Revista Espanola de Medicina Nuclear e Imagen Molecular

[Assessment of pulmonary embolism related to active SARS-CoV-2 infection in pregnant women.]
Moreno-Ballesteros A, Rebollo-Aguirre ÁC, Bolívar-Roldán I, Busquier T, Mora ES and Jimenez-Heffernan A
To analyze the sample of pregnant patients who underwent pulmonary perfusion scintigraphy to rule out the pulmonary embolism (PE) suspicion during the acute COVID-19 infection hospitalization period in our hospital.
F-FDG PET/CT in the detection of a primary radiation-induced metastatic angiosarcoma
Cortés-Romera M, Sabaté-Llobera A, Robles-Barba J, Vercher-Conejero JL, Mast-Vilaseca R and Gámez-Cenzano C
Cost-effectiveness of using recombinant human thyroid-stimulating hormone before radioiodine ablation for thyroid cancer treatment in Spanish hospitals
Vallejo JA and Muros MA
In thyroid cancer treatment, the thyroid-stimulating hormone (TSH) must be elevated before radioiodine ablation, either by exogenous (with recombinant human thyrotropin [rhTSH]) or endogenous stimulation by thyroid hormone withdrawal (THW). The use of rhTSH avoids hypothyroidism and favours the subsequent elimination of radioiodine, but involves the cost of the product. For this reason, a cost-effectiveness analysis was performed, taking into account all costs involved and the benefits associated with the use of this therapy.
Is the prognosis of occult N2 disease similar to that of positive positron emission tomography-computed tomography (PET/CT) scan single-station N2 disease in patients with non-small cell lung cancer treated by surgical resection?
Honguero Martínez AF, García Jiménez MD, García Vicente A, Genovés Crespo M, Rodríguez Ortega CR, Lázaro Sahuquillo M, Soriano Castrejón ÁM and León Atance P
A retrospective study, using a prospective database, was conducted on patients treated with surgery in order to analyze the prognosis between two groups: NSCLC (non-small cell lung cancer) patients with occult N2 disease and patients with single station N2 disease observed on pre-operative integrated PET/CT scan.
Isolated hepatosplenic sarcoidosis: A pitfall for lymphoma evaluation by F-FDG PET/CT
Dubreuil J, Leenhardt J, Noel R, Salles G, Valette PJ and Skanjeti A
[F-Choline PET/MRI limphadenopathy related to SARS-CoV-2 vaccine]
Garcia JR, Compte A, Bassa P, Mourelo S, Ortiz S and Riera E
I-trazodone: preparation, quality control and in vivo biodistribution study by intranasal and intravenous routes as a hopeful brain imaging radiopharmaceutical
Motaleb MA, Ibrahim IT, Sayyed ME and Awad GAS
The preparation of I-trazodone hydrochloride and its biological evaluation as a promising brain imaging radiopharmaceutical using two routes of administration.
Optimisation of metabolic criteria in the prognostic assessment in patients with lymphoma. A multicentre study
Del Puig Cózar-Santiago M, García-Garzón JR, Moragas-Freixa M, Soler-Peter M, Bassa Massanas P, Sánchez-Delgado M, Sanchez-Jurado R, Aguilar-Barrios JE, Sanz-Llorens R and Ferrer-Rebolleda J
To compare sensitivity, specificity and predictive value of Deauville score (DS) vs. ΔSUVmax in interim-treatment PET (iPET) and end-treatment PET (ePET), in patients with diffuse large B cell lymphoma (DLBCL), Hodgkin lymphoma (HL), and follicular lymphoma (FL).
Study of factors that influence the outcome of I treatment in hyperthyroidism secondary to nodular goitre
Tabuenca-Dopico O, Boente-Varela R and Lamas-Ferreiro JL
To assess the outcome after I treatment in patients with multinodular (MNG) and nodular toxic goitre (NTG) according to the administered dose and other factors related to the patient, pathology, or previous treatments.
Risk stratification of coronary artery disease using radionuclides. Current status of clinical practice
Massardo T, Alarcón L and Spuler J
A discussion is presented on the current use of radioisotopes for evaluation of coronary artery disease in relation to other available techniques. The review is focused on coronary artery disease risk stratification employing single photon emission computed tomography and positron emission tomography, as well as on ischaemic cardiomyopathy and myocardial viability applications. Concepts are presented regarding coronary blood flow reserve, diagnostic and prognostic values, criteria for its appropriate use, as well as current methods to reduce unnecessary patient irradiation, in order to optimise nuclear cardiology practice.
[SARS-CoV-2 (COVID-19) pneumonia: Incidental finding on F-FDG PET/CT study for vasculitis diagnosis]
Salvat Dávila C, Suárez Fernández JP, Domínguez Grande ML, Vigil Díaz C, Fernández Llana B, Martín Fernández N and González García FJ
[SARS-Cov-2 vaccination and metabolic radionuclide therapy: document of the SEMNIM Endocrinology Working Group]
Negre Busó M, Rodríguez Gasen A, Torrent Llongarriu È and Estorch Cabrera M
[F-FDG-PET/CT in SARS-CoV-2 infection and its sequelae]
Rodríguez-Alfonso B, Ruiz Solís S, Silva-Hernández L, Pintos Pascual I, Aguado Ibáñez S and Salas Antón C
In recent months, much of the scientific efforts have focused on research on SARSCoV-2 infection and its consequences in humans. Still, many aspects remain unknown. It is known that the damage caused by SARS-CoV-2 is multifactorial and that its extension goes beyond lung inflammation and the acute phase, with the appearance of numerous complications and sequelae. To date, knowledge about the usefulness of F-FDG-PET/CT in the acute phase has been limited to the incidental detection of SARS-CoV-2 unsuspected pneumonia. Recent studies have been appearing collecting the findings of F-FDG- PET/CT in long COVID-19 or persistent COVID-19 state as well as the alterations caused after mass vaccination of the population in the metabolic studies. This work aims to review the existing literature focusing on these three issues and to briefly present our own preliminary experience.
