{"title":"Diagnostic value of <sup>18</sup>F-FDG and <sup>68</sup>Ga-FAPI in head and neck cancers: A systematic review and meta-analysis.","authors":"Jiao Ma, Jiayu Zhang, Ting Zhao, Jia Deng, Chunyin Zhang","doi":"10.1967/s002449912786","DOIUrl":"10.1967/s002449912786","url":null,"abstract":"<p><strong>Objective: </strong>Gallium-68-labeled fibroblast activating protein inhibitor (<sup>68</sup>Ga-FAPI) has been developed for positron emission tomography (PET) and proved to be a promising imaging agent. It has shown good diagnostic performance in the diagnosis of various solid tumors, including head and neck cancers (HNC). This study conducted a meta-analysis on the diagnostic performance of fluorine-18-fluorodeoxyglucose (<sup>18</sup>F-FDG) and <sup>68</sup>Ga-FAPI in HNC, summarized the clinical evidence of <sup>68</sup>Ga-FAPI for HNC, and compared the diagnostic sensitivity of the two imaging agents in the primary and metastatic lesions of HNC.</p><p><strong>Materials and methods: </strong>PubMed/ Medline, Embase and Cochrane Library databases were searched from built to 31 January 2023. Studies on patients with HNC underwent paired <sup>18</sup>F-FDG and <sup>68</sup>Ga-FAPI were included. Literature screening, full text review and data extraction were performed by 2 investigators. The risk of bias was examined with the QUADAS-2 tool. Meta-analysis of diagnostic test sensitivity was performed by a random-effect model and displayed by a forest plot.</p><p><strong>Results: </strong>A total of 507 studies were comprehensively retrieved, and 11 studies, 297 patients were selected for the systematic review and 9 studies for meta-analysis. Two hundred and nine patients selected for initial staging and 88 patients for recurrence. Pooled sensitivity at initial stage was conducted. Based on primary lesions, the sensitivity were <sup>18</sup>F-FDG 0.95 (0.81-0.99) vs <sup>68</sup>Ga-FAPI 0.99 (0.90-1.00). For lymph node metastases, based on patients, the sensitivity were <sup>18</sup>F-FDG 0.99 (0.77-1.00) vs <sup>68</sup>Ga-FAPI 0.92 (0.68-0.98); For distant metastases, based on patients, the sensitivity were <sup>18</sup>F-FDG 0.82 (0.03-1.00) vs <sup>68</sup>Ga-FAPI 0.92 (0.59-0.99).</p><p><strong>Conclusion: </strong>Gallium-68-FAPI has great potential in the diagnosis of HNC and has similar diagnostic value with <sup>18</sup>F-FDG. While there is much overlap in the performance (as measured by sensitivity) of these two agents but a trend may favor <sup>68</sup>Ga-FAPI over <sup>18</sup>F-FDG for detection of primary tumor and distant metastases. Therefore, in the diagnosis and evaluation of head and neck cancers, the combination of <sup>68</sup>Ga-FAPI and <sup>18</sup>F-FDG can be considered according to the individual situation.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"44-60"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aziz Gültekin, Ayşe Uğur, Mine Sulak, Samiye Demirezen, Doğangün Yüksel
{"title":"Radiopharmaceutical properties of hydroxyapatite smaller than 50nm produced from eggshell and labeled with <sup>99m</sup>Tc and its biodistribution in rabbits.","authors":"Aziz Gültekin, Ayşe Uğur, Mine Sulak, Samiye Demirezen, Doğangün Yüksel","doi":"10.1967/s002449912787","DOIUrl":"10.1967/s002449912787","url":null,"abstract":"<p><strong>Objective: </strong>Radiolabeling of nanoparticles has potential benefits for personalized treatments and theranostic applications, which have been on the agenda in recent years. Hydroxyapatite nanoparticles (HANP), which have a great similarity to bone tissue, stand out as a biocompatible nanoparticle. The different biodistribution properties of hydroxyapatite molecules in different nanosizes may create new opportunities for their use, especially in bone imaging and in the treatment of bone tumors. This study aims to investigate the labeling of hydroxyapatite molecules smaller than 50 nanometers obtained from eggshells with technetium-99m (<sup>99m</sup>Tc) and the in vivo distribution of this molecule in rabbits.</p><p><strong>Materials and methods: </strong>Characterization of nanohydroxyapatite particles obtained from eggshells was performed using scanning electron microscopy (SEM), energy dispersive X-ray (EDX), and X-ray diffraction (XRD). Radiolabeling of HANP smaller than 50nm with <sup>99m</sup>Tc radionuclide, stability of the labeled product, and biodistribution profile in rabbits were investigated.