Value of 18F-FDG and 11C-MET PET-CT in differentiation of brain ringlike-enhanced neoplastic and non-neoplastic lesions on MRI imaging / 中华肿瘤杂志
Chinese Journal of Oncology
; (12): 134-138, 2009.
Article
in Zh
| WPRIM
| ID: wpr-255544
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the value of (18)F-FDG and (11)C-MET PET-CT scan in differentiation of brain ringlike-enhanced lesions on MRI imaging.</p><p><b>METHODS</b>Forty-one brain ringlike-enhanced lesions on MRI imaging including 30 brain tumors and 11 non-neoplastic lesions confirmed pathologically or clinically underwent (18)F-FDG and (11)C-MET PET-CT brain scan. Among them, 15 patients who were suspected to have brain metastasis received body scan by (18)F-FDG PET-CT. Both images were analyzed visually and semi-quantitatively.</p><p><b>RESULTS</b>Visual analysis:
for brain tumors the diagnostic sensitivity, specificity and accuracy of (18)F-FDG PET-CT was 53.3%, 72.7%, 58.5%, versus 96.7%, 90.9%, 95.1% of (11)C-MET PET-CT, respectively. All the primary foci in 9 patients with brain metastases were detected by body (18)F-FDG PET-CT scan. Semiquantitativeanalysis:
There was a significant difference in the uptake between highly differentiated malignant and poorly differentiated tumors as well as non-neoplastic lesions for both tracers (P < 0.01), while between low-grade malignant tumors and non-neoplasm lesions, there was a difference in uptake only by (11)C-MET (P < 0.01). No significant difference between the uptakes in brain metastasis and glioblastomas was found by both tracers (P > 0.05).</p><p><b>CONCLUSION</b>Both (18)F-FDG and (11)C-MET PET-CT are useful in differentiation of brain ringlike-enhanced lesions on MRI imaging. (11)C-MET PET-CT is more helpful than (18)F-FDG PET-CT in differential diagnosis of low-grade neoplastic from non-neoplastic lesions. Combination of (18)F-FDG and (11)C-MET PET-CT scans can improve the accuracy of differential diagnosis for brain ringlike-enhanced lesions on MRI imaging.</p>
Full text:
1
Index:
WPRIM
Main subject:
Pathology
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Pituitary Neoplasms
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Brain Abscess
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Brain Neoplasms
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Carbon
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Carbon Radioisotopes
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Magnetic Resonance Imaging
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Sensitivity and Specificity
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Glioblastoma
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Radiopharmaceuticals
Type of study:
Diagnostic_studies
Limits:
Adolescent
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Adult
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Aged
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Child
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Oncology
Year:
2009
Type:
Article