximum standardized uptake values (SUVmax). Additionally, the efficacy of the enhanced CT findings in pre- and post-treatments was described. Results Six of the 7 patients with PAL received radiotherapy, and the efficacy of treatment was observed in their lesions. The percentage decrease of SUVmax in PAL was useful in providing complementary information. Enhanced CT findings showed decreasing enhancement of PAL after treatment; however, in five cases, residual masses were confirmed after treatment. Conclusion FDG PET/CT may be an ideal modality for reducing the false-positive interpretation of residual masses occurring after treatment for PAL. The SUVmax provides complementary information for the management of PAL.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>20740330</pmid><doi>10.1007/s12149-010-0408-4</doi><tpages>6</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Biological Transport
Empyema, Pleural - complications
Female
Fluorodeoxyglucose F18 - metabolism
Follow-Up Studies
Humans
Imaging
Lymphoma - complications
Lymphoma - diagnosis
Lymphoma - pathology
Lymphoma - therapy
Male
Medicine
Medicine & Public Health
Neoplasm Staging
Nuclear Medicine
Original Article
Positron-Emission Tomography
Radiology
Retrospective Studies
Tomography, X-Ray Computed
Treatment Outcome
title The management of pyothorax-associated lymphoma using 18F-FDG PET/CT
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