Asia Oceania Journal of Nuclear Medicine and Biology最新文献

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Utility of 18F-FDG PET/CT in Detecting Spinal Drop Metastases from Pineal Gland Tumors. 18F-FDG PET/CT 在检测松果体肿瘤脊髓落叶转移中的实用性
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2024-01-01 DOI: 10.22038/AOJNMB.2024.74259.1518
Kabilash Dhayalan, Harish Goyal, Pradap Palanivelu, Dhanapathi Halanaik
{"title":"Utility of <sup>18</sup>F-FDG PET/CT in Detecting Spinal Drop Metastases from Pineal Gland Tumors.","authors":"Kabilash Dhayalan, Harish Goyal, Pradap Palanivelu, Dhanapathi Halanaik","doi":"10.22038/AOJNMB.2024.74259.1518","DOIUrl":"https://doi.org/10.22038/AOJNMB.2024.74259.1518","url":null,"abstract":"<p><p>Pineal gland tumors are significant despite being rare (<1%) among all brain tumors. Germ cell tumors are the most common among the pineal gland tumors. Often affecting young adults, pineal gland germ cell tumors are hard to diagnose due to different symptoms and potential spread. But they rarely show leptomeningeal spread and extracranial metastases. Other differentials include primary tumors of the pineal region, Pineal gliomas, and metastases. The leptomeningeal spread of these tumors has not been studied so far. Conventional radiological imaging modalities are routinely used to diagnose and evaluate these tumors. We report a case here showing a pineal gland tumor with leptomeningeal spread detected by <sup>18</sup>F-FDG PET/CT. Our case shows how pineal gland tumors can behave unusually and how <sup>18</sup>F-FDG PET/CT can be crucial for accurately assessing the extent of the disease in the body to provide effective treatment. This case report illustrates the rare type of spread of pineal gland tumor and how <sup>18</sup>F-FDG PET/CT helps detect this rare type of metastasis, thereby helping in prognostication and deciding further treatment of the patient.</p>","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"12 2","pages":"170-173"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11263771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756881","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}
引用次数: 0
Incidental diagnosis of intestinal perforation on a 99mTc DTPA renogram. 在 99mTc DTPA 肾图上偶然诊断出肠穿孔。
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2024-01-01 DOI: 10.22038/AOJNMB.2024.76465.1538
Awiral Saxena, Manjit Sarma, P Shanmuga Sundaram, Padma Subramanyam, Anwin Joseph Kavanal
{"title":"Incidental diagnosis of intestinal perforation on a <sup>99m</sup>Tc DTPA renogram.","authors":"Awiral Saxena, Manjit Sarma, P Shanmuga Sundaram, Padma Subramanyam, Anwin Joseph Kavanal","doi":"10.22038/AOJNMB.2024.76465.1538","DOIUrl":"https://doi.org/10.22038/AOJNMB.2024.76465.1538","url":null,"abstract":"<p><p>Perforation of the bowel can be a life-threatening condition and is usually clinically diagnosed when a patient presents with such features as severe abdominal pain, tenderness, and tachycardia. Bowel perforation may be corroborated by various conventional imaging modalities, including X-ray, ultrasonography, computed tomography, and magnetic resonance imaging. Nuclear medicine imaging modalities seldom have a role to play in these settings. Rarely diagnosis of perforation may be missed if it is concealed and does not present with the usual signs. Mostly the perforation will eventually be diagnosed if they develop signs and symptoms and is taken up for an exploratory laparotomy. A delay in diagnosis can later lead to significant patient morbidity or even mortality. This report describes a case where possible intestinal perforation was suspected on a <sup>99m</sup>Tc-DTPA renogram in a postoperative patient with significant urine leak, the presence of which was confirmed intraoperatively. To our knowledge, this was the first such case in the literature.</p>","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"12 2","pages":"185-188"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11263776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756875","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}
引用次数: 0
A practical method for assessing quantitative scanner accuracy with long-lived radionuclides: The ARTnet insert. 评估长寿命放射性核素定量扫描仪准确性的实用方法:ARTnet 插件。
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2024-01-01 DOI: 10.22038/AOJNMB.2023.71860.1503
Dale L Bailey, Kathy P Willowson, Carl Muñoz-Ferrada
