Clinical Gastroenterology Vol.24 No.3(3-6)

Theme Update of PET Diagnosis for Cancer of Digestive Organs
Title FDG-PET Diagnosis for Malignant Lymphoma
Publish Date 2009/03
Author Shingo Baba Department of Clinical Radiology, Kyushu University Graduate School of Medicine
Author Koichiro Abe Department of Clinical Radiology, Kyushu University Graduate School of Medicine
Author Koichiro Kaneko Department of Clinical Radiology, Kyushu University Graduate School of Medicine
Author Yoshitaka Tanabe Department of Clinical Radiology, Kyushu University Graduate School of Medicine
Author Masayuki Sasaki Department of Health Sciences, Kyushu University Graduate School of Medicine
[ Summary ] FDG-PET is now widely employed in clinical oncology. The applicability of FDG-PET for the evaluation of malignant lymphoma is well established and may replace conventional 67Ga scintigraphy. Low grade lymphoma of the gastrointestinal tract is sometimes difficult to detect with FDG-PET due to the physiological uptake of the gastrointestinal tract. However, it is still useful for the evaluation of treatment response and follow-up observation. A positive FDG-PET scan after the completion of treatment is a strong predictor of relapse. Information concerning tumor glucose metabolism provides an early sign of relapse, resistance to therapy and conversion to more aggressive high grade disease. Such information has been difficult to achieve with conventional morphological imaging techniques such as CTs.
back