Role of F-18 FDG PET/CT in assessing IgG4-related disease with inflammation of head and neck glands

Purpose The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy- d -glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glan...

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Published in:	Annals of nuclear medicine Vol. 29; no. 6; pp. 499 - 505
Main Authors:	Tokue, Azusa, Higuchi, Tetsuya, Arisaka, Yukiko, Nakajima, Takahito, Tokue, Hiroyuki, Tsushima, Yoshito
Format:	Journal Article
Language:	English
Published:	Tokyo Springer Japan 01.07.2015 Springer Nature B.V
Subjects:	Adult Aged Aged, 80 and over Autoimmune Hypophysitis - blood Autoimmune Hypophysitis - diagnosis Autoimmune Hypophysitis - diagnostic imaging Female Fluorodeoxyglucose F18 Humans Imaging Lacrimal Apparatus - diagnostic imaging Male Medicine Medicine & Public Health Middle Aged Multimodal Imaging - methods Nuclear Medicine Original Article Positron-Emission Tomography - methods Radiology Radiopharmaceuticals Retrospective Studies Salivary Glands - diagnostic imaging Sialography - methods Tomography, X-Ray Computed - methods Immunoglobulin G4 (IgG4)-related disease Standardized uptake value (SUV) Salivary gland Lacrimal gland F-18 FDG PET/CT
ISSN:	0914-7187, 1864-6433, 1864-6433
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Abstract	Purpose The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy- d -glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glands. Methods We reviewed the records of 17 patients (16 men and 1 woman) with IgG4-RD exhibiting inflammation of the head and neck glands (lacrimal or salivary glands; LSG) who were diagnosed by excisional biopsy of the LSG. F-18 FDG PET/CT images were retrospectively evaluated for locations of high FDG accumulation, and the maximum standardized uptake value (SUV max ) of each lesion was calculated. Results In 15 of 17 patients (88 %), FDG accumulation was observed in organs outside of the biopsied LSG. High FDG accumulation was most frequently seen in the lymph node (71 %), followed by the non-biopsied LSG (41 %). FDG accumulation was also found in other typically affected organs including the prostate and retroperitoneum (18 %), kidney and lung (12 %), and pancreas (1 %). FDG accumulation was most commonly observed in two lesions outside of the biopsied site (41 %). Conclusions Detection of the multi-organ involvement before treatment is important for patients with IgG4-RD. F-18 FDG PET/CT is an effective tool for assessing the location of extra-LSG lesions in patients with IgG4-RD with LSG inflammation.
AbstractList	Purpose The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy- d -glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glands. Methods We reviewed the records of 17 patients (16 men and 1 woman) with IgG4-RD exhibiting inflammation of the head and neck glands (lacrimal or salivary glands; LSG) who were diagnosed by excisional biopsy of the LSG. F-18 FDG PET/CT images were retrospectively evaluated for locations of high FDG accumulation, and the maximum standardized uptake value (SUV max ) of each lesion was calculated. Results In 15 of 17 patients (88 %), FDG accumulation was observed in organs outside of the biopsied LSG. High FDG accumulation was most frequently seen in the lymph node (71 %), followed by the non-biopsied LSG (41 %). FDG accumulation was also found in other typically affected organs including the prostate and retroperitoneum (18 %), kidney and lung (12 %), and pancreas (1 %). FDG accumulation was most commonly observed in two lesions outside of the biopsied site (41 %). Conclusions Detection of the multi-organ involvement before treatment is important for patients with IgG4-RD. F-18 FDG PET/CT is an effective tool for assessing the location of extra-LSG lesions in patients with IgG4-RD with LSG inflammation. The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-D-glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glands.PURPOSEThe aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-D-glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glands.We reviewed the records of 17 patients (16 men and 1 woman) with IgG4-RD exhibiting inflammation of the head and neck glands (lacrimal or salivary glands; LSG) who were diagnosed by excisional biopsy of the LSG. F-18 FDG PET/CT images were retrospectively evaluated for locations of high FDG accumulation, and the maximum standardized uptake value (SUVmax) of each lesion was calculated.METHODSWe reviewed the records of 17 patients (16 men and 1 woman) with IgG4-RD exhibiting inflammation of the head and neck glands (lacrimal or salivary glands; LSG) who were diagnosed by excisional biopsy of the LSG. F-18 FDG PET/CT images were retrospectively evaluated for locations of high FDG accumulation, and the maximum standardized uptake value (SUVmax) of each lesion was calculated.In 15 of 17 patients (88 %), FDG accumulation was observed in organs outside of the biopsied LSG. High FDG accumulation was most frequently seen in the lymph node (71 %), followed by the non-biopsied LSG (41 %). FDG accumulation was also found in other typically affected organs including the prostate and retroperitoneum (18 %), kidney and lung (12 %), and pancreas (1 %). FDG accumulation was most commonly observed in two lesions outside of the biopsied site (41 %).RESULTSIn 15 of 17 patients (88 %), FDG accumulation was observed in organs outside of the biopsied LSG. High FDG accumulation was most frequently seen in the lymph node (71 %), followed by the non-biopsied LSG (41 %). FDG accumulation was also found in other typically affected organs including the prostate and retroperitoneum (18 %), kidney and lung (12 %), and pancreas (1 %). FDG accumulation was most commonly observed in two lesions outside of the biopsied site (41 %).Detection of the multi-organ involvement before treatment is important for patients with IgG4-RD. F-18 FDG PET/CT is an effective tool for assessing the location of extra-LSG lesions in patients with IgG4-RD with LSG inflammation.CONCLUSIONSDetection of the multi-organ involvement before treatment is important for patients with IgG4-RD. F-18 FDG PET/CT is an effective tool for assessing the location of extra-LSG lesions in patients with IgG4-RD with LSG inflammation. The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-D-glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glands. We