H Elahifard, M H Samadi, E Askari, F Taheri, S Abedi, M Vahedi
{"title":"Multifocal osteonecrosis in pediatric-onset systemic lupus erythematosus.","authors":"H Elahifard, M H Samadi, E Askari, F Taheri, S Abedi, M Vahedi","doi":"10.1016/j.remnie.2025.500206","DOIUrl":"10.1016/j.remnie.2025.500206","url":null,"abstract":"","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500206"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139958","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}
Muhammet Fatih Beytur, Enver Yarıkkaya, Sevim Baykal Koca, Göksel Alçın, Elife Akgün, Erkan Erkan, Esra Arslan
{"title":"Detection of extremely rare testicular cancer metastasis to the duodenum with <sup>18</sup>F-FDG PET/CT.","authors":"Muhammet Fatih Beytur, Enver Yarıkkaya, Sevim Baykal Koca, Göksel Alçın, Elife Akgün, Erkan Erkan, Esra Arslan","doi":"10.1016/j.remnie.2025.500230","DOIUrl":"10.1016/j.remnie.2025.500230","url":null,"abstract":"","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500230"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093295","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}
{"title":"Prognostic value of [<sup>18</sup>F]FDG PET/CT in follicular lymphoma.","authors":"A Díaz Silván, D Cabello García, L F Otón Sánchez","doi":"10.1016/j.remnie.2025.500229","DOIUrl":"10.1016/j.remnie.2025.500229","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prognostic value of [<sup>18</sup>F]FDG PET/CT in follicular lymphoma (FL) patients in our routine clinical practice.</p><p><strong>Material and methods: </strong>Retrospective study of FL patients assessed with PET/CT in our centre from 01/06/2008 to 01/06/2020. This study aimed to investigate the prognostic value of quantitative parameters (MTV, TLG, ΔSUV max) and qualitative criteria (Lugano classification), and its relationships with progression-free survival (PFS) and overall survival (OS).</p><p><strong>Results: </strong>Among patients with available staging PET/CT, the 5-year OS was 90.4% for those with lower MTV and 89.7% for those with higher MTV (p = 0.3). The PFS was 77.6% for those with lower MTV and 53.2% for those with higher MTV (p = 0.001). TLG yielded statistically similar results. A ΔSUV max ≥ 66% was associated with higher OS and PFS at 5 years, at both interim and final PET/CT studies (iPET and fPET). The 5-year OS for patients with complete metabolic response was 86.3% in iPET and 89.0% in fPET, compared to 84.1% and 79.0%, respectively, for those positive in iPET (p = 0.3) and fPET (p = 0.1). The 5-year PFS for patients with complete metabolic response was 76.9% in iPET and 73.1% in fPET, compared to 58.7% and 62.2%, respectively, for those positive in iPET (p = 0.04) and fPET (p = 0.09).</p><p><strong>Conclusions: </strong>PET/CT is valuable as a prognostic factor in FL, both during staging (providing parameters with independent prognostic value such as MTV and TLG) and during and after treatment (as it correlates with survival).</p>","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500229"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067158","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}
P Dauden-Onate, L F León-Ramírez, G Cuesta-Domingo, M Vaillant-Lopez, C González-Roiz, M N Cabrera-Martín
{"title":"Acute descending necrotizing mediastinitis as a complication of a retropharyngeal abscess: Diagnosis with [<sup>18</sup>F]FDG PET/CT.","authors":"P Dauden-Onate, L F León-Ramírez, G Cuesta-Domingo, M Vaillant-Lopez, C González-Roiz, M N Cabrera-Martín","doi":"10.1016/j.remnie.2025.500234","DOIUrl":"10.1016/j.remnie.2025.500234","url":null,"abstract":"","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500234"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067093","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}