{"title":"A practical method for assessing quantitative scanner accuracy with long-lived radionuclides: The ARTnet insert.","authors":"Dale L Bailey, Kathy P Willowson, Carl Muñoz-Ferrada","doi":"10.22038/AOJNMB.2023.71860.1503","DOIUrl":"10.22038/AOJNMB.2023.71860.1503","url":null,"abstract":"<p><strong>Objectives: </strong>To address the problem of using large volumes of long-lived radionuclides in test phantoms to check calibration accuracy of PET and SPECT systems we have developed a test object which (a) contains less radioactivity, (b) has a low total volume, and (c) is easier to store than currently used phantoms, while still making use of readily-available \"standardised\" test objects.</p><p><strong>Methods: </strong>We have designed a hollow acrylic cylindrical insert compatible with the NEMA/IEC PET Body Image Quality (IQ) phantom used in NU 2 performance testing of PET systems. The insert measures 90 mm internal diameter and 70 mm internal height and so is sufficiently large to not be subject to partial volume effects in PET or SPECT imaging. The volume of the insert is approximately 500 mL. It has been designed as a replacement for the standard long cylindrical \"lung insert\" in the IQ phantom without needing to remove the fillable hollow spheres of the phantom. The insert been tested with <sup>18</sup>F, <sup>68</sup>Ga and <sup>124</sup>I PET/CT and <sup>99m</sup>Tc, <sup>131</sup>I and <sup>177</sup>Lu SPECT/CT on scanners that had previously been calibrated for these radionuclides.</p><p><strong>Results: </strong>The scanners were found to produce accurate image reconstructions in the insert with  5% of the true value without any confounding uncertainty from partial volume effects when compared to NEMA NU 2-2018 Phantom measurement.</p><p><strong>Conclusions: </strong>The \"ARTnet Insert\" is simple to use, inexpensive, compatible with current phantoms and is suitable for both PET and SPECT systems. It does not suffer from significant partial volume losses permitting its use even with the poor spatial resolution of high-energy imaging with <sup>131</sup>I SPECT. Furthermore, it uses less radioactivity in a smaller volume than would be required to fill the entire phantom as is usually done. Long-term storage is practical while allowing radioactive decay of the insert contents.</p>","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"12 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10757053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073267","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}
引用次数: 0
Assessment of awareness and knowledge regarding nuclear medicine and appropriate use of Nuclear medicine modalities, among medical students and faculty members in two academic medical institutes in North India: A Cross sectional Study. 评估北印度两所医学学术机构的医学生和教职员工对核医学的认识和知识以及核医学模式的适当使用:横断面研究。
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2024-01-01 DOI: 10.22038/AOJNMB.2023.71375.1497
Nitin Gupta, Priya Sareen, Sudesh Kumar, Muninder Negi
{"title":"Assessment of awareness and knowledge regarding nuclear medicine and appropriate use of Nuclear medicine modalities, among medical students and faculty members in two academic medical institutes in North India: A Cross sectional Study.","authors":"Nitin Gupta, Priya Sareen, Sudesh Kumar, Muninder Negi","doi":"10.22038/AOJNMB.2023.71375.1497","DOIUrl":"10.22038/AOJNMB.2023.71375.1497","url":null,"abstract":"<p><strong>Objectives: </strong>Despite significant progress in the field of nuclear medicine, basic nuclear medicine awareness and understanding among clinicians remains unsatisfactory, leading to under utilization of nuclear medicine modalities. To evaluate the awareness and knowledge regarding nuclear medicine and appropriate use of Nuclear medicine modalities, among medical students and faculty members.</p><p><strong>Method: </strong>In this descriptive cross sectional study, a self timer limited objective questionnaire based on Google forms was distributed to the study population and scores obtained by the participants were analyzed.</p><p><strong>Results: </strong>Percent scores range for intern, residency trainees, and senior resident/faculty groups for general awareness were 16-46%, 37-58% and 62-91% and for knowledge and appropriate use were 7-21%, 28-43%, and 35-85% respectively. Overall, 61% of the participants had poor awareness and knowledge regarding nuclear medicine modalities. None of the participants had received nuclear medicine exposure or education during their academics or training. Only 49% of the participants considered utilizing nuclear medicine modalities for their patient management.