By Tamer Özülker, Filiz Özülker
This atlas is a case-based advisor to the translation of FDG PET-CT photographs in scientific situations confronted via physicians throughout the regimen perform of oncology. The publication goals to assist the practitioner to beat diagnostic dilemmas via familiarization with the physiologic distribution of FDG, common variations and benign findings. the main target, even if, is the imaging of significant oncological illnesses. diversified pathologies are addressed in person chapters comprising educating records of situations, each one of which corresponds to a typical indication for PET-CT imaging, reminiscent of metabolic characterization of lesions, staging, restaging and evaluate of reaction to treatment. every one case is followed via an evidence of the patient’s background, interpretation of the PET-CT research, and a instructing aspect usually supported via proper literature. This publication may be of serious worth to citizens and practitioners in nuclear drugs, radiology, oncology, radiation oncology and nuclear drugs technology.
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Extra info for Atlas of PET-CT Imaging in Oncology: A Case-Based Guide to Image Interpretation
27 A 20-year-old female with lymphoma underwent 18F-FDG PET/CT scan for recurrence detection. 8) at thymus is noted (arrow) (a–c). Increased thymic 18F-FDG uptake may represent normal physiologic uptake but may also indicate the presence of thymic hyperplasia, lymphomatous infiltration, primary thymic neoplasm, or metastatic disease. 2 Thorax 43 Hamartoma a b c Fig. 28 Solid lesion with lobulated contours and a focus of calcification on CT (arrow) is consistent with hamartoma (a, b). The lesion does not show any corresponding FDG uptake (c).
16 Uptake at bilateral palatin tonsils (arrows) and parotid glands (short arrows) (a, b) Fig. 17 Mild uptake at tongue muscle (arrow) 12 1 a b Fig. 18 Physiologic uptake at hard palate (arrow) (a, b) a Fig. 19 Bilateral uptake at vocal cords (arrows) (a, b) b Physiologic Distribution of 18F-FDG Physiologic Distribution of 18F-FDG 1 a 13 b Fig. 20 Bilateral uptake at posterior cricoarytenoid muscles (arrows) (a, b). If the patient talks before imaging, intense uptake can be seen at posterior cricoarytenoid muscles and vocal cords.
24 Physiologic uptake at left ventricle. Less frequently right ventricle uptake also can be seen (arrow) (a–f) 15 16 a 1 Physiologic Distribution of 18F-FDG b Fig. 25 Mild blood pool activity can be seen in the great vessels (a, b). Sometimes this activity may be intense (arrows) Fig. 26 Physiologic thymus uptake is frequently seen in young patients (arrow) (a, b) a Fig. 27 Nipple uptake at both breasts (arrows) (a, b) b Physiologic Distribution of 18F-FDG 1 a c 17 b d Fig. 28 Sometimes mild FDG uptake can be seen at spinal cord (empty arrow) (a).