Mild Metabolism Increase on Posttreatment 18F-FDG PET may Indicate Recurrence of Primary CNS Lymphoma.

IF 9.6 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Antoine Rogeau, Sylvain Choquet, Bertrand Mathon, Magali Le Garff-Tavernier, Karima Mokhtari, Lucia Nichelli, Inès Boussen, Laura Rozenblum, Caroline Houillier, Aurélie Kas
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引用次数: 0

Abstract

In immunocompetent patients, primary central nervous system lymphoma (PCNSL) typically presents with homogeneously enhancing brain lesions and high 18F-FDG avidity, ranging from 2 to 5 times higher than that of healthy tissue at baseline. We present the case of a 34-year-old woman in whom PCNSL recurrence was questioned due to the appearance of mildly increased glucose metabolism (1.3 times higher than normal contralateral tissue) and FLAIR hypersignals, despite the absence of contrast enhancement or cerebrospinal fluid abnormalities. Histopathology confirmed the recurrence. This case highlights that new 18F-FDG PET uptake during follow-up, even with lower avidity than baseline, should prompt concern for recurrence or residual disease in PCNSL.

治疗后18F-FDG PET轻度代谢增高可能提示原发性中枢神经系统淋巴瘤复发。
在免疫功能正常的患者中,原发性中枢神经系统淋巴瘤(PCNSL)通常表现为均匀增强的脑病变和高18F-FDG贪婪度,基线时比健康组织高2至5倍。我们报告一例34岁的女性,尽管没有增强或脑脊液异常,但由于糖代谢轻度增加(比正常对侧组织高1.3倍)和FLAIR高信号的出现,PCNSL复发受到质疑。组织病理学证实复发。该病例强调,随访期间新的18F-FDG PET摄取,即使比基线低,也应引起对PCNSL复发或残留疾病的关注。
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来源期刊
Clinical Nuclear Medicine
Clinical Nuclear Medicine 医学-核医学
CiteScore
2.90
自引率
31.10%
发文量
1113
审稿时长
2 months
期刊介绍: Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.
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