</p><p><strong>Conclusion: </strong>Undergraduate interns and residency trainees had a poor to fair level of awareness and knowledge regarding nuclear medicine. Hence creating more awareness in early stages of their career by incorporating Nuclear medicine basic education in medical undergraduate curriculum is required. The senior residents/faculty members had a moderate to good level of awareness and knowledge but still improvement in their knowledge would lead to a more appropriate and better utilization of nuclear medicine modalities for optimum patient management in a variety of clinical settings.</p>","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"12 1","pages":"73-85"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10757062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073268","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}
引用次数: 0
99mTc-Sn-colloid SPECT/CT in thoracic splenosis after esophageal cancer surgery. 99mTc-Sn 胶体 SPECT/CT 在食管癌术后胸腔脾肿大中的应用
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2024-01-01 DOI: 10.22038/AOJNMB.2023.73907.1515
Kishin Tokuyama, Yusuke Inoue, Keiji Matsunaga, Yasunori Hamaguchi, Saori Sekimoto
{"title":"<sup>99m</sup>Tc-Sn-colloid SPECT/CT in thoracic splenosis after esophageal cancer surgery.","authors":"Kishin Tokuyama, Yusuke Inoue, Keiji Matsunaga, Yasunori Hamaguchi, Saori Sekimoto","doi":"10.22038/AOJNMB.2023.73907.1515","DOIUrl":"10.22038/AOJNMB.2023.73907.1515","url":null,"abstract":"<p><p>Splenosis occurs as a result of autotransplantation of splenic tissue following splenic injury or splenectomy. A 56-year-old man with esophageal cancer underwent thoracoscopic-assisted subtotal esophagectomy accompanied by three-field lymph node dissection, and retrosternal gastric tube reconstruction. The spleen was injured during the surgery and was removed. A retrosternal nodule of 12 mm in diameter was detected near the reconstructed gastric tube on computed tomography (CT) performed 3 years and 6 months postoperatively. Retrospectively, the nodule was observed in the same area on early postoperative CT and gradually increased in size. No accessory spleen was identified on the preoperative CT. Splenosis was suspected, and <sup>99m</sup>Tc-Sn-colloid single photon emission computed tomography (SPECT)/CT was performed. It revealed intense uptake in the retrosternal nodule, consistent with the diagnosis of thoracic splenosis. Subsequently, the patient has been under observation without treatment. <sup>99m</sup>Tc-labeled colloid SPECT/CT allowed confident diagnosis of thoracic splenosis following esophageal cancer surgery. This examination is considered valuable for the evaluation of ectopic splenic tissue.</p>","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"12 1","pages":"61-64"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10757057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073266","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}
引用次数: 0
Physiological myocardial 18F-FDG uptake pattern in oncologic PET/CT: comparison with findings in cardiac sarcoidosis. 肿瘤 PET/CT 中的生理性心肌 18F-FDG 摄取模式:与心脏肉样瘤病研究结果的比较。
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2024-01-01 DOI: 10.22038/AOJNMB.2023.70254.1490
Takashi Norikane, Yuka Yamamoto, Yasukage Takami, Katsuya Mitamura, Takuya Kobata, Yukito Maeda, Takahisa Noma, Yoshihiro Nishiyama
{"title":"Physiological myocardial <sup>18</sup>F-FDG uptake pattern in oncologic PET/CT: comparison with findings in cardiac sarcoidosis.","authors":"Takashi Norikane, Yuka Yamamoto, Yasukage Takami, Katsuya Mitamura, Takuya Kobata, Yukito Maeda, Takahisa Noma, Yoshihiro Nishiyama","doi":"10.22038/AOJNMB.2023.70254.1490","DOIUrl":"10.22038/AOJNMB.2023.70254.1490","url":null,"abstract":"<p><strong>Objectives: </strong>Physiological myocardial <sup>18</sup>F-fluorodeoxyglucose (<sup>18</sup>F-FDG) uptake in oncologic positron emission tomography (PET)/computed tomography (CT) is commonly observed with multiple variations under clinical fasting conditions. The purpose of the present study was to evaluate physiological myocardial <sup>18</sup>F-FDG uptake pattern by comparing with the results in cardiac sarcoidosis.</p><p><strong>Methods: </strong>A total of 174 examinations in 174 patients without cardiac disease and 27 examinations in 17 patients with cardiac sarcoidosis were performed. The polar map images generated from <sup>18</sup>F-FDG PET/CT data were visually assessed as \"basal-ring,\" \"focal,\" and \"focal on diffuse\" patterns. Semi-quantitative analysis was also performed using the regional relative <sup>18</sup>F-FDG uptake (% uptake).