reviewed the records of 17 patients (16 men and 1 woman) with IgG4-RD exhibiting inflammation of the head and neck glands (lacrimal or salivary glands; LSG) who were diagnosed by excisional biopsy of the LSG. F-18 FDG PET/CT images were retrospectively evaluated for locations of high FDG accumulation, and the maximum standardized uptake value (SUVmax) of each lesion was calculated. In 15 of 17 patients (88 %), FDG accumulation was observed in organs outside of the biopsied LSG. High FDG accumulation was most frequently seen in the lymph node (71 %), followed by the non-biopsied LSG (41 %). FDG accumulation was also found in other typically affected organs including the prostate and retroperitoneum (18 %), kidney and lung (12 %), and pancreas (1 %). FDG accumulation was most commonly observed in two lesions outside of the biopsied site (41 %). Detection of the multi-organ involvement before treatment is important for patients with IgG4-RD. F-18 FDG PET/CT is an effective tool for assessing the location of extra-LSG lesions in patients with IgG4-RD with LSG inflammation. Purpose: The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-d-glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glands. Methods: We reviewed the records of 17 patients (16 men and 1 woman) with IgG4-RD exhibiting inflammation of the head and neck glands (lacrimal or salivary glands; LSG) who were diagnosed by excisional biopsy of the LSG. F-18 FDG PET/CT images were retrospectively evaluated for locations of high FDG accumulation, and the maximum standardized uptake value (SUV sub(max)) of each lesion was calculated. Results: In 15 of 17 patients (88 %), FDG accumulation was observed in organs outside of the biopsied LSG. High FDG accumulation was most frequently seen in the lymph node (71 %), followed by the non-biopsied LSG (41 %). FDG accumulation was also found in other typically affected organs including the prostate and retroperitoneum (18 %), kidney and lung (12 %), and pancreas (1 %). FDG accumulation was most commonly observed in two lesions outside of the biopsied site (41 %). Conclusions: Detection of the multi-organ involvement before treatment is important for patients with IgG4-RD. F-18 FDG PET/CT is an effective tool for assessing the location of extra-LSG lesions in patients with IgG4-RD with LSG inflammation. The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-d-glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT) in assessing patients diagnosed with immunoglobulin G4 (IgG4)-related disease (IgG4-RD) with inflammation of the head and neck glands. We reviewed the records of 17 patients (16 men and 1 woman) with IgG4-RD exhibiting inflammation of the head and neck glands (lacrimal or salivary glands; LSG) who were diagnosed by excisional biopsy of the LSG. F-18 FDG PET/CT images were retrospectively evaluated for locations of high FDG accumulation, and the maximum standardized uptake value (SUV^sub max^) of each lesion was calculated. In 15 of 17 patients (88 %), FDG accumulation was observed in organs outside of the biopsied LSG. High FDG accumulation was most frequently seen in the lymph node (71 %), followed by the non-biopsied LSG (41 %). FDG accumulation was also found in other typically affected organs including the prostate and retroperitoneum (18 %), kidney and lung (12 %), and pancreas (1 %). FDG accumulation was most commonly observed in two lesions outside of the biopsied site (41 %). Detection of the multi-organ involvement before treatment is important for patients with IgG4-RD. F-18 FDG PET/CT is an effective tool for assessing the location of extra-LSG lesions in patients with IgG4-RD with LSG inflammation.
Author	Higuchi, Tetsuya Tokue, Hiroyuki Tsushima, Yoshito Tokue, Azusa Nakajima, Takahito Arisaka, Yukiko
Author_xml	– sequence: 1 givenname: Azusa surname: Tokue fullname: Tokue, Azusa email: azusa-n@sea.sannet.ne.jp organization: Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital – sequence: 2 givenname: Tetsuya surname: Higuchi fullname: Higuchi, Tetsuya organization: Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital – sequence: 3 givenname: Yukiko surname: Arisaka fullname: Arisaka, Yukiko organization: Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital – sequence: 4 givenname: Takahito surname: Nakajima fullname: Nakajima, Takahito organization: Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital – sequence: 5 givenname: Hiroyuki surname: Tokue fullname: Tokue, Hiroyuki organization: Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital – sequence: 6 givenname: Yoshito surname: Tsushima fullname: Tsushima, Yoshito organization: Department of Diagnostic Radiology and Nuclear Medicine, Gunma University Hospital
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Keywords	Immunoglobulin G4 (IgG4)-related disease Standardized uptake value (SUV) Salivary gland Lacrimal gland F-18 FDG PET/CT
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Snippet	Purpose The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy- d -glucose (F-18 FDG) positron emission tomography/computed tomography... The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-D-glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT)... The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-d-glucose (F-18 FDG) positron emission tomography/computed tomography (PET/CT)... Purpose: The aim of the current study was to evaluate the utility of F-18-fluoro-2-deoxy-d-glucose (F-18 FDG) positron emission tomography/computed tomography...
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SubjectTerms	Adult Aged Aged, 80 and over Autoimmune Hypophysitis - blood Autoimmune Hypophysitis - diagnosis Autoimmune Hypophysitis - diagnostic imaging Female Fluorodeoxyglucose F18 Humans Imaging Lacrimal Apparatus - diagnostic imaging Male Medicine Medicine & Public Health Middle Aged Multimodal Imaging - methods Nuclear Medicine Original Article Positron-Emission Tomography - methods Radiology Radiopharmaceuticals Retrospective Studies Salivary Glands - diagnostic imaging Sialography - methods Tomography, X-Ray Computed - methods
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Title	Role of F-18 FDG PET/CT in assessing IgG4-related disease with inflammation of head and neck glands
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