JOURNAL DESCRIPTION

The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.

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The two-year impact factor of RISC, according to data for 2017, was 0.439, taking into account citation from all sources - 0.570, and the five-year impact factor of RISC - 0.352.

Issues journals

Medical Radiology and Radiation Safety. 2016. Vol. 61. No. 4. P. 76-82

MEDICAL PRACTICE ISSUE

A.N. Bashkov1, Z.V. Sheykh2, E.A. Ionova1, S.A. Mirzoyants1, N.S. Drebushevskiy1, O.O. Grigor’eva1, A.P. Dunaev1

Unique Case of Giant Exophityc Solitary Liver Metastasis of Neuroendocrine Cancer of Small and Large Intestine

1. A.I. Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ; 2. S.P. Botkin City clinical hospital Moscow, Russia.

ABSTRACT

Purpose: To present a rare case of a giant solitary metastasis of the liver with exophytic growth pattern in a patient with neuroendocrine cancer of small intestine and colon, to demonstrate coordinated work of radiology department.

Material and methods: Computer tomography with bolus intravenous administration of 100 ml of contrast agent Ultravist-370 on multislice CT Aquilion 64; whole body scintigraphy on SPECT Philips with intravenous administration of 218.0 MBq 111In-octreotide.

Results: Яmputer tomography revealed a mass in the ileocecal region, which had features of carcinoid, and also a large exophytic solid mass in the left lobe of the liver observed since year 2011. The mass in the liver was solitary, with exophytic growth and heterogeneous structure, much more than the mass in the ileocecal region, maximal accumulate of the contrast agent at the venous phase; thus we thougth of the differential diagnosis between primary tumor and liver metastasis. It was recommended to perform 111In-octreotide SPECT in connection with suspected neuroendocrine cancer. The study has confirmed neuroendocrine nature of masses in the ileocecal region and liver, as well as the accumulation of a specific agent in the sigmoid colon, where was a colonoscopy found polyps. The histopathological study after surgery confirmed neuroendocrine cancer of the small and large intestine with liver metastasis.

Conclusion: 1. A rare case of a giant solitary metastasis of the liver with exophytic growth pattern in a patient with neuroendocrin cancer of small intestine and colon was presented. 2. Data from computer tomography and single photon emission tomography allow to make correct diagnosis at the stage of preoperative examination, despite the atypical signs of the solid mass in the liver.

Key words: neuroendocrine cancer, carcinoid, multidetector spiral computed tomography, single photon emission computed tomography, a solitary exophytic metastasis

REFERENCES

  1. Gorbunova V.A. Neiroendokrinnye opukholi zheludochno-kishechnogo trakta. Printsipy diagnostiki i lecheniya. Moscow. 2009. 196 p. (In Russ.)
  2. Hallet J., Law C.H., Cukier M. et al. Exploring the rising incidence of neuroendocrine tumors: a population-based analysis of epidemiology, metastatic presentation, and outcomes. Cancer. Feb 2015. Vol. 27. No. 4. P. 589-597.
  3. Taal B.G., Visser O. Epidemiology of neuroendocrine tumours. Neuroendocrinology. 2004. Vol. 80. No. 1. P. 3-7.
  4. Arnold R. Endocrine tumours of the gastrointestinal tract. Introduction: definition, historical aspects, classification, staging, prognosis and therapeutic options. Best Pract. Res. Clin.. Gastroenterol. 2005. Vol. 19. No. 4. P. 491-505.
  5. Kulke M.H., Benson A.B. 3rd, Bergsland E. et al. Neuroendocrine tumors. J. Natl. Compr. Canc. Netw. 2012. Vol. 10. No. 6. P. 724-64.
  6. Modlin I.M., Lye K.D., Kidd M.A. 5-decade analysis of 13,715 carcinoid tumors. Cancer. 2003. Vol. 97. No. 4. P. 934-959.
  7. Pickhardt P.J., Kim D.H., Menias C.O. et al. Evaluation of submucosal lesions of the large intestine. Part 1. Neoplasms. RadioGraphics. 2007. Vol. 27. P. 1681-1692.
  8. Zuetenhorst J.M., Taal B.G. Metastatic carcinoid tumors: a clinical review. Oncologist. 2005. Vol. 10. No. 2. P. 123-131
  9. Angela D.L. Gastrointestinal carcinoids: Imaging features with clinicopathologic comparison. RadioGraphcs. 2007. Vol. 27. No. 1. P. 237-257.
  10. Karen M.H, Inhab K., Lawrence H. et al. Carcinoid tumors of the Small Bowel: A Multitechnique Imagimg Approach. 2004. Vol. 182. No. 3. P. 559-567.
  11. Ganeshan D., Bhosale P., .Yang T. et al. Imaging Features of Carcinoid Tumors of the Gastrointestinal Tract. Amer. J. Roentgenol. 2013. Vol. 201. No. 4. P. 773-786.
  12. Elsayes K.M., Menias C.O., Bowerson M. Imaging of carcinoid tumors: spectrum of findings with pathologic and clinical correlation. J. Comput. Tomogr. 2011. Vol. 35. No. 1. P. 72-80.
  13. Elias D., Lefevre J.H., Duvillard P. et al. Hepatic metastases from neuroendocrine tumors with a “thin slice” pathological examination: they are many more than you think. Ann Surg. 2010. Vol. 251. P. 307-310.
  14. De Herder W.W., Kwekkeboom D.J., Valkema R. et al. Neuroendocrine tumors and somatostatin: imaging techniques. J. Endocrinol. 2005. Vol. 28. P. 132-136.
  15. Fuccio C., Spinapolice E. G., Chondrogiannis S. et al. Evolving role of SPECT/CT in neuroendocrine tumors management: staging, treatment response, and followup. Clin. Nucl. Med. 2013. Vol. 38. No. 10. P. 384-389.
  16. Modlin I.M., Cornelius E., Lawton G.P. Use of an isotropic somatostatin receptor probe to image gut endocrine tumors.. Arch Surg. 1995. Vol. 130. P. 367-373.