</p><p><strong>Results: </strong>On visual analysis, the \"focal on diffuse\" pattern was the most common in both examinations (43% and 59%, respectively). The physiological % uptake in the lateral and basal septal walls tended to be higher. Subgroup analysis showed significantly higher uptake in the mid-wall and left circumflex territory. In cardiac sarcoidosis patients, there was a significant difference only between segments 2 and 15 (p=0.04). No significant differences were observed between the base-mid-apical territory and coronary artery branch territory.</p><p><strong>Conclusion: </strong>High <sup>18</sup>F-FDG uptake in the basal septal walls is likely to be observed as both physiological uptake in patients without cardiac disease and pathological uptake in patients with cardiac sarcoidosis.</p>","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"12 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10757061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073285","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}
引用次数: 0
Scar Sarcoidosis on 18F-FDG PET/CT 18F-FDG PET/CT示瘢痕结节病
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2019-07-01 DOI: 10.22038/AOJNMB.2019.37888.1253
S. Arora, N. Damle, Averilicia Passah, A. Ray, M. Soneja, Sayantan Banerjee, S. Kaushal, M. Jana, M. Tripathi, C. Bal
{"title":"Scar Sarcoidosis on 18F-FDG PET/CT","authors":"S. Arora, N. Damle, Averilicia Passah, A. Ray, M. Soneja, Sayantan Banerjee, S. Kaushal, M. Jana, M. Tripathi, C. Bal","doi":"10.22038/AOJNMB.2019.37888.1253","DOIUrl":"https://doi.org/10.22038/AOJNMB.2019.37888.1253","url":null,"abstract":"18F-labeled fluoro-2-deoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) is an important imaging modality in the clinical workup of patients with chronic inflammatory disorders which present quite often with a fever of unknown origin. Sarcoidosis is a multisystem chronic inflammatory disorder with a wide clinical spectrum that can involve different organs. The diagnosis of sarcoidosis is usually based on the observation of noncaseating granulomas in biopsy specimens and exclusion of other granulomatous diseases. Skin involvement can occur in 20-25% of sarcoidosis cases. However, scar involvement in sarcoidosis is a rare condition. Herein, we present a case of multisystem sarcoidosis in a 45-year-old woman, who was previously treated with steroids and was in remission for 8 months. The patient presented with multiple skin nodules on the chest and back, a history of intermittent fever, headache, and mild itching at the abdominal scar site for 3 months. Blood investigations revealed elevated serum angiotensin-converting enzyme levels. The 18F-FDG PET/CT revealed a metabolically active involvement of the cutaneous tissue (posthysterectomy scar), apart from other sites of involvement. Biopsy of the scar site revealed multiple epithelioid cell granulomas with giant cells surrounding the collagenous fibers of the scar tissue.","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"7 1","pages":"185 - 187"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46615445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Bone Scintigraphy in Staging of Newly Diagnosed Prostate Cancer in Regard of Different Risk Groups 骨闪烁扫描在不同危险人群新诊断前列腺癌症分期中的应用
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2019-06-01 DOI: 10.22038/AOJNMB.2019.35768.1242
S. Sevcenco, B. Grubmüller, Charlotte Sonneck-Koenne, Yasaman Ahmadi, P. Knoll, A. Floth, W. Pokieser, S. Zandieh, Hans Christoph Klingler, S. Shariat, S. Mirzaei
{"title":"Bone Scintigraphy in Staging of Newly Diagnosed Prostate Cancer in Regard of Different Risk Groups","authors":"S. Sevcenco, B. Grubmüller, Charlotte Sonneck-Koenne, Yasaman Ahmadi, P. Knoll, A. Floth, W. Pokieser, S. Zandieh, Hans Christoph Klingler, S. Shariat, S. Mirzaei","doi":"10.22038/AOJNMB.2019.35768.1242","DOIUrl":"https://doi.org/10.22038/AOJNMB.2019.35768.1242","url":null,"abstract":"Objective(s): Prostate cancer (PC) is the most common cancer in men over 50 years of age. Bone scintigraphy is still performed in many institutions at the time of primary diagnosis. We aimed to evaluate the role of bone scan in the primary staging of PC in regard of different risk groups. Methods: A retrospective analysis of bone scans in 296 patients (mean age 64±6 y) acquired at the time of primary diagnosis was performed in our institution. The median prostate specific