Published in:
Open Access
01-06-2018 | Editorial
Cancer metastasizes to the bone marrow and not to the bone: time for a paradigm shift!
Authors:
Poul Flemming Høilund-Carlsen, Søren Hess, Thomas J. Werner, Abass Alavi
Published in:
European Journal of Nuclear Medicine and Molecular Imaging
|
Issue 6/2018
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Excerpt
Bone metastases represent a serious complication to several cancers, in particular breast, lung, and prostate cancer. Since their presence influences prognosis and management, they must be searched for. Thus, the introduction of skeletal radionuclide imaging with
18F-NaF (NaF) 55 years ago was a major achievement [
1], as was its replacement, scintigraphy with bone-seeking phosphates [
2], until computed tomography (CT), magnetic resonance imaging (MRI), and once again NaF in the shape of NaF-positron emission tomography/CT (NaF-PET/CT) began contending for precedence. However, this development took place gradually, without anybody asking the central questions: What are skeletal metastases, how do they arise, and how do we best discover them? …