</p><p><strong>Results: </strong>The radiochemical purity of the <sup>99m</sup>Tc-HANP was obtained as 96%. The in vitro stability of <sup>99m</sup>Tc labeled HANP was examined for up to 12 hours and showed excellent in vitro stability for the first 4 hours in saline. Technetium-99m-HANP remained stable in vivo during the 6-hour imaging period. In quantitative analysis, <sup>99m</sup>Tc-HANP showed accumulation in bone tissue in the second hour.</p><p><strong>Conclusion: </strong>Technetium-99m-HANP nanoradiopharmaceuticals with sizes less than 50 nanometers (20-31nm) showed high uptake in bone tissue in rabbits. Therefore, HANP can be developed as imaging radiopharmaceuticals in bone tissue and bone cancers.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"61-70"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utility of <sup>18</sup>F-FDG PET/CT in risk assessment of Medication-related osteonecrosis of jaw.","authors":"Kazuhiro Kitajima, Kazuma Noguchi, Kuniyasu Moridera, Kyohei Yoshikawa, Kazuki Takaoka, Hiromitsu Kishimoto, Yukihisa Tamaki, Koichiro Yamakado","doi":"10.1967/s002449912782","DOIUrl":"10.1967/s002449912782","url":null,"abstract":"<p><strong>Objective: </strong>The clinical utility of quantitative fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (<sup>18</sup>F-FDG PET/CT) for classification of medication-related osteonecrosis of the jaw (MRONJ) was determined.</p><p><strong>Subjects and methods: </strong>Seventy-one lesions in 59 patients clinically diagnosed as MRONJ, based on American Association of Oral and Maxillofacial Surgeons (AAOMS) diagnostic criteria by Japanese Society of Oral Surgery specialists and who received <sup>18</sup>F-FDG PET/CT examinations, were enrolled. For analysis, standard uptake values (SUV), including maximum (SUVmax), peak (SUVpeak), and mean (SUVmean) were evaluated, and also metabolic lesion volume (MLV) for total volume above the threshold, and total lesion glycolysis (TLG), calculated as MLVxSUVmean. To compare quantitative values between clinical stages, one-way repeated measures analysis of variance and subsequent post-hoc analysis were used.</p><p><strong>Results: </strong>The mean SUVmax values for AAOMS stage 1 (n=13), 2 (n=43), and 3 (n=15) patients were 3.68±0.83, 6.15±1.32, and 9.92±1.63, respectively, while MLV values were 6.51±5.53, 8.76±9.74, and 13.92±13.89, respectively, and TLG values were 16.84±17.23, 31.36±35.25, and 66.27±58.51, respectively. Maximum SUV and TLG showed significant differences between clinical stages (P<0.0001 and P=0.0029, respectively). With stage increase, MLV showed a mild increasing tendency, though the difference between stages was not significant (P=0.13), while SUVmax value differences between individual stages were significant in subsequent post-hoc analysis (P<0.0001). Furthermore, post-hoc analysis indicated that the stage 3 TLG value was significantly greater than that of stage 1 and 2 (P<0.01 and P<0.05, respectively).</p><p><strong>Conclusion: </strong>For MRONJ patients, SUVmax and TLG derived from quantitative <sup>18</sup>F-FDG PET/CT results are reliable objective indicators useful for disease activity evaluation and staging.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"14-19"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yinting Hu, Xiaolin Sun, Shuhua Ren, Xiaoyue Tan, Lei Jiang
{"title":"Abnormal cortical amyloid deposition in <sup>18</sup>F-Florbetapir PET/CT: General paresis of the insane mimicking early-onset Alzheimer's disease.","authors":"Yinting Hu, Xiaolin Sun, Shuhua Ren, Xiaoyue Tan, Lei Jiang","doi":"10.1967/s002449912790","DOIUrl":"10.1967/s002449912790","url":null,"abstract":"<p><p>General paresis (GP) is a type of neurosyphilis characterized by progressive memory impairment and mental disorders. It exhibits clinical, neuroimaging, and pathological similarities to Alzheimer's disease (AD). Here, we report a 37-year-old man with memory impairment and emotional disorders, who was clinically diagnosed with neurosyphilis, specifically GP. The fluorine-18 (<sup>18</sup>F)-Florbetapir positron emission tomography/computed tomography (PET/CT) of the patient showed mild diffuse amyloid deposition in both the cerebral and cerebellar cortex. Moreover, hypermetabolism in the left hippocampal region was revealed on <sup>18</sup>F-fluorodeoxyglucose (<sup>18</sup>F-FDG) PET/CT. The patient's cerebrospinal fluid (CSF) test and genotyping results further excluded coexistent genetic AD. This case highlights the significance of considering neurosyphilis as a possible differential diagnosis in dementia patients with atypical positive amyloid PET findings. The mechanisms underlying aberrant amyloid deposition in neurosyphilis require further investigation.