FDG PET/CT and Enhanced CT Imaging of Tumor Heterogeneity in Hepatocellular Carcinoma Imaging-Pathologic Correlation

被引:19
作者
Dong, Aisheng [1 ]
Yu, Hua [2 ]
Wang, Yang [3 ]
Dong, Hui [3 ]
Zuo, Changjing [1 ]
机构
[1] Changhai Hosp, Dept Nucl Med, Shanghai 200433, Peoples R China
[2] Eastern Hepatobiliary Surg Hosp, Dept Pathol, Shanghai, Peoples R China
[3] Second Mil Med Univ, Dept Pathol, Changhai Hosp, Shanghai, Peoples R China
关键词
tumor heterogeneity; hepatocellular carcinoma; CT; FDG PET; POSITRON-EMISSION-TOMOGRAPHY; GLUCOSE-METABOLISM; EXPRESSION;
D O I
10.1097/RLU.0b013e3182a75812
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
Tumor heterogeneity is used to define the appearance of different histological differentiation within a single neoplasm. We present a case of single hepatocellular carcinoma showing both low and high FDG uptake areas. The low FDG uptake area was corresponding to low-grade HCC, and the high FDG uptake area was corresponding to high-grade HCC. This case indicates that the tumor grades affect intratumoral heterogeneity in FDG distribution. FDG PET/CT can be useful for guiding tissue sampling of the HCC with heterogeneous histological differentiations, and obviating overestimation or underestimation of the proportion of the higher-risk cell population.
引用
收藏
页码:808 / 810
页数:3
相关论文
共 10 条
[1]   The Role of Preoperative [18F]Fluorodeoxyglucose Positron Emission Tomography in Predicting Early Recurrence After Curative Resection of Hepatocellular Carcinomas [J].
Ahn, Sung Gwe ;
Kim, Sung Hoon ;
Jeon, Tae Joo ;
Cho, Ho Jin ;
Choi, Sae Byeol ;
Yun, Mi Jin ;
Lee, Jong Doo ;
Kim, Kyung Sik .
JOURNAL OF GASTROINTESTINAL SURGERY, 2011, 15 (11) :2044-2052
[2]   Tumor heterogeneity in small hepatocellular carcinoma:: Analysis of tumor cell proliferation, expression and mutation of p53 and β-catenin [J].
An, FQ ;
Matsuda, M ;
Fujii, H ;
Tang, RF ;
Amemiya, H ;
Dai, YM ;
Matsumoto, Y .
INTERNATIONAL JOURNAL OF CANCER, 2001, 93 (04) :468-474
[3]   Causes and consequences of increased glucose metabolism of cancers [J].
Gillies, Robert J. ;
Robey, Ian ;
Gatenby, Robert A. .
JOURNAL OF NUCLEAR MEDICINE, 2008, 49 :24S-42S
[4]  
HEPPNER GH, 1984, CANCER RES, V44, P2259
[5]   Analysis of gene expression profiles of hepatocellular carcinomas with regard to 18F-fluorodeoxyglucose uptake pattern on positron emission tomography [J].
Lee, JD ;
Yun, MJ ;
Lee, JM ;
Choi, YJ ;
Choi, YH ;
Kim, JS ;
Kim, SJ ;
Kim, KS ;
Yang, WI ;
Park, YN ;
Han, KH ;
Lee, WJ ;
Yoo, N ;
Lim, SM ;
Park, JH .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2004, 31 (12) :1621-1630
[6]  
NOWELL PC, 1986, CANCER RES, V46, P2203
[7]   A New PET Scanner with Semiconductor Detectors Enables Better Identification of Intratumoral Inhomogeneity [J].
Shiga, Tohru ;
Morimoto, Yuichi ;
Kubo, Naoki ;
Katoh, Norio ;
Katoh, Chietsugu ;
Takeuchi, Wataru ;
Usui, Reiko ;
Hirata, Kenji ;
Kojima, Shinichi ;
Umegaki, Kikuo ;
Shirato, Hiroki ;
Tamaki, Nagara .
JOURNAL OF NUCLEAR MEDICINE, 2009, 50 (01) :148-155
[8]  
TORIZUKA T, 1995, J NUCL MED, V36, P1811
[9]   Quantitative Assessment of Heterogeneity in Tumor Metabolism Using FDG-PET [J].
Vriens, Dennis ;
Disselhorst, Jonathan A. ;
Oyen, Wim J. G. ;
de Geus-Oei, Lioe-Fee ;
Visser, Eric P. .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2012, 82 (05) :E725-E731
[10]  
Zhao SJ, 2005, J NUCL MED, V46, P675