Tanvi Sarwal, Althaf K Majeed, B Selvakumar, Vaibhav Kumar Varshney, Meenakshi Rao, Rajesh Kumar
{"title":"Solitary Renal Metastasis in Esophageal Squamous Cell Cancer Detected on F-18 FDG PET/CT - A Rare Presentation.","authors":"Tanvi Sarwal, Althaf K Majeed, B Selvakumar, Vaibhav Kumar Varshney, Meenakshi Rao, Rajesh Kumar","doi":"10.4103/ijnm.ijnm_96_24","DOIUrl":"10.4103/ijnm.ijnm_96_24","url":null,"abstract":"<p><p>Positron emission tomography with computed tomography using fluorine-18 fluoro-D-glucose positron emission tomography-computed tomography (F-18 FDG PET/CT) is routinely used for baseline staging and response assessment for esophageal squamous cell cancer (E-SCC). Metastases in E-SCC are usually seen in regional lymph nodes and lungs with solitary metastases to the kidney being extremely rare. We present a case of solitary unilateral renal metastasis detected on baseline F-18 FDG PET/CT in an otherwise operable E-SCC.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"40 1","pages":"47-48"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Perspective on Production and Quality Control of Iodine-123 Radiopharmaceutical for Applications in Nuclear Medicine.","authors":"Rimmo Loyi Lego","doi":"10.4103/ijnm.ijnm_104_24","DOIUrl":"10.4103/ijnm.ijnm_104_24","url":null,"abstract":"<p><p>The present work aims to provide a comprehensive analysis of the production methods for Iodine-123 (<sup>123</sup>I), with a particular focus on recent advances in nuclear medicine in India and relevant future perspectives. <sup>123</sup>I, a radioisotope widely used in nuclear medicine for diagnostic imaging, plays a crucial role in the diagnosis and management of various medical conditions. It examines the historical background of <sup>123</sup>I production and their importance in the medical field, emphasizing the recent breakthroughs in the field of nuclear chemistry and radiopharmaceuticals. This work also explores the challenges associated with the production of these isotopes, including their short half-lives and complex production routes. In addition, the report highlights emerging technologies and methodologies that have shown promise for more efficient and cost-effective production of <sup>123</sup>I. Finally, the report provides an outlook on the future of radiopharmaceuticals (<sup>123</sup>I and beyond) production, including the potential impact of new advancements on clinical applications and research endeavors.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"40 1","pages":"1-9"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sentinel Lymph Node Detection in Early-stage Ovarian Cancer Using Radionuclide Technetium-99m Sulfur Colloid - A Feasibility Study.","authors":"Ayush Heda, Shalini Rajaram, Anupama Bahadur, Amrita Gaurav, Vandana Kumar Dhingra, Nilotpal Chowdhury, Manishi L Narayan, Jaya Chaturvedi, Parmita Tiwari, Pallavi Verma","doi":"10.4103/ijnm.ijnm_149_24","DOIUrl":"10.4103/ijnm.ijnm_149_24","url":null,"abstract":"<p><strong>Purpose of the study: </strong>This study evaluates the feasibility and diagnostic accuracy of Tc-99 m sulfur colloid as a tracer for sentinel lymph node (SLN) mapping in early-stage epithelial ovarian cancer (EOC) with the aim to explore SLN mapping as a less invasive alternative to traditional lymphadenectomy.</p><p><strong>Materials and methods: </strong>This prospective observational study involved 10 patients with early-stage EOC or suspicious ovarian masses. Tc-99 m S colloid (37 mBq) was injected subperitoneally at infundibulopelvic and ovarian ligaments near the ovary, followed by SLN detection with a gamma probe. SLNs were analyzed using ultrastaging. Diagnostic accuracy metrics, including sensitivity, specificity, positive predictive value, and negative predictive value, were calculated.</p><p><strong>Results: </strong>SLN detection was achieved in 100% of cases, with detection rates of 10% in the pelvic region and 30% in the para-aortic region alone and in both in 60%. The time for SLN detection was 14.2 ± 4.89 min. Histopathology revealed isolated tumor cells in two cases, with no false negatives observed. Postoperative complications included surgical site infections, transfusions, and paralytic ileus, but no SLN-specific complications were reported.</p><p><strong>Conclusions: </strong>This study demonstrates the feasibility and diagnostic accuracy of SLN detection using technetium-99m sulfur colloid in early-stage ovarian cancer. The findings indicate a high detection rate, no false negatives, and the potential to reduce the need for systematic lymphadenectomy. Further research is required to validate these findings and evaluate their impact on long-term clinical outcomes.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"40 1","pages":"16-21"},"PeriodicalIF":0.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anushna S Babu, Dikhra Khan, Madhavi Tripathi, Rakesh Kumar
