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Prospective Evaluation of Physiologic Uptake Detected with True Whole-Body 18F-FDG PET/CT in Healthy Subjects

Mark F. Reinking and Medhat M. Osman
Journal of Nuclear Medicine Technology March 2009, 37 (1) 31-37; DOI: https://doi.org/10.2967/jnmt.108.055004
Mark F. Reinking
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Medhat M. Osman
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  • FIGURE 1. 
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    FIGURE 1. 

    Representative 8F-FDG PET scan in coronal view of symmetric muscle uptake in forearms (arrows), hands (arrows), and anterior crural compartments (arrows) in control subject.

  • FIGURE 2. 
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    FIGURE 2. 

    Representative 18F-FDG PET scan in coronal view (A) and transaxial view (B) of asymmetric muscle uptake in wrist or finger extensor muscles (arrow) in control subject. (C) Transaxial CT image used for muscle identification. (D) Fused PET/CT image showing asymmetric muscle uptake in wrist or finger extensor muscles (arrow).

  • FIGURE 3. 
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    FIGURE 3. 

    Representative 18F-FDG PET scan in coronal view (A) and transaxial view (B) of asymmetric muscle uptake in anterior crural compartment (arrow) in subject in activity group. (C) Transaxial CT image used for muscle identification. (D) Fused PET/CT image showing asymmetric muscle uptake in anterior crural compartment (arrow).

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    TABLE 1

    Subject Characteristics

    Value for the following subjects:
    CharacteristicAllControl groupExercise group
    Age (y)47.8 ± 5.847.4 ± 6.448.1 ± 5.6
    No. of women:men16:48:28:2
    Body mass (kg)72.9 ± 8.170.2 ± 7.975.6 ± 7.7
    Height (m)1.69 ± 071.67 ± 091.71 ± 05
    Body mass index (kg/m2)25.6 ± 3.225.3 ± 3.725.9 ± 2.8
    • Values are reported as mean ± SD unless otherwise indicated.

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    TABLE 2

    Organ Uptake of 18F-FDG

    18F-FDG uptake in:
    SubjectBrainHeartKidneysBladderLiverSpleenColonParotid glandsTesticlesVaginaBreastsOther
    AIntModMod BIntMildMildMildMildMild esophagus
    BIntIntInt BIntMildMildMod BMild stomach
    CIntMildInt BIntMildMildMildMildMild BMild B inguinal nodes
    DIntIntMod BIntMildMildMild BMild B
    EIntIntMod BIntMildMildMildMild BMild stomach
    FIntIntInt BIntMildMildMild
    GIntIntMod BIntMildMildMild B
    HIntIntMod BIntMildMildModMod BMild BMod B tonsils; mild stomach
    IIntMildInt BIntMildMild
    JIntModMild BIntMildMildMildMild BMild BInt sublingual
    KIntIntMod BIntMildMildMild
    LIntIntInt BIntMildMildMildMild B
    MIntIntInt BIntMildMildMildMod focal RMild stomach
    NIntIntMod BIntMildMildMildMild
    OIntIntMod BIntMildMildMildMild BMildMild B ovaries
    PIntIntMild BIntMildMildMild B
    QIntIntMod BIntMildMild
    RIntMildMod BIntMildMildMildMild BMildMild B
    SIntMildMod BIntMildMildMildMild B
    TIntMildInt BIntMildMildMildMildThroat; lymph
    • Int = intense; Mod = moderate; B = bilateral.

    • View popup
    TABLE 3

    Muscle Uptake of 18F-FDG Across Subjects

    Uptake in the following muscle group:
    SubjectGroupDominant sideWERCVCACCLCCSPCCSCMPM
    ACRNoneNoneModNoneNoneNoneNoneNone
    BCLMild BNoneIntMild BNoneNoneMild LMild B
    CCRMild L > RNoneModMild BNoneNoneNoneNone
    DCRNoneNoneModMod R; mild LNoneMild BNoneNone
    FCRMild BNoneNoneMild BNoneNoneNoneNone
    GCRMild BNoneMildMild BNoneNoneNoneNone
    HCRMild R > LMild RModNoneNoneNoneNoneNone
    JCRMild R > LNoneNoneNoneNoneNoneNoneNone
    LCRMild R > LNoneNoneNoneNoneNoneNoneNone
    OCRMild RNoneNoneNoneNoneNoneNoneNone
    IELRMild R > LNoneNoneNoneNoneNoneNoneNone
    NELRMild RNoneNoneMod R; mild LNoneNoneNoneNone
    QELRNoneMild LNoneMod R; mild LNoneNoneNoneNone
    RELRNoneNoneNoneMild RNoneNoneNoneNone
    TELRNoneNoneNoneMild R > LNoneNoneNoneNone
    EEURMild R > LNoneNoneNoneNoneNoneNoneNone
    KEURMild R > LNoneModMod R; mild LNoneNoneNoneNone
    MEURMild R > LNoneMildNoneMod RNoneNoneNone
    PEURMild R > LNoneMildNoneNoneNoneNoneNone
    SEURMild BNoneMildNoneNoneNoneNoneNone
    • Group: C = control; EL = lower-extremity exercise; EU = upper-extremity exercise. Muscle groups: WE = wrist extensor; RC = rotator cuff; VC = vocal cords; ACC = anterior crural compartment (ankle dorsiflexor muscles); LCC = lateral crural compartment (ankle evertor muscles); SPCC = superficial posterior crural compartment (gastrocnemius); SCM = sternocleidomastoid; PM = pectoralis major. Uptake: Mod = moderate; B = bilateral; Int = intense.

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Journal of Nuclear Medicine Technology: 37 (1)
Journal of Nuclear Medicine Technology
Vol. 37, Issue 1
March 2009
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Prospective Evaluation of Physiologic Uptake Detected with True Whole-Body 18F-FDG PET/CT in Healthy Subjects
Mark F. Reinking, Medhat M. Osman
Journal of Nuclear Medicine Technology Mar 2009, 37 (1) 31-37; DOI: 10.2967/jnmt.108.055004

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Prospective Evaluation of Physiologic Uptake Detected with True Whole-Body 18F-FDG PET/CT in Healthy Subjects
Mark F. Reinking, Medhat M. Osman
Journal of Nuclear Medicine Technology Mar 2009, 37 (1) 31-37; DOI: 10.2967/jnmt.108.055004
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