[Possible role of TC-Sestamibi scintigraphy in the follow-up of Kawasaki-like disease related to SARS-CoV-2]
Urbano N, Scimeca M, Bonfiglio R, Bonanno E and Schillaci O
Inflammatory pseudotumour of the infratemporal fossa visualized with F-FDG PET/CT
Cabrera Villegas A, González Juez B, Llorente Pendás JL, Albornoz Almada MC, Santos Holgueras P and Sanchez Rodriguez IE
The inflammatory pseudotumour of the head and neck is a benign lesion, extremely rare outside the cranial orbits. A case is presented of an inflammatory pseudotumour not associated with the IgG4-related disease. The pseudotumour was found as a solitary mass in the infratemporal fossa of a young woman who complained of otalgia and hearing loss. A clear image of the lesion was obtained using an F-fluoro-deoxy-glucose (F-FDG) PET. After the histopathological diagnosis, and treatment with corticosteroids, a second F-FDG PET was performed. The metabolic image had returned to normal, and the previously observed mass disappeared. A brief review is presented of the studies examining this type of lesion.
F-FDG PET/CT in the clinical management of patients with lymphoma
Tamayo P, Martín A, Díaz L, Cabrero M, García R, García-Talavera P and Caballero D
The aim of this work was to review the current recommendations for staging and response assessment of patients with Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) in routine clinical practice after chemotherapy and/or stem cell transplantation. A five-point scale (5-PS) from the First International Workshop on PET in Lymphoma in Deauville, France, in 2009, was recommended as the standard tool to score imaging to assess treatment response in patients with lymphoma using F-Fluorodeoxyglucose (FDG) PET/CT. Following the recommendations of the 11th and 12th International Conferences on Malignant Lymphoma held in Lugano (Switzerland), in 2011 and 2013, respectively, a consensus (the so-called Lugano Classification) was reached regarding the use of PET/CT for staging and response assessment in FDG-avid lymphomas. As a result, F-FDG PET/CT was formally incorporated into standard staging for FDG-avid lymphomas. A bone marrow biopsy is no longer indicated for the routine staging of HL and most diffuse large B-cell lymphomas. PET/CT will be used to assess response in FDG-avid histologies using the 5-point scale. The recent introduction of biological agents with immune mechanisms requires flexibility in interpretations of the Lugano criteria due to tumour flare or a pseudo-progression effect produced by these agents. Provisional criteria have been proposed (Lymphoma Response to Immunomodulatory Therapy Criteria) with the introduction of the term 'Indeterminate Response' in order to identify this phenomenon until confirmed as flare/pseudoprogression or true progression. All these recommendations will improve evaluations of patients with lymphoma, and allow comparison of results from clinical practice and trials.
Usefulness of scintigraphy with labelled leucocytes and SPECT/CT in vascular graft infection
Marín-Oyaga V, Gutierrez-Villamil C, García-Concha D and Arevalo-Leal S
Vascular graft infections are a rare complication in this type of procedure. However, when they do occur, they usually have high morbidity, and even a high mortality. Proper identification and location is crucial for the appropriate and early management, whether medical or surgical, thus knowledge of the right tools is paramount. Nuclear medicine studies play an important role in this regard, either by using labelled white blood cells scintigraphy or F-FDG. The choice, among other factors, will depend on the experience with both techniques by the different groups, their knowledge of them, as well as their availability. Two cases are presented in which Tc-HMPAO-white blood cells SPECT/CT scintigraphy was very useful in the diagnosis and location of the suspected infectious compromise, which led to the subsequent appropriate and guided management. Both cases were confirmed clinically and microbiologically.
Diagnosing neuroleukemiosis: Is there a role for F-FDG-PET/CT?
Sabaté-Llobera A, Cortés-Romera M, Gamundí-Grimalt E, Sánchez-Fernández JJ, Rodríguez-Bel L and Gámez-Cenzano C
An imaging case is presented on a patient referred to our department for an F-FDG-PET/CT, as a paraneoplastic syndrome was suspected due to his clinical situation. He had a history of acute myeloid leukemia (AML) treated two years earlier, with sustained complete remission to date. F-FDG-PET/CT findings revealed hypermetabolism in almost all nerve roots, suggesting meningeal spread, consistent with the subsequent MRI findings. Cerebrospinal fluid (CSF) findings confirmed a leptomeningeal reactivation of AML. Although not many studies have evaluated the role of F-FDG-PET/CT in leukemia, it is a noninvasive tool for detecting extramedullary sites of disease and a good imaging alternative for those patients on whom an MRI cannot be performed.
Fatty thymic involution uptake mimicking a thymic epithelial tumour in a F-FDG PET/CT study
Chiappetta M, Rea S and Facciolo F
F-FDG PET/CT in aggressive angiomyxoma of the pelvis
Gilardi L, Vadrucci M, Pittaro A, Pennacchioli E and Rizzo S
F-FDG PET/CT in lung cancer. The added value of quantification
Lapa P, Marques M, Isidoro J, Barata F, Costa G and de Lima JP
To test a software application for the quantification of metabolic heterogeneity and to evaluate its superiority in relation to visual interpretation. To investigate if a quantitative analysis adds information to the interpretation of F-FDG-PET/CT.