{"title":"A Rare Case of Early Visualization of Foregut Duplication Cyst in Meckel Scan.","authors":"Anushna S Babu, Dikhra Khan, Madhavi Tripathi, Rakesh Kumar","doi":"10.4103/ijnm.ijnm_153_23","DOIUrl":"https://doi.org/10.4103/ijnm.ijnm_153_23","url":null,"abstract":"<p><p>Enteric duplications are rare congenital anomalies, which can have varying presentations depending on the size, location, and type of mucosa present. Meckel scan, using technetium-<sup>99m</sup> pertechnetate (Tc-<sup>99m</sup> pertechnetate), is a useful modality for the detection of ectopic functioning gastric mucosa. Thoracic duplication cysts present as the initial photopenic area which is getting filled by Tc-<sup>99m</sup> pertechnetate in the delayed static images of Meckel scan. We report a rare case of foregut duplication cyst, where foregut duplication cyst is visualized earlier in Meckel scan.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"39 6","pages":"445-448"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Heterotopic Pancreas Masquerading as Omental Nodule on FAPI PET/CT.","authors":"Shrikant Vasantrao Solav, Shailendra Vasant Savale, Hemant Bhagwan Raundale, Vijaykumar Revansidha Keskar","doi":"10.4103/ijnm.ijnm_140_23","DOIUrl":"https://doi.org/10.4103/ijnm.ijnm_140_23","url":null,"abstract":"<p><p>Chylous ascites, attributed to various etiologies including malignancy, tuberculosis, ruptured lymphatics, and congenital lymphatic disorders, manifests as abdominal distension. Our patient presented with this condition, and an elevated CA 125 prompted further investigation. Flourine-18 fluorodeoxyglucose positron emission tomography/computed tomography (PET-CT) revealed a metabolically inactive omental nodule, while gallium 68 fibroblast activation protein inhibitor (Ga-68-FAPI) PET-CT demonstrated uptake in the same nodule and low-grade uptake in bilateral adnexae. Colloid liver scan ruled out chronic liver disease. Surprisingly, lymphoscintigraphy showed no lymphatic leak. Histological examination of the omental nodule confirmed heterotopic pancreas (HP) in the small bowel mesentery, with normal adnexae. This case report illuminates the diagnostic challenges entailed in HP and signifies a pioneering instance in the literature where evidence of HP was identified for the first time on Ga-68-FAPI PET-CT during the investigative process.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"39 6","pages":"441-444"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sharjeel Usmani, Anjali Jain, Khulood Al Riyami, Hajar Almarzouqi, Vipin Velangadi Jayakrishan, Subash Kheruka, Rashid Al Sukati
{"title":"Inflammatory Mimicry: Epididymo-orchitis Masquerading as Malignancy on [18F]-FDG PET/CT Imaging.","authors":"Sharjeel Usmani, Anjali Jain, Khulood Al Riyami, Hajar Almarzouqi, Vipin Velangadi Jayakrishan, Subash Kheruka, Rashid Al Sukati","doi":"10.4103/ijnm.ijnm_92_24","DOIUrl":"https://doi.org/10.4103/ijnm.ijnm_92_24","url":null,"abstract":"<p><p>False positive findings in <sup>18</sup>F-fluorodeoxyglucose positron emission tomography-computed tomography (<sup>18</sup>F-FDG PET/CT) scans can present challenges in the accurate diagnosis and staging of various conditions. We report a case of a 52-year-old male with known adenocarcinoma of the stomach who underwent total gastrectomy and chemotherapy and was referred for <sup>18</sup>F-FDG PET/CT to rule out recurrence. <sup>18</sup>F-FDG PET/CT showed a large FDG-avid lesion involving the entire right testicle mimicking testicular cancer or lymphoma. Further evaluation with ultrasonography revealed epididymo-orchitis, possibly of granulomatous etiology. Orchitis, an inflammatory condition of the testicles, can cause misleading results in <sup>18</sup>F-FDG PET/CT imaging for cancer surveillance. Imagers should cautiously interpret PET/CT findings, considering clinical context, patient history, and additional imaging modalities to distinguish true malignancies from false positives.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"39 6","pages":"466-468"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Uncommon Breast Odyssey: A Rare Case of Carcinoma Breast with Mesenteric Metastasis.","authors":"Prakash Singh, Yogita Khandelwal, Kanishka Bharti, Shivam Singh","doi":"10.4103/ijnm.ijnm_5_24","DOIUrl":"https://doi.org/10.4103/ijnm.ijnm_5_24","url":null,"abstract":"<p><p>We present an unusual case of invasive ductal breast carcinoma in a postmenopausal female with a clinically node-negative disease that was incidentally found to have mesenteric metastatic deposits on <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/computed tomography scan. Mesenteric metastasis from invasive breast carcinoma is rare, with <1% cases reported worldwide and limited availability of diagnostic and therapeutic protocols for carcinoma breast with mesenteric metastasis, this proved to be a challenging and intriguing case. To further accentuate the complexity, the primary tumor of this mesenteric metastasis was found to be invasive ductal carcinoma, which is even more infrequent, and <0.5% of cases have been reported till date.