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
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
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Aigner Reingard
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Krippl Peter
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Schaffler Gottfried
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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.
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Adolescent -
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Adult -
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Aged -
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Female -
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Fluorodeoxyglucose F18 - diagnostic use Fluorodeoxyglucose F18 - pharmacokinetics
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Humans -
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Male -
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Middle Aged -
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Radiopharmaceuticals - diagnostic use Radiopharmaceuticals - pharmacokinetics
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Reproducibility of Results -
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Sensitivity and Specificity -
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Thyroid Gland - metabolism Thyroid Gland - pathology Thyroid Gland - radionuclide imaging
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Thyroid Neoplasms - metabolism Thyroid Neoplasms - pathology Thyroid Neoplasms - radionuclide imaging
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Tomography, Emission-Computed - methods
- Find related publications in this database (Keywords)
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F-18-FDG PET
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positron emission tomography
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[Tc-99m]pertechnetate scintigraphy
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thyroid
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thyroiditis