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Journal of Nuclear Medicine Technology

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OtherIMAGING

Selected Cases Demonstrating the Value of Furosemide-Primed 18F-FDG PET in Identifying Adrenal Involvement

Narendra Nair and Sandip Basu
Journal of Nuclear Medicine Technology September 2005, 33 (3) 166-171;
Narendra Nair
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Sandip Basu
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Figures

  • FIGURE 1.
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    FIGURE 1.

    Whole-body PET images of 49-y-old woman in whom adenocarcinoma of right ovary was diagnosed in 1992 and high-grade leiomyosarcoma of left ovary was diagnosed in 2003. She underwent hysterectomy and right salpingo-oophorectomy for the former and left salpingo-oophorectomy and omentectomy for the latter. Postoperatively, she was treated with external radiotherapy and ifosfamide (Holoxan; Baxter Oncology)-based chemotherapy. Her recent abdominal CT findings were normal, and tumor markers were within normal limits. PET was performed to search for any residual disease.

  • FIGURE 2.
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    FIGURE 2.

    18F-FDG PET images of 4-y-old boy in whom, 3 y previously, left adrenal neuroblastoma was diagnosed and treated with left adrenalectomy. Histopathologic examination revealed differentiated, stroma-poor neuroblastoma, and all sampled retroperitoneal nodes were free of disease. Bone marrow was not involved. Patient was not subjected to chemotherapy or radiotherapy in view of localized disease. The 24-h urinary vanillylmandelic acid level had recently been rising and was 19.5 mg/g of creatinine (reference range, 1–10 mg/g) at time of PET.

  • FIGURE 3.
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    FIGURE 3.

    18F-FDG PET images of 64-y-old man with 2.5-mo history of right-sided chest pain, cough, and hemoptysis. Thoracic CT revealed 5.5 × 3.8 cm spiculated mass in right upper lobe and extending to hilum. Cytology of CT-guided fine-needle aspirate was suggestive of adenocarcinoma. He was referred for metastatic survey with PET.

  • FIGURE 4.
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    FIGURE 4.

    18F-FDG PET images of 15-y-old boy in whom non-Hodgkin’s lymphoma had been diagnosed at the age of 6 y and who had been disease free and asymptomatic for the past 8 y. Recent abdominal CT performed as part of routine follow-up had shown hypodense, minimally enhancing 1-cm area in right kidney most likely representing a cystic lesion. However, PET was performed because, considering patient’s history, a lymphomatous deposit could not be ruled out.

  • FIGURE 5.
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    FIGURE 5.

    18F-FDG PET images of 15-y-old boy with primitive neuroectodermal tumor of right chest wall. PET was performed to evaluate the disease after surgery and chemotherapy. Recent thoracic CT had shown evidence of partial collapse and consolidation of anterior segment of right upper and middle lobes, with thickening of right minor fissure.

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Journal of Nuclear Medicine Technology: 33 (3)
Journal of Nuclear Medicine Technology
Vol. 33, Issue 3
September 1, 2005
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Selected Cases Demonstrating the Value of Furosemide-Primed 18F-FDG PET in Identifying Adrenal Involvement
Narendra Nair, Sandip Basu
Journal of Nuclear Medicine Technology Sep 2005, 33 (3) 166-171;

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Selected Cases Demonstrating the Value of Furosemide-Primed 18F-FDG PET in Identifying Adrenal Involvement
Narendra Nair, Sandip Basu
Journal of Nuclear Medicine Technology Sep 2005, 33 (3) 166-171;
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