Is Fluorine 18 Fluorodeoxyglucose Positron Emission Tomography Scanning a Suitable Diagnostic Test for Histologically Active Large-Vessel Vasculitis?

被引：1
作者：
Bhattacharjee, Shomoresh [1 ]
Yap, Kenneth [2 ]
Longano, Anthony [3 ]
Powell, Anne [1 ]
机构：
[1] Alfred Hosp, Rheumatol Unit, Melbourne, Vic 3183, Australia
[2] Alfred Hosp, Dept Nucl Med, Melbourne, Vic 3183, Australia
[3] Alfred Hosp, Dept Anat Pathol, Melbourne, Vic 3183, Australia
来源：
JCR-JOURNAL OF CLINICAL RHEUMATOLOGY | 2011年 / 17卷 / 01期
关键词：
positron emission tomography; aortitis; Takayasu arteritis; giant cell arteritis; GIANT-CELL ARTERITIS; TAKAYASUS-ARTERITIS; FOLLOW-UP;
D O I：
10.1097/RHU.0b013e3182050d07
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Recent publications have highlighted the use of fluorine 18 fluorodeoxyglucose ((18)F-FDG) positron emission tomography (PET) as a moderately sensitive, noninvasive diagnostic test for medium- and large-vessel vasculitis. We report the atypical case of a patient with biopsy-proven granulomatous vasculitis of the aorta in addition to a non small cell lung cancer, whose whole-body (18)F-FDG PET/computed tomography scan demonstrated metabolic activity within the lung malignancy but was metabolically inactive in the aorta. We submit that (18)F-FDG PET may not be an accurate diagnostic test for histologically active large-vessel vasculitis and should be used with caution.
引用
收藏
页码：31 / 34
页数：4
相关论文
共 12 条
[1]   Takayasu's arteritis - recent advances in imaging offer promise [J].
Andrews, J. ;
Mason, J. C. .
RHEUMATOLOGY, 2007, 46 (01) :6-15
[2]   Non-invasive imaging in the diagnosis and management of Takayasu's arteritis [J].
Andrews, J ;
Al-Nahhas, A ;
Pennell, DJ ;
Hossain, MS ;
Davies, KA ;
Haskard, DO ;
Mason, JC .
ANNALS OF THE RHEUMATIC DISEASES, 2004, 63 (08) :995-1000
[3]   Relationship between fluorodeoxyglucose uptake in the large vessels and late aortic diameter in giant cell arteritis [J].
Blockmans, D. ;
Coudyzer, W. ;
Vanderschueren, S. ;
Stroobants, S. ;
Loeckx, D. ;
Heye, S. ;
De Ceuninck, L. ;
Marchal, G. ;
Bobbaers, H. .
RHEUMATOLOGY, 2008, 47 (08) :1179-1184
[4]   Repetitive 18F-fluorodeoxyglucose positron emission tomography in giant cell arteritis:: A prospective study of 35 patients [J].
Blockmans, D ;
De Ceuninck, L ;
Vanderschueren, S ;
Knockaert, D ;
Mortelmans, L ;
Bobbaers, H .
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2006, 55 (01) :131-137
[5]   New arguments for a vasculitic nature of polymyalgia rheumatica using positron emission tomography [J].
Blockmans, D ;
Maes, A ;
Stroobants, S ;
Nuyts, J ;
Bormans, G ;
Knockaert, D ;
Bobbaers, H ;
Mortelmans, L .
RHEUMATOLOGY, 1999, 38 (05) :444-447
[6]   Imaging for large-vessel vasculitis [J].
Blockmans, Daniel ;
Bley, Thorsten ;
Schmidt, Wolfgang .
CURRENT OPINION IN RHEUMATOLOGY, 2009, 21 (01) :19-28
[7]  
Henes JC, 2008, CLIN EXP RHEUMATOL, V26, pS47
[8]  
Kissin Eugene Y., 2004, Current Opinion in Rheumatology, V16, P31, DOI 10.1097/00002281-200401000-00007
[9]   Early diagnosis and follow-up of aortitis with [18F]FDG PET and MRI [J].
Meller, J ;
Strutz, F ;
Siefker, J ;
Schee, A ;
Sahmann, CO ;
Lehmann, K ;
Conrad, M ;
Vosshenrich, R .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2003, 30 (05) :730-736
[10]   Role of imaging studies in the diagnosis and follow-up of large-vessel vasculitis: an update [J].
Pipitone, N. ;
Versari, A. ;
Salvarani, C. .
RHEUMATOLOGY, 2008, 47 (04) :403-408
12