{"title":"A dynamic nomogram model integrating serum phosphorus and longest diameter enhances diagnostic accuracy of 99mTc-MIBI imaging for parathyroid adenoma patients with elevated parathyroid hormone.","authors":"L Zheng, B Wang, T Wu, W Qu","doi":"10.1016/j.remnie.2025.500228","DOIUrl":"10.1016/j.remnie.2025.500228","url":null,"abstract":"<p><strong>Background: </strong>Parathyroid adenoma (PA) is the most common cause of primary hyperparathyroidism (PHPT). <sup>99m</sup>Tc-methoxyisobutylisonitrile (<sup>99m</sup>Tc-MIBI) imaging is widely applied in PA diagnosis and location. However, since the individual heterogeneity and adenoma function differences, the diagnostic efficacy of <sup>99m</sup>Tc-MIBI imaging is limited, which often leads to misdiagnosis and even mistreatment of PA.</p><p><strong>Methods: </strong>In the present study, we established a novel dynamic nomogram model to assist the nuclear imaging diagnosis of PA. A total of 96 PA patients, with 65 cases in the positive group and 31 cases in the negative group, were enrolled for further analyzing.</p><p><strong>Results: </strong>Univariate analysis showed there were no statistically significant differences between the two groups in terms of gender, age, and adenoma location. The patients in the positive group had significantly higher levels in PTH, serum calcium, longest diameter and shortest diameter of adenoma, compared to those in the negative group. But the serum phosphorus levels were lower in the positive group than in the negative group. Binary logistic regression analysis indicated that serum phosphorus and adenoma longest diameter were independent positive predictors. The dynamic nomogram model was generated by R software and logistic regression analysis (https://zhenglong-1988.shinyapps.io/dynnomapp/). The receiver operating characteristics curve (ROC curve) analysis revealed that the cut-off probability for the model to diagnose PA was 59.1%, with AUC values of 0.965.</p><p><strong>Conclusions: </strong>The novel dynamic nomogram diagnostic model integrating serum phosphorus levels and longest diameter could effectively improve the diagnostic accuracy of radionuclide imaging for PA.</p>","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500228"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145067166","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}
E Abou Jokh Casas, J L Vercher Conejero, A Repetto, P Bello Arques, T Cambil Molina, A Rodriguez Gasén, J A Vallejo Casas
{"title":"Treatment with radionuclide-labeled peptides in refractory meningiomas: Updated review and clinical perspectives.","authors":"E Abou Jokh Casas, J L Vercher Conejero, A Repetto, P Bello Arques, T Cambil Molina, A Rodriguez Gasén, J A Vallejo Casas","doi":"10.1016/j.remnie.2025.500218","DOIUrl":"10.1016/j.remnie.2025.500218","url":null,"abstract":"<p><p>The use of theragnostics in nuclear medicine has significantly advanced, particularly peptide receptor radionuclide therapy (PRRT) in neuroendocrine tumors. Meningiomas often overexpress somatostatin receptors (SSTR), making them potential candidates for PRRT. However, the lack of large-scale standardized trials limits its clinical application. Meningiomas are the most common primary intracranial tumors; the treatment of choice for which is surgical resection or, if that's not possible, radiotherapy. However, some cases are refractory to standard treatments, leading to the exploration of other therapeutic options, such as targeted therapy with radioligands. Studies have demonstrated promising results with [<sup>177</sup>Lu]Lu-DOTATATE in meningiomas expressing SSTR2, improving progression-free survival (PFS) in refractory cases. Current evidence suggests that PRRT is a viable option for refractory meningiomas with high SSTR expression. However, further clinical trials are needed to establish standardized protocols, optimize patient selection criteria, and explore combination therapy strategies to improve outcomes. This review highlights the mechanisms, clinical applications, and future perspectives of [<sup>177</sup>Lu]Lu-DOTATATE in meningiomas, providing insights into its expanding role in this pathology.</p>","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500218"},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016932","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}
{"title":"[18F]FDG PET/CT in pulmonary Castleman's disease.","authors":"H Y Zhang, X Yang","doi":"10.1016/j.remnie.2025.500209","DOIUrl":"10.1016/j.remnie.2025.500209","url":null,"abstract":"","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500209"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008650","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}
F Sebastián Palacid, B Pérez López, N Álvarez Mena, C Riola Parada, C Gamazo Laherrán, R Ruano Pérez
