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Gewählte Publikation:

Wolf, G; Aigner, RM; Schaffler, G; Schwarz, T; Krippl, P.
Pathology results in [18F]fluorodeoxyglucose positron emission tomography of the thyroid gland.
Nucl Med Commun. 2003; 24(12):1225-1230 Doi: 10.1097/01.mnm.0000104643.79626.a1
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Co-Autor*innen der Med Uni Graz
Aigner Reingard
Krippl Peter
Schaffler Gottfried
Schwarz Thomas
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Abstract:
The aim of this retrospective study was to evaluate pathologically increased uptake of [18F]fluorodeoxyglucose (18F-FDG) in positron emission tomography (PET) results of the thyroid gland. Results of 18F-FDG PET and [99mTc]pertechnetate scintigraphy of the thyroid gland are shown, compared to each other and discussed. In a retrospective study 16 patients underwent whole-body 18F-FDG PET and [99mTc]pertechnetate scintigraphy of the thyroid gland within 3 weeks. In addition, an examination of the thyroid gland by using ultrasound and laboratory tests was carried out. The 18F-FDG PET studies were carried out on a dedicated whole-ring PET scanner. Eight patients had a pathological FDG uptake in the thyroid and a cold nodule in [99mTc]pertechnetate scintigraphy of the thyroid gland (in 7/8 cases histology showed malignancy). Five patients had an inhomogeneous FDG uptake in the thyroid gland and were suspected of thyroiditis in 18F-FDG PET (in 3/5 cases thyroiditis was confirmed). Three patients had an especially low FDG uptake compared to normal physiological FDG uptake (no malignancy). Results from studies using 18F-FDG represent a growing body of evidence showing the differentiation between malignant and benign disease: we saw many pathological results in the thyroid gland. High uptake of 18F-FDG in the thyroid gland suggests possible malignancy. Thyroiditis can only be suspected based upon the results of 18F-FDG PET. We conclude that 18F-FDG PET has a potential clinical impact for detecting possible malignant lesions of the thyroid gland, but further studies, in which a higher number of patients are evaluated, are necessary.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Female -
Fluorodeoxyglucose F18 - diagnostic use Fluorodeoxyglucose F18 - pharmacokinetics
Humans -
Male -
Middle Aged -
Radiopharmaceuticals - diagnostic use Radiopharmaceuticals - pharmacokinetics
Reproducibility of Results -
Sensitivity and Specificity -
Thyroid Gland - metabolism Thyroid Gland - pathology Thyroid Gland - radionuclide imaging
Thyroid Neoplasms - metabolism Thyroid Neoplasms - pathology Thyroid Neoplasms - radionuclide imaging
Tomography, Emission-Computed - methods

Find related publications in this database (Keywords)
F-18-FDG PET
positron emission tomography
[Tc-99m]pertechnetate scintigraphy
thyroid
thyroiditis
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