antigen (PSA) was 6.73 ng/ml, all patients had a Gleason score of >5. Results: Only 11/296 patients had a positive bone scan, 1 being in the intermediate risk group, 10 in the high-risk group and none in the low-risk group according to D’Amico classification. Conclusion: Our results support the few published studies that less than 10% of patients with newly diagnosed PC by biopsy would develop bone metastasis, all in the intermediate or high-risk groups. Therefore, a staging by bone scan can only be recommended in patients with intermediate or high-risk, or symptomatic patients only.","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"7 1","pages":"149 - 152"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47701170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Sentinel Node Mapping in Non-small Cell Lung Cancer Using an Intraoperative Radiotracer Technique 术中放射性示踪技术在非小细胞肺癌前哨淋巴结定位中的应用
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2019-01-01 DOI: 10.22038/AOJNMB.2019.13195
S. Shafiei, R. Bagheri, R. Sadeghi, V. D. Dabbagh Kakhki, A. Jafarian, R. Afghani, D. Attaran, R. Basiri, S. Lari
{"title":"Sentinel Node Mapping in Non-small Cell Lung Cancer Using an Intraoperative Radiotracer Technique","authors":"S. Shafiei, R. Bagheri, R. Sadeghi, V. D. Dabbagh Kakhki, A. Jafarian, R. Afghani, D. Attaran, R. Basiri, S. Lari","doi":"10.22038/AOJNMB.2019.13195","DOIUrl":"https://doi.org/10.22038/AOJNMB.2019.13195","url":null,"abstract":"Objective(s): Lymph node metastases are the most significant prognostic factor in localized non-small cell lung cancer (NSCLC). Identification of the first nodal drainage site (sentinel node) may improve detection of metastatic nodes. Extended surgeries, such as lobectomy or pneumonectomy with lymph node dissection, are among the therapeutic options of higher acceptability. Sentinel node biopsy can be an alternative approach to less invasive surgeries. The current study was conducted to evaluate the accuracy of sentinel node mapping in patients with NSCLC using an intraoperative radiotracer techniques. Methods: This prospective study was conducted on 21 patients with biopsy-proven NSCLC who were candidates for sentinel node mapping during 2012-2014. All patients underwent thoracoabdominal computed tomography, based on which they had no lymph node involvement. Immediately after thoracotomy and before mobilizing the tumor, peritumoral injection of 2mCi/0.4 mL Tc-99m- phytate was performed in 4 corners of tumor. After mobilization of the tumoral tissues, the sentinel nodes were searched for in the hillar and mediastinal areas using hand-held gamma probe . Any lymph node with in vivo count twice the background was considered as sentinel node and removed and sent for frozen section evaluation. All dissected nodes were evaluated by step sectioning and hematoxylin and eosin staining (H&E).The recorded data included age, gender, kind of pathology, site of lesion, number of dissected sentinel nodes, number of sentinel nodes, and site of sentinel nodes. Data analysis was performed in SPSS software (version 22). Results: The mean age of the patients was 58.52±11.46 years with a male to female ratio of 15/6. The left lower lobe was the most commonly affected site (30.09%). Squamous cell carcinoma and adenocarcinoma were detected in 11 and 10 subjects, respectively. A total of 120 lymph nodes were harvested with the mean number of 5.71±2.9 lymph nodes per patient. At least one sentinel node was identified in each patient, resulting in a detection rate of 95.2%. The mean number of sentinel nodes per patient was 3.61±2. Frozen section results showed 100% concordance with the results of hematoxylin and eosin staining. Conclusion: Based on the findings, sentinel node mapping can be considered feasible and accurate for lymph node staging and NSCLC treatment.","PeriodicalId":8503,"journal":{"name":"Asia Oceania Journal of Nuclear Medicine and Biology","volume":"7 1","pages":"153 - 159"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68222733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluation of 99m Tc-MccJ25 peptide analog in mice bearing B16F10 melanoma tumor as a diagnostic radiotracer. 99mTc-MccJ25肽类似物在携带B16F10黑色素瘤肿瘤的小鼠中作为诊断性放射性示踪剂的评估。
Asia Oceania Journal of Nuclear Medicine and Biology Pub Date : 2019-01-01 DOI: 10.22038/AOJNMB.2019.37712.1251
Maryam Mazaheri Tehrani, Mostafa Erfani, Nour Amirmozafari, Taher Nejadsattari
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引用次数: 7
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