For citation: Bashkov AN, Sheykh ZV, Ionova EA, Mirzoyants SA, Drebushevskiy NS, Grigor'eva OO, Dunaev AP. Unique Case of Giant Exophityc Solitary Liver Metastasis of Neuroendocrine Cancer of Small and Large Intestine. 2014;61(4):76-82. Russian.

PDF (RUS) Full-text article (in Russian)

Medical Radiology and Radiation Safety. 2016. Vol. 61. No. 4. P. 68-75

REVIEW

I.A. Znamenskiy1,2, A.K. Kondakov1,2, V.V. Mil’kin1, D.Ju. Mosin1, A.V. Grechko1

Positron Emission Tomography with Oxygen-15 in Neurological Practice. Part 2. Clinical Application

1. Hospital for incurable patients -Scientific and Medical Rehabilitation Center, Moscow, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ; 2. N.I. Pirogov Russian National Research Medical University, Moscow, Russia.

ABSTRACT

Purpose: To analyze clinical application of positron-emission tomography with radiopharmaceuticals based on oxygen-15 and to determine the field of its application.

Material and methods: The review of sources, selected from international bibliographic databases.

Results: It is shown that PET with radiopharmaceuticals based on oxygen-15 leads to deep exploration of pathophysiologic basis of a number of brain diseases, among which is ischemic stroke which occupies an important place. Furthermore, the review presents clinical application of PET for chronic cerebrovascular diseases and as a gold standard for validation of other neuroimaging modalities.

Conclusion: PET with radiopharmaceuticals based on oxygen-15 is the only one direct validated method of measurement of a number of quantities characterizing the perfusion and functional capacity of the brain. It may be used in the evaluation of penumbra, quality control of treatment for chronic cerebrovascular diseases and in research. Wide application of this method is prevented by a need of implementation of a large number of costly technical measures.

Key words: positron emission tomography, 15O, perfusion, brain, review

REFERENCES

  1. Znamenskii I.A., Kondakov A.K., Grechko A.V. Pozitronno-emissionnaya tomografiya s kislorodom-15 v nevrologii. Chast' 1. Osnovnye svedeniya i istoricheskii obzor. Medical Radiology and Radiation Safety. 2015. Vol. 60. No. 6. P. 48-54. (In Russ.). (In Russ.).
  2. Lassen N.A. The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis localized within the brain. Lancet. 1996. Vol. 2. No. 7473. P. 1113-1115.
  3. Baron J.C., Bousser M.G., Rey A. et al. Reversal of focal “misery-perfusion syndrome” by extra-intracranial arterial bypass in hemodynamic cerebral ischemia. A case study with 15O positron emission tomography. Stroke. 1981. Vol. 12. No. 4. P. 454-459.
  4. Kety S.S., Schmidt C.F. The Nitrous Oxide Method For The Quantitative Determination Of Cerebral Blood Flow In Man: Theory, Procedure And Normal Values. