The diagnostic value of 124I-PET in patients with differentiated thyroid cancer

Background The purpose of this prospective study was to evaluate the clinical diagnostic value of iodine-124 ( 124 I)-positron emission tomography (PET) in patients with advanced differentiated thyroid carcinoma (DTC) and to compare the 124 I-PET imaging results with the 131 I whole-body scan (WBS)....

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Veröffentlicht in:European journal of nuclear medicine and molecular imaging 2008-05, Vol.35 (5), p.958-965
Hauptverfasser: Phan, Ha T. T., Jager, Pieter L., Paans, Anne M. J., Plukker, John T. M., Sturkenboom, M. G. G., Sluiter, W. J., Wolffenbuttel, Bruce H. R., Dierckx, Rudi A. J. O., Links, Thera P.
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container_issue 5
container_start_page 958
container_title European journal of nuclear medicine and molecular imaging
container_volume 35
creator Phan, Ha T. T.
Jager, Pieter L.
Paans, Anne M. J.
Plukker, John T. M.
Sturkenboom, M. G. G.
Sluiter, W. J.
Wolffenbuttel, Bruce H. R.
Dierckx, Rudi A. J. O.
Links, Thera P.
description Background The purpose of this prospective study was to evaluate the clinical diagnostic value of iodine-124 ( 124 I)-positron emission tomography (PET) in patients with advanced differentiated thyroid carcinoma (DTC) and to compare the 124 I-PET imaging results with the 131 I whole-body scan (WBS). Materials and methods Twenty patients with histologically proven advanced DTC (including T4, extra-nodal tumour growth, or distant metastases) underwent diagnostic 131 I-WBS, 124 I-PET scan, and post-treatment 131 I-WBS 4 months after ablation. The findings on the 124 I-PET were compared with the findings on the diagnostic and post-therapeutic 131 I-WBS and were also correlated with radiologic and/or cytological investigations. Results 124 I-PET vs diagnostic 131 I-WBS . Eleven patients showed uptake on the 124 I-PET. Only 3 of these 11 patients also showed uptake on the diagnostic 131 I scan, but the uptake was more clearly visible and the abnormalities were more extensive on the 124 I-PET. 124 I-PET vs post-treatment 131 I-WBS . Eleven patients showed uptake on the 124 I-PET, which was also visible on the post-treatment scan in nine patients; in the other two patients, no uptake was observed on the post-treatment scan and no anatomical localisation could be confirmed. Two patients showed only uptake on the post-treatment scan without uptake on the 124 I-PET: in one, the uptake was confirmed by MRI, and in the other, no anatomical localisation was found. In seven patients, no uptake was observed on both the scans. Conclusion 124 I-PET proved to be a superior diagnostic tool as compared to low-dose diagnostic 131 I scans and adequately predicted findings on subsequent high-dose post-treatment 131 I scans.
doi_str_mv 10.1007/s00259-007-0660-6
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T. ; Jager, Pieter L. ; Paans, Anne M. J. ; Plukker, John T. M. ; Sturkenboom, M. G. G. ; Sluiter, W. J. ; Wolffenbuttel, Bruce H. R. ; Dierckx, Rudi A. J. O. ; Links, Thera P.</creator><creatorcontrib>Phan, Ha T. T. ; Jager, Pieter L. ; Paans, Anne M. J. ; Plukker, John T. M. ; Sturkenboom, M. G. G. ; Sluiter, W. J. ; Wolffenbuttel, Bruce H. R. ; Dierckx, Rudi A. J. O. ; Links, Thera P.</creatorcontrib><description>Background The purpose of this prospective study was to evaluate the clinical diagnostic value of iodine-124 ( 124 I)-positron emission tomography (PET) in patients with advanced differentiated thyroid carcinoma (DTC) and to compare the 124 I-PET imaging results with the 131 I whole-body scan (WBS). Materials and methods Twenty patients with histologically proven advanced DTC (including T4, extra-nodal tumour growth, or distant metastases) underwent diagnostic 131 I-WBS, 124 I-PET scan, and post-treatment 131 I-WBS 4 months after ablation. The findings on the 124 I-PET were compared with the findings on the diagnostic and post-therapeutic 131 I-WBS and were also correlated with radiologic and/or cytological investigations. Results 124 I-PET vs diagnostic 131 I-WBS . Eleven patients showed uptake on the 124 I-PET. Only 3 of these 11 patients also showed uptake on the diagnostic 131 I scan, but the uptake was more clearly visible and the abnormalities were more extensive on the 124 I-PET. 124 I-PET vs post-treatment 131 I-WBS . Eleven patients showed uptake on the 124 I-PET, which was also visible on the post-treatment scan in nine patients; in the other two patients, no uptake was observed on the post-treatment scan and no anatomical localisation could be confirmed. Two patients showed only uptake on the post-treatment scan without uptake on the 124 I-PET: in one, the uptake was confirmed by MRI, and in the other, no anatomical localisation was found. In seven patients, no uptake was observed on both the scans. Conclusion 124 I-PET proved to be a superior diagnostic tool as compared to low-dose diagnostic 131 I scans and adequately predicted findings on subsequent high-dose post-treatment 131 I scans.</description><identifier>ISSN: 1619-7070</identifier><identifier>EISSN: 1619-7089</identifier><identifier>DOI: 10.1007/s00259-007-0660-6</identifier><identifier>PMID: 18175115</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cardiology ; Comparative studies ; Female ; Humans ; Imaging ; Iodine Radioisotopes ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nuclear Medicine ; Oncology ; Original ; Original Article ; Orthopedics ; Positron-Emission Tomography - methods ; Radiology ; Radiopharmaceuticals ; Reproducibility of Results ; Sensitivity and Specificity ; Thyroid cancer ; Thyroid diseases ; Thyroid Neoplasms - diagnostic imaging ; Tomography</subject><ispartof>European journal of nuclear medicine and molecular imaging, 2008-05, Vol.35 (5), p.958-965</ispartof><rights>The Author(s) 2007</rights><rights>Springer-Verlag 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3126-a473650ae081c827ee621d8a3401784adc25932b4ec958f74e6a26927b6cee423</citedby><cites>FETCH-LOGICAL-c3126-a473650ae081c827ee621d8a3401784adc25932b4ec958f74e6a26927b6cee423</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/s00259-007-0660-6$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00259-007-0660-6$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18175115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Phan, Ha T. T.</creatorcontrib><creatorcontrib>Jager, Pieter L.</creatorcontrib><creatorcontrib>Paans, Anne M. J.</creatorcontrib><creatorcontrib>Plukker, John T. M.</creatorcontrib><creatorcontrib>Sturkenboom, M. G. G.</creatorcontrib><creatorcontrib>Sluiter, W. J.</creatorcontrib><creatorcontrib>Wolffenbuttel, Bruce H. R.</creatorcontrib><creatorcontrib>Dierckx, Rudi A. J. O.</creatorcontrib><creatorcontrib>Links, Thera P.