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"79-80"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application value of Philips Ingenuity TF PET/CT scanner imaging agent FAP in evaluating renal fibrosis.","authors":"Xueqin Zhao, Wei Fu","doi":"10.1967/s002449912784","DOIUrl":"10.1967/s002449912784","url":null,"abstract":"<p><strong>Objective: </strong>Chronic kidney disease (CKD) progression is accelerated by renal fibrosis, which causes abnormal extracellular matrix (ECM) accumulation. Non-invasive precision in measuring renal fibrosis is now possible with the help of advanced imaging techniques like magnetic resonance imaging (MRI) and ultrasound elastography. Fluorine-18-fibroblast activation protein (<sup>18</sup>F-FAP) is a promising Philips ingenuity TF positron emission tomography/computed tomography (PET/CT) scanner imaging target in activated fibroblasts associated with fibrotic disorders. Real-time quantification with FAP-targeted imaging improves kidney fibrosis diagnosis and guides anti-fibrotic therapies. The aim of this study is to develop reliable diagnostic and treatment techniques for renal fibrosis, Philips ingenuity TF PET/CT scanner imaging with FAP is useful.</p><p><strong>Materials and methods: </strong>Positron emission tomography data from 100 patients in our hospital (October 2022-September 2023) was analyzed to see if renal radiotracer uptake correlated with CKD progression. Fluorine-18-FAPI-04 synthesis and Philips ingenuity TF PET/CT scanner imaging were standard. One person determined CKD stage and glomerular filtration rate (GFR) after imaging processing. Imaged renal radiotracer distribution using maximum standardized uptake value (SUVmax) and mean SUV (SUVmean). The study sought to improve renal radiotracer dispersion estimation for CKD assessment.</p><p><strong>Results: </strong>The study reveals a complex relationship between GFR and radiotracer uptake in kidneys. At lower GFR, substantial uptake is seen, but a GFR of 15mL/min/1.73m<sup>2</sup> shows a drop to zero. Higher GFR generally correlate with increased uptake, peaking at GFR of 75 and 90mL/min/1.73m<sup>2</sup>. Yet, at GFR of 115 and 120mL/min/1.73m<sup>2</sup>, there is a reduction in radiotracer uptake, suggesting a nuanced association with renal function. Varied kidney SUVmax and SUVmean were significant for <sup>18</sup>F-FAPI C (P<0.001), while baseline SUV readings were not significant. Fluorine-18-L-dihydroxyphenylalanine (<sup>18</sup>F-DOPA) and gallium-68 (<sup>68</sup>Ga) <sup>18</sup>F-prostate specific membrane antigen (PSMA) had significant kidney SUVmax values (P=0.05). Results suggest diverse absorption patterns for different radiotracers in kidneys and tissues.</p><p><strong>Conclusion: </strong>Fluorine-18-FAPI is a promising noninvasive approach for evaluating and quantifying CKD grades. Its excellent CKD severity correlation and renal insights make it a transformative diagnostic tool.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"28-35"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"3D quantitative values of osteoradionecrosis of the jaw derived from <sup>18</sup>F-FDG PET/CT and bone SPECT/CT studies.","authors":"Kazuhiro Kitajima, Masayuki Fujiwara, Tomonori Terada, Kazuma Noguchi, Hiromitsu Kishimoto, Koichiro Yamakado","doi":"10.1967/s002449912781","DOIUrl":"10.1967/s002449912781","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical utility of the 3D quantitative values derived from fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (<sup>18</sup>F-FDG PET/CT) and bone single-photon computed tomography-computed tomography (SPECT/CT) for the diagnosis of osteoradionecrosis (ORN) of the jaw.</p><p><strong>Subjects and methods: </strong>Thirty four patients with head and neck cancer who had a history of radiotherapy and clinically diagnosed as ORN and who undertaken <sup>18</sup>F-FDG PET/CT (n=23) or quantitative bone SPECT/CT (n=11) were enrolled. Standardized uptake values (SUV), including maximum SUV (SUVmax), peak SUV (SUVpeak), and mean SUV (SUVmean), as well as metabolic lesion volume (MLV), representing total volume above threshold, and total lesion uptake (TLU), calculated as MLVxSUVmean were determined.