Differentiating osteoradionecrosis from nasopharyngeal carcinoma tumour recurrence using 99Tcm-sestamibi SPECT/CT

被引:9
作者
Tan, A. E. H. [1 ,2 ]
Ng, D. C. E.
机构
[1] Singapore Gen Hosp, Dept Nucl Med, Singapore 169608, Singapore
[2] Singapore Gen Hosp, PET, Singapore 169608, Singapore
关键词
TECHNETIUM-99M-SESTAMIBI SPECT; THERAPY; OSTEONECROSIS; PATIENT; CANCER; TL-201;
D O I
10.1259/bjr/60136051
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Osteoradionecrosis (ORN) of the base of skull is a known complication of external beam radiotherapy in the treatment of nasopharyngeal carcinoma, and is widely believed to be sequelae of radiation-induced endarteritis, leading to cellular death and fibrosis. Differentiating ORN from tumour recurrence is challenging and has direct clinical implications. We present a case where Tc-99(m)-sestamibi SPECT/CT was used to differentiate ORN from tumour recurrence and in which prior imaging using bone scintigraphy and fluorodeoxyglucose PET/CT were equivocal.
引用
收藏
页码:E172 / E175
页数:4
相关论文
共 17 条
[1]  
ACHIM HK, 2002, RADIOLOGY, V223, P446
[2]   Posttreatment assessment of response using FDG-PET/CT for patients treated with definitive radiation therapy for head and neck cancers [J].
Andrade, Regiane S. ;
Heron, Dwight E. ;
Degirmenci, Berna ;
Filho, Pedro A. A. ;
Branstetter, Barton F. ;
Seethala, Raja R. ;
Ferris, Robert L. ;
Avril, Norbert .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2006, 65 (05) :1315-1322
[3]  
Bisdas S, 2008, CLIN RADIOL, V63, P71, DOI 10.1016/j.crad.2007.04.023
[4]   Sestamibi and FDG-PET scans to support diagnosis of jaw osteonecrosis [J].
Catalano, Lucio ;
Del Vecchio, Silvana ;
Petruzziello, Fara ;
Fonti, Rosa ;
Salvatore, Barbara ;
Martorelli, Carmen ;
Califano, Catello ;
Caparrotti, Giuseppe ;
Segreto, Sabrina ;
Pace, Leonardo ;
Rotoli, Bruno .
ANNALS OF HEMATOLOGY, 2007, 86 (06) :415-423
[5]  
CIU ML, 1990, J NUCL MED, V31, P1646
[6]   Extraordinarily high F-18FDG uptake caused by radiation necrosis in a patient with nasopharyngeal carcinoma [J].
Hung, GU ;
Tsai, SC ;
Lin, WY .
CLINICAL NUCLEAR MEDICINE, 2005, 30 (08) :558-559
[7]   BIOLOGICAL STUDIES OF A NEW CLASS OF TECHNETIUM COMPLEXES - THE HEXAKIS(ALKYLISONITRILE)TECHNETIUM(I) CATIONS [J].
JONES, AG ;
ABRAMS, MJ ;
DAVISON, A ;
BRODACK, JW ;
TOOTHAKER, AK ;
ADELSTEIN, SJ ;
KASSIS, AI .
INTERNATIONAL JOURNAL OF NUCLEAR MEDICINE & BIOLOGY, 1984, 11 (3-4) :225-234
[8]  
Kostakoglu L, 1997, J NUCL MED, V38, P1009
[9]  
Kostakoglu L, 1996, J NUCL MED, V37, P1956
[10]   False positive fluorine-18 fluorodeoxy-D-glucose positron emission tomography finding caused by osteoradionecrosis in a nasopharyngeal carcinoma patient [J].
Liu, SH ;
Chang, JT ;
Ng, SH ;
Chan, SC ;
Yen, TC .
BRITISH JOURNAL OF RADIOLOGY, 2004, 77 (915) :257-260