</creatorcontrib><title>The diagnostic value of 124I-PET in patients with differentiated thyroid cancer</title><title>European journal of nuclear medicine and molecular imaging</title><addtitle>Eur J Nucl Med Mol Imaging</addtitle><addtitle>Eur J Nucl Med Mol Imaging</addtitle><description>Background The purpose of this prospective study was to evaluate the clinical diagnostic value of iodine-124 ( 124 I)-positron emission tomography (PET) in patients with advanced differentiated thyroid carcinoma (DTC) and to compare the 124 I-PET imaging results with the 131 I whole-body scan (WBS). Materials and methods Twenty patients with histologically proven advanced DTC (including T4, extra-nodal tumour growth, or distant metastases) underwent diagnostic 131 I-WBS, 124 I-PET scan, and post-treatment 131 I-WBS 4 months after ablation. The findings on the 124 I-PET were compared with the findings on the diagnostic and post-therapeutic 131 I-WBS and were also correlated with radiologic and/or cytological investigations. Results 124 I-PET vs diagnostic 131 I-WBS . Eleven patients showed uptake on the 124 I-PET. Only 3 of these 11 patients also showed uptake on the diagnostic 131 I scan, but the uptake was more clearly visible and the abnormalities were more extensive on the 124 I-PET. 124 I-PET vs post-treatment 131 I-WBS . Eleven patients showed uptake on the 124 I-PET, which was also visible on the post-treatment scan in nine patients; in the other two patients, no uptake was observed on the post-treatment scan and no anatomical localisation could be confirmed. Two patients showed only uptake on the post-treatment scan without uptake on the 124 I-PET: in one, the uptake was confirmed by MRI, and in the other, no anatomical localisation was found. In seven patients, no uptake was observed on both the scans. 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O.</creator><creator>Links, Thera P.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200805</creationdate><title>The diagnostic value of 124I-PET in patients with differentiated thyroid cancer</title><author>Phan, Ha T. 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T.</au><au>Jager, Pieter L.</au><au>Paans, Anne M. J.</au><au>Plukker, John T. M.</au><au>Sturkenboom, M. G. G.</au><au>Sluiter, W. J.</au><au>Wolffenbuttel, Bruce H. R.</au><au>Dierckx, Rudi A. J. O.</au><au>Links, Thera P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The diagnostic value of 124I-PET in patients with differentiated thyroid cancer</atitle><jtitle>European journal of nuclear medicine and molecular imaging</jtitle><stitle>Eur J Nucl Med Mol Imaging</stitle><addtitle>Eur J Nucl Med Mol Imaging</addtitle><date>2008-05</date><risdate>2008</risdate><volume>35</volume><issue>5</issue><spage>958</spage><epage>965</epage><pages>958-965</pages><issn>1619-7070</issn><eissn>1619-7089</eissn><abstract>Background The purpose of this prospective study was to evaluate the clinical diagnostic value of iodine-124 ( 124 I)-positron emission tomography (PET) in patients with advanced differentiated thyroid carcinoma (DTC) and to compare the 124 I-PET imaging results with the 131 I whole-body scan (WBS). Materials and methods Twenty patients with histologically proven advanced DTC (including T4, extra-nodal tumour growth, or distant metastases) underwent diagnostic 131 I-WBS, 124 I-PET scan, and post-treatment 131 I-WBS 4 months after ablation. The findings on the 124 I-PET were compared with the findings on the diagnostic and post-therapeutic 131 I-WBS and were also correlated with radiologic and/or cytological investigations. Results 124 I-PET vs diagnostic 131 I-WBS . Eleven patients showed uptake on the 124 I-PET. Only 3 of these 11 patients also showed uptake on the diagnostic 131 I scan, but the uptake was more clearly visible and the abnormalities were more extensive on the 124 I-PET. 124 I-PET vs post-treatment 131 I-WBS . Eleven patients showed uptake on the 124 I-PET, which was also visible on the post-treatment scan in nine patients; in the other two patients, no uptake was observed on the post-treatment scan and no anatomical localisation could be confirmed. Two patients showed only uptake on the post-treatment scan without uptake on the 124 I-PET: in one, the uptake was confirmed by MRI, and in the other, no anatomical localisation was found. In seven patients, no uptake was observed on both the scans. Conclusion 124 I-PET proved to be a superior diagnostic tool as compared to low-dose diagnostic 131 I scans and adequately predicted findings on subsequent high-dose post-treatment 131 I scans.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>18175115</pmid><doi>10.1007/s00259-007-0660-6</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Cardiology
Comparative studies
Female
Humans
Imaging
Iodine Radioisotopes
Male
Medicine
Medicine & Public Health
Middle Aged
Nuclear Medicine
Oncology
Original
Original Article
Orthopedics
Positron-Emission Tomography - methods
Radiology
Radiopharmaceuticals
Reproducibility of Results
Sensitivity and Specificity
Thyroid cancer
Thyroid diseases
Thyroid Neoplasms - diagnostic imaging
Tomography
title The diagnostic value of 124I-PET in patients with differentiated thyroid cancer
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