{"title":"Metabolic alterations on brain [<sup>18</sup>F]FDG PET in a case of postcoital transient global amnesia.","authors":"F Sebastián Palacid, B Pérez López, N Álvarez Mena, C Riola Parada, C Gamazo Laherrán, R Ruano Pérez","doi":"10.1016/j.remnie.2025.500203","DOIUrl":"10.1016/j.remnie.2025.500203","url":null,"abstract":"","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500203"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008609","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}
J F Bastidas, M Martínez de Bourio-Allona, A Roteta Unceta Barrenechea, M Rodríguez-Fraile, L Sancho
{"title":"PET/CT in breast cancer.","authors":"J F Bastidas, M Martínez de Bourio-Allona, A Roteta Unceta Barrenechea, M Rodríguez-Fraile, L Sancho","doi":"10.1016/j.remnie.2025.500139","DOIUrl":"10.1016/j.remnie.2025.500139","url":null,"abstract":"<p><p>Breast cancer is one of the most prevalent neoplasms worldwide, with molecular subtypes that influence prognosis and therapeutic strategies. PET/CT with different radiopharmaceuticals has revolutionized diagnosis, staging, and treatment monitoring. [<sup>18</sup>F]-Fluorodeoxyglucose remains the most widely used radiotracer, but it has limitations in certain subtypes, such as invasive lobular carcinoma, where 16α-[<sup>18</sup>F] fluoro-17β-estradiol and [<sup>68</sup>Ga]-FAPI (fibroblast activation protein inhibitors) have demonstrated greater utility. Today, HER2-targeted radiopharmaceuticals, such as [<sup>89</sup>Zr]-trastuzumab, allow for a precise assessment of tumor heterogeneity. PET/CT also plays a key role in detecting bone metastases using [<sup>18</sup>F]-NaF and in identifying new therapeutic targets, such as PSMA (prostate-specific membrane antigen) and GRPR (gastrin-releasing peptide receptor). These advancements establish molecular imaging as an essential tool for personalizing breast cancer treatment, optimizing clinical decision-making, and improving diagnostic accuracy.</p>","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500139"},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008687","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}
{"title":"Predictive value of metastatic distribution patterns on [<sup>68</sup>Ga]Ga-PSMA PET/CT for [<sup>177</sup>Lu]Lu-PSMA therapy.","authors":"Y B Cayirli, U Elboga, I Dogan","doi":"10.1016/j.remnie.2025.500205","DOIUrl":"10.1016/j.remnie.2025.500205","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the predictive value of metastatic distribution patterns on <sup>68</sup>Ga-PSMA-11 PET/CT in patients with chemotherapy- and castration-resistant prostate cancer undergoing ¹⁷⁷Lu-PSMA-617 radioligand therapy.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on 48 patients who received ¹⁷⁷Lu-PSMA-617 therapy between April 2019 and August 2023. Demographic, clinical, and laboratory data, along with pre- and post-treatment <sup>68</sup>Ga-PSMA-11 PET/CT images, were evaluated for associations with molecular response and progression. Whole-body PET/CT segmentation was performed using METAVOL software. Treatment response was classified using RECIP 1.0 criteria, and predictive values were analyzed using SPSS 22.0, with statistical significance set at p < 0.05.</p><p><strong>Results: </strong>Based on RECIP 1.0 criteria, 58.3% (n = 28) responded to therapy, while 41.7% (n = 20) did not. Disease progression was observed in 29.2% (n = 14), and 70.8% (n = 34) showed no progression. Molecular response was significantly associated with parotid SUVmean (OR = 1.137, p = 0.047) and highest miM1 stage (OR = 0.241, p = 0.046). Molecular progression was significantly associated with lymph node metastasis (OR = 0.144, p = 0.006), bone-only metastasis (OR = 4.333, p = 0.030), ln/metTL-PSMA ratio (OR = 0.070, p = 0.042), b/metTL-PSMA ratio (OR = 13.085, p = 0.040), and TL-PSMA-based lymph node dominance over bone metastases (OR = 0.385, p = 0.044).</p><p><strong>Conclusion: </strong>This study highlights the predictive value of metastatic burden distribution on <sup>68</sup>Ga-PSMA PET/CT in determining treatment outcomes of ¹⁷⁷Lu-PSMA therapy.</p>","PeriodicalId":94197,"journal":{"name":"Revista espanola de medicina nuclear e imagen molecular","volume":" ","pages":"500205"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995038","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}