2014, Number 4
Clinical impact of central nervous system incidental findings in oncologic positron emission tomography/computed tomography scan
Barrientos PAH, García OJR, Murrieta GH, Téliz MMA, Casanova SIE, Vázquez LJ
Language: Spanish
References: 5
Page: 246-251
PDF size: 368.11 Kb.
ABSTRACT
Background: Positron emission tomography – computed tomography (PET-CT) analyzes whole body function and anatomy. Conventional PET-CT exams include skull base to thigh imaging. Objective: To demonstrate the advantages of including the skull in routine scans. To describe findings and clinical relevance of identifying asymptomatic and non suspected head lesions. Material and methods: Retrolective, observational, transversal study. One year period, reviewing 1,217 scans made in a hybrid PET-CT camera, using 2-fluoro-2deoxy-D-glucose labeled with 18-Fluorine ((18F-FDG) as radiotracer. Results: 1,021 cases were included. 18.3% had positive metabolic and/or anatomical findings in head bed. 31% were relevant (5.6% of the total studied). Conclusions: Finding synchronous brain tumors as well as unique head lesions (metastatic or non malignant) in early stages or subclinical, gives an advantage to the physician for giving early management or changing an established treatment (medical or surgical).REFERENCES