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"39 6","pages":"463-465"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Testicular Tuberculosis after Intravesical BCG for Urinary Bladder Cancer: A Role of FDG PET-CT.","authors":"R Arun Visakh, Senthil Raja, Thara Pratap, Renu Mariam Thomas, Vadavattathu Padmanabhan Gangadharan","doi":"10.4103/ijnm.ijnm_115_24","DOIUrl":"https://doi.org/10.4103/ijnm.ijnm_115_24","url":null,"abstract":"<p><p>Bacillus Calmette-Guërin (BCG) has been traditionally used as a vaccine against tuberculosis (TB), which contains live, attenuated strain of <i>Mycobacterium bovis</i>. However, intravesical BCG administration has been used as an immunological treatment of superficial bladder cancer. Complications after bladder instillation of BCG are rare. We report a case of carcinoma urinary bladder with histopathologically proven granulomatous epididymo-orchitis (TB) after treatment with intravesical BCG.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"39 6","pages":"460-462"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prakash Singh, Yogita Khandelwal, Vineet Mishra, Bela Jain
{"title":"Intriguing Encounter: Unveiling Squamous Cell Carcinoma Lung with Rare Bilateral Renal and Pituitary Metastasis on [18F]-FDG PET/CT.","authors":"Prakash Singh, Yogita Khandelwal, Vineet Mishra, Bela Jain","doi":"10.4103/ijnm.ijnm_57_24","DOIUrl":"https://doi.org/10.4103/ijnm.ijnm_57_24","url":null,"abstract":"<p><p>Metastases from squamous cell carcinoma of the lung typically occur in the brain, liver, adrenal glands, bone, and regional lymph nodes. It is exceedingly uncommon to encounter multiple rare sites of metastasis from a single primary neoplasm. Herein, we describe a case of a 44-year-old male diagnosed with squamous cell carcinoma lung with pituitary and renal metastasis detected on <sup>18</sup>F-FDG (Fluorodeoxyglucose) PET/CT. <sup>18</sup>F-FDG PET/CT is the standard of care and is an integral part of the clinical staging of patients with lung cancer. According to published literature, the incidence of symptomatic pituitary and renal metastasis from squamous cell carcinoma lung is rare to find with incidences <1% and 5%, respectively. The revelation of rare sites of metastasis originating from primary squamous cell carcinoma lung, as reported in this case on FDG PET/CT, illuminates the exceptional rarity and intricacies in oncology. The exquisite sensitivity of FDG PET/CT enables the identification of occult metastasis in atypical anatomical locations, presenting a distinct advantage over conventional imaging modalities.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"39 6","pages":"454-456"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advancing Nuclear Medicine through Discovery, Invention, and Innovation - Contribution of a Physicist and Scientist (Vikram Sarabhai Memorial Oration-2023).","authors":"Ashish Kumar Jha","doi":"10.4103/ijnm.ijnm_118_24","DOIUrl":"https://doi.org/10.4103/ijnm.ijnm_118_24","url":null,"abstract":"<p><p>The history of radiation science began with Wilhelm Rontgen's discovery of X-rays in 1895, followed closely by Henri Becquerel's discovery of radioactivity in 1896. Subsequent research focused on developing radioisotope technology and exploring its applications in medical diagnosis and treatment. The first recorded use of radioisotopes for tumor treatment was by William Dune in Marie Curie's laboratory. George D Heawse employed radioisotopes to study plant and animal physiology. Irene and Joliot Curie pioneered the production of artificial radioisotopes using alpha particle bombardment. Ernest O. Lawrence's invention of the cyclotron furthered the development of artificial isotopes. His brother John Lawrence treated the first patient with cyclotron-produced phosphorus-32. Glenn Seaborg's discovery of Tc-99m and I-131 led to the development of radioiodine therapy by Saul Hertz and many diagnostic procedures using Tc-99m. Bendit Casin invented the rectilinear scanner, a pioneering imaging device, while Hal Anger developed the gamma camera. Over time, the contributions of researchers, scientists, engineers, and physicians have advanced the field of nuclear medicine, resulting in state-of-the-art equipment such as positron emission tomography (PET)/magnetic resonance imaging (MRI), positron emission tomography (PET)/computed tomography (CT), single-photon emission computed tomography (SPECT)/computed tomography (CT), and many other innovative technologies.</p>","PeriodicalId":45830,"journal":{"name":"Indian Journal of Nuclear Medicine","volume":"39 6","pages":"421-427"},"PeriodicalIF":0.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}