18F-FDG PET/CT in the evaluation of POEMS syndrome

被引:51
作者
Alberti, M. A. [1 ]
Martinez-Yelamos, S. [1 ]
Fernandez, A. [2 ]
Vidaller, A. [3 ]
Narvaez, J. A. [4 ]
Cano, L. M. [1 ]
Gamez, C. [2 ]
Martinez-Matos, J. A. [1 ]
机构
[1] Hosp Univ Bellvitge, Dept Neurol, Barcelona 08907, Spain
[2] Hosp Univ Bellvitge, PET Unit, IDI, Barcelona 08907, Spain
[3] Hosp Univ Bellvitge, Dept Internal Med, Barcelona 08907, Spain
[4] Hosp Univ Bellvitge, Dept Radiol, Barcelona 08907, Spain
关键词
Castleman's disease; Computed tomography (CT); Osteosclerotic myeloma; FDG PET/CT; POEMS syndrome; Positron emission tomography (PET); DISEASE;
D O I
10.1016/j.ejrad.2009.06.004
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In POEMS syndrome the identification and biopsy of an osteosclerotic lesion or a lymph node typical of Castleman's disease (CD) is essential to establish the diagnosis and plan appropriate treatment. We report four patients in whom the localisation and identification of diagnostic bone lesions or lymphadenopathies were guided by fluorodeoxyglucose positron emission tomography integrated with computerised tomography (FDG PET/CT). FDG PET/CT identified bone lesions not detected with other techniques in one patient, and revealed hypermetabolic characteristics in bone lesions or adenopathies in the others, thus guiding the diagnostic biopsy in those with hypermetabolism. In conclusion, FDG PET/CT may be useful in detecting and selecting bone lesions and lymph nodes for biopsy in patients with suspected POEMS syndrome. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:180 / 182
页数:3
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