Literature DB >> 24297809

Comparison of ¹⁸F-fluoride PET/CT, ¹⁸F-FDG PET/CT and bone scintigraphy (planar and SPECT) in detection of bone metastases of differentiated thyroid cancer: a pilot study.

Naotoshi Ota, Katsuhiko Kato, Shingo Iwano, Shinji Ito, Shinji Abe, Naotoshi Fujita, Keiichi Yamashiro, Seichi Yamamoto, Shinji Naganawa.   

Abstract

OBJECTIVE: We compared the efficacies of ¹⁸F-fluoride positron emission tomography (¹⁸F-fluoride PET)/CT, ¹⁸F-fludeoxyglucose PET (¹⁸F-FDG PET)/CT, and ⁹⁹mTc bone scintigraphy [planar and single photon emission CT (SPECT)] for the detection of bone metastases in patients with differentiated thyroid carcinoma (DTC).
METHODS: We examined 11 patients (8 females and 3 males; mean age 6 standard deviation, 61.968.7 years) with DTC who had been suspected of having bone metastases after total thyroidectomy and were hospitalized to be given ¹³¹I therapy. Bone metastases were verified either when positive findings were obtained on both ¹³¹I scintigraphy and CT or when MRI findings were positive if MRI was performed.
RESULTS: Metastases were confirmed in 24 (13.6%) of 176 bone segments in 9 (81.8%) of the 11 patients. The sensitivities of ¹⁸F-fluoride PET/CT and ⁹⁹mTc bone scintigraphy (SPECT) were significantly higher than those of ¹⁸F-FDG PET/CT and ⁹⁹mTc bone scintigraphy (planar) (p,0.05). The accuracies of ¹⁸F-fluoride PET/CT and mTc bone scintigraphy (SPECT) were significantly higher than that of ⁹⁹mTc bone scintigraphy (planar) (p,0.05).
CONCLUSION: The sensitivity and accuracy of ¹⁸F-fluoride PET/CT for the detection of bone metastases of DTC are significantly higher than those of ⁹⁹mTc bone scintigraphy (planar). However, the sensitivity and accuracy of ⁹⁹mTc bone scintigraphy (planar) are improved near to those of ¹⁸F-fluoride PET/CT when SPECT is added to a planar scan. The sensitivity of ¹⁸F-FDG PET/CT is significantly lower than that of 18F-fluoride PET/CT or ⁹⁹mTc bone scintigraphy (SPECT).

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Year:  2014        PMID: 24297809      PMCID: PMC4064540          DOI: 10.1259/bjr.20130444

Source DB:  PubMed          Journal:  Br J Radiol        ISSN: 0007-1285            Impact factor:   3.039


  17 in total

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Review 2.  Papillary and follicular thyroid carcinoma.

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5.  The benefit of SPECT when added to planar scintigraphy in patients with bone metastases in the spine.

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10.  Comparison of 18F-FDG PET and bone scintigraphy in detection of bone metastases of thyroid cancer.

Authors:  Shinji Ito; Katsuhiko Kato; Mitsuru Ikeda; Shingo Iwano; Naoki Makino; Masanori Tadokoro; Shinji Abe; Satoshi Nakano; Masanari Nishino; Takeo Ishigaki; Shinji Naganawa
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6.  Comparison of Bone Metastases between 18F-NaF PET/CT, 18F-NaF PET, and Planar 99mTc-MDP Bone Scintigraphy in Patients with Newly Diagnosed Nasopharyngeal Carcinoma.

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Review 7.  Comparison of 18 F-NaF Imaging, 99m Tc-MDP Scintigraphy, and 18 F-FDG for Detecting Bone Metastases.

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8.  F-18 Sodium Fluoride Positron Emission Tomography/Computed Tomography for Detection of Thyroid Cancer Bone Metastasis Compared with Bone Scintigraphy.

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Review 9.  Bone metastases from differentiated thyroid carcinoma: current knowledge and open issues.

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  10 in total

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