18F-FDG PET/CT에서 저용량 경구용 조영제의 유용성 (Usefulness of Low Dose Oral Contrast Media in 18F-FDG PET/CT) |
Author |
안영실,윤준기,홍선표,조철우,윤석남, |
Young-Sil An, M.D., Joon-Kee Yoon, M.D., Seon Pyo Hong, M..D., Chul-Woo Joh, Ph.D., and Seok-Nam Yoon, M.D. |
Affiliation |
아주대학교 의과대학 핵의학교실 Department of Nuclear Medicine and Molecular Imaging, Ajou University School of medicine, Suwon, Kyungki-do, Korea |
Abstract |
Purpose: The standard protocol using large volume of oral contrast media may cause gastrointestinal discomfort
and contrast-related artifacts in PET/CT. The aim of this study was to evaluate the usefulness of low dose oral
contrast in 18F-FDG PET/CT. Materials and Methods: We retrospectively reviewed the whole-body PET/CT images
in a total of 435 patients. About 200 ml of oral contrast agent (barium sulfate) was administered immediately
before injection of 18F-FDG. The FDG uptake of intestines was analyzed by visual and semi- quantitative method
on transaxial, coronal and saggital planes. Results: Seventy (16%, 113 sites) of 435 images showed high FDG
uptake (peak SUV > 4); 50 (74%, 84 sites) with diffuse and 20 (26%, 29 sites) with focal uptake. The most
commonly delivered site of oral contrast media was small bowel (n=27, 39%). On PET/CT images, FDG uptake
coexisted with oral contrast media in 26 patients (54%, 38 sites) with diffuse pattern and 9 (45%, 9 sites) with
focal pattern, and by sites, those were 38 (45%) and 9 (31%), respectively. In small bowel regions, the proportion
of coexistence reached as high as 61% (29/47 sites). A visual analysis of available non-attenuation corrected PET
images of 27 matched regions revealed no contrast-related artifact. Conclusion: We concluded that the
application of low dose contrast media could be helpful in the evaluation of abdominal uptake in the FDG
PET/CT image. (Nucl Med Mol Imaging 2006;40(5):257-262) |
Keyword |
PET/CT, FDG, oral contrast, artifact, low dose |
Full text Article |
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