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Published in: Annals of Nuclear Medicine 3/2014

01-04-2014 | Original Article

18F-FDG PET/CT is a valuable tool for relapsing polychondritis diagnose and therapeutic response monitoring

Authors: Jinlin Wang, Shiyue Li, Yunxiang Zeng, Ping Chen, Nuofu Zhang, Nanshan Zhong

Published in: Annals of Nuclear Medicine | Issue 3/2014

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Abstract

Objectives

To retrospectively investigate the role of 18 F–fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) for the diagnosis and therapeutic response in relapsing polychondritis (RP) patients.

Methods

18F-FDG PET/CT findings were reviewed in six RP patients. The initial scans were performed for all patients, follow-up scans were performed during steroid therapy for five patients. Changes in the abnormal lesions and the maximal standard uptake value (SUVmax) were analyzed.

Results

The initial PET/CT scans revealed intense FDG uptake in the cartilages for all six patients. The lesions of abnormal FDG uptake were tracheal/bronchial cartilage (n = 4), costicartilage (n = 4), nasal cartilage (n = 3), cricoid cartilage (n = 3), auricular cartilage (n = 3), arytenoid cartilage (n = 3), thyroid cartilage (n = 2), hyoid cartilage (n = 1) and mediastinum lymph node (n = 1). The mean visual score and the mean SUVmax were 2.96 ± 0.20 and 4.10 ± 0.6. The intense uptake reduced or disappeared during steroid therapy for five patients, the mean visual score and the mean SUVmax were 1.58 ± 1.4 and 1.51 ± 1.4.

Conclusions

18F-FDG PET/CT enables the acquisition of both morphologic and glucose metabolic of the related cartilage structures. It plays a valuable role in assessing almost all cartilage and detecting RP, which is a better selection of a biopsy site as well as therapeutic response monitoring.
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Metadata
Title
18F-FDG PET/CT is a valuable tool for relapsing polychondritis diagnose and therapeutic response monitoring
Authors
Jinlin Wang
Shiyue Li
Yunxiang Zeng
Ping Chen
Nuofu Zhang
Nanshan Zhong
Publication date
01-04-2014
Publisher
Springer Japan
Published in
Annals of Nuclear Medicine / Issue 3/2014
Print ISSN: 0914-7187
Electronic ISSN: 1864-6433
DOI
https://doi.org/10.1007/s12149-014-0805-1

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