</p><p><strong>Results: </strong>In <sup>18</sup>F-FDG PET/CT results, mean values (range) of SUVmax, SUVpeak, SUVmean, MLV, and TLU of 24 lesions were 6.72±2.62 (3.67~14.36), 5.25±2.05 (2.46~10.88), 3.77±1.33 (1.74~7.69), 11.49±9.61 (1.54~43.14), and 49.07±59.26 (4.44~271.05), respectively. In quantitative bone SPECT/CT results, mean values (range) of SUVmax, SUVpeak, SUVmean, MLV, and TLU of 16 lesions were 5.26±0.89 (3.71~7.07), 4.62±0.78 (3.09~6.02), 3.44±0.46 (2.68~4.32), 14.45±9.93 (1.48~33.32), and 49.72±35.51 (4.60~127.86), respectively.</p><p><strong>Conclusion: </strong>As objective and reliable indicators, 3D quantitative values (SUV and volume) derived from <sup>18</sup>F-FDG PET/CT and quantitative bone SPECT/CT results are useful for evaluation of the disease activity of ORN of the jaw.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"8-13"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Şadiye Altun Tuzcu, Erdal Çetinkaya, Fatih GÇzel, İlbey Erkin Çetin, Ümit Mete, Eşref Argın, Bekir Taşdemir
{"title":"Exploring <sup>18</sup>F-FDG uptake patterns in liver, spleen, and bone marrow: Implications for inflammatory and infectious conditions.","authors":"Şadiye Altun Tuzcu, Erdal Çetinkaya, Fatih GÇzel, İlbey Erkin Çetin, Ümit Mete, Eşref Argın, Bekir Taşdemir","doi":"10.1967/s002449912752","DOIUrl":"10.1967/s002449912752","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the relationship between fluorine-18-fluorodeoxyglucose (<sup>18</sup>F-FDG) uptake in the liver, spleen, and bone marrow and inflammatory markers such as c-reactive protein (CRP), albumin, and erythrocyte sedimentation rate (ESR) in patients undergoing positron emission tomography/computed tomography (PET/CT) imaging for cancer diagnosis.</p><p><strong>Subjects and methods: </strong>This retrospective cross-sectional study included a total of 708 patients with a diagnosis of malignancy. Fluorine-18-FDG PET/CT images acquired between January 2021 and December 2022. Exclusion criteria comprised prior chemotherapy, radiotherapy, hematological malignancies, or liver/spleen tumors. Statistical analysis included correlation analysis, univariate, and multivariate regression analysis.</p><p><strong>Results: </strong>C-reactive protein levels demonstrated a significant positive correlation with <sup>18</sup>F-FDG uptake in the spleen (r=0.104, P=0.006) and bone marrow (r=0.112, P=0.003). Albumin showed a negative correlation with liver <sup>18</sup>F-FDG uptake (r=-0.220, P<0.001). Regression analysis revealed ESR's impact on spleen-to-liver (P=0.023) and bone marrow-to-liver (P=0.012) <sup>18</sup>F-FDG uptake.</p><p><strong>Conclusion: </strong>This study demonstrates the association between inflammatory markers and <sup>18</sup>F-FDG uptake in liver, spleen and bone marrow. C-reactive protein and ESR showing significant correlations with spleen and bone marrow <sup>18</sup>F-FDG uptake, and albumin correlated with liver <sup>18</sup>F-FDG uptake negatively. Erythrocyte sedimentation rate had significant impact on spleen and bone marrow <sup>18</sup>F-FDG uptakes. These findings suggest the potential of <sup>18</sup>F-FDG PET/CT in diagnosing inflammatory conditions, warranting further investigation into its clinical implications.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"181-187"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AI potential in PET/CT cancer imaging.","authors":"Georgia Panagiota Vazoura, Dimitrios Filos, Evanthia Giannoula, Ioannis Iakovou, Ioanna Chouvarda","doi":"10.1967/s002449912756","DOIUrl":"10.1967/s002449912756","url":null,"abstract":"<p><p>Positron emission tomography/computed tomography (PET/CT) is a hybrid medical imaging technique that combines PET and CT to provide detailed images of the body's anatomical structures and metabolic activity. It is frequently used for oncology and other medical diagnoses. This overview aims to examine how artificial intelligence (AI) has been used in PET/CT, based on recent state-of-art. There are a number of clinical questions in Nuclear Medicine, and AI could provide answers, having the capability to enhance various aspects of medical imaging. The overview focuses on how machine learning (ML) and deep learning (DL), enhance tumor segmentation, classification, diagnosis, disease-free survival prediction and treatment response prediction in oncology. The analysis showed that the application of AI provides reliable results, especially in the fields of classification and diagnosis. In addition, radiomics is a novel research field enabling quantitative analysis of medical images through feature extraction, utilized for AI model implementation. Despite these advances, addressing issues such as dataset size, standardization, and ethical concerns are essential for broad clinical integration of AI in PET/CT oncology imaging.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"212-221"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Binbin Wang, Lu Liu, Na Wang, Yuqian Chen, Yanpeng Sun
{"title":"Analysis of the diagnostic effect of <sup>18</sup>F-FDG PET/CT in IIM patients and its relationship with disease severity.","authors":"Binbin Wang, Lu Liu, Na Wang, Yuqian Chen, Yanpeng Sun","doi":"10.1967/s002449912755","DOIUrl":"10.1967/s002449912755","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the diagnostic effect of fluorine-18-fluorodeoxyglucose (<sup>18</sup>F-FDG) positron emission tomography/computed tomography (PET/CT) in patients with idiopathic inflammatory myopathies (IIM) and its relationship with disease severity.</p><p><strong>Subjects and methods: </strong>A retrospective analysis was conducted on the clinical and imaging data of 31 IIM patients treated in our hospital from April 2020 to April 2024, who were included in the lesion group. Additionally, 30 patients without muscle disease during the same period were selected as the control group. The maximum standardized uptake value (SUVmax) of the proximal limb girdle muscles was measured in both groups and compared. A receiver operating characteristic (ROC) curve was plotted to analyze the diagnostic value of SUVmax for IIM using <sup>18</sup>F-FDG PET/CT. Spearman rank correlation was used to analyze the relationship between muscle SUVmax in IIM patients and relevant laboratory indicators, including creatine kinase (CK), creatine kinase-MB (CK-MB), C-reactive protein (CRP), serum ferritin (SF), lactate dehydrogenase (LDH), aspartate aminotransferase (AST), and alanine aminotransferase (ALT).</p><p><strong>Results: </strong>The SUVmax level of the lesion group (2.94±0.58) was significantly higher than that of the control group (1.17±0.23) (t=15.568, P<0.05). A receiver operating characteristic curve analysis indicated that the optimal cut-off value of SUVmax for distinguishing the lesion group from the control group was 2.16g/mL, with a diagnostic sensitivity of 100%, specificity of 91.8%, and an area under the curve (AUC) of 0.952. Correlation analysis showed a positive correlation between SUVmax and CK (r=0.659), CK-MB (r=0.523), AST (r=0.458), and LDH (r=0.437) (P<0.05), but no significant correlation with CRP (r=0.219), SF (r=0.348), or ALT (r=0.237).</p><p><strong>Conclusion: </strong>Fluorine-18-FDG PET/CT demonstrates an ideal diagnostic effect for IIM patients, and its semi-quantitative parameter, SUVmax, holds good auxiliary diagnostic value for IIM. It can reflect the activity and severity of the disease to a certain extent.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"206-211"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Accidental renal cell carcinoma detected on <sup>68</sup>Ga-Pentixafor PET/MR.","authors":"Wei Zhang, Liu Xiao, Wenjie Zhang, Lin Li","doi":"10.1967/s002449912761","DOIUrl":"10.1967/s002449912761","url":null,"abstract":"<p><p>The value of gallium-68 (<sup>68</sup>Ga)-Pentixafor positron emission tomography/magnetic resonance (PET/MR) image in renal carcinoma is unknown. Herein, we reported <sup>68</sup>Ga-Pentixafor PET/MR findings in a 47-year-old man with accidental renal carcinoma. Gallium-68-Pentixafor PET/MR showed a small nodule in the left kidney with iso-signal on T1WI and low signal on T2WI. This lesion had intense <sup>68</sup>Ga-Pentixafor uptake with a maximum standardized uptake value (SUVmax) of 7.05. This case suggested the potential of <sup>68</sup>Ga-Pentixafor PET/MR in the image evaluation of renal carcinoma.</p>","PeriodicalId":12871,"journal":{"name":"Hellenic journal of nuclear medicine","volume":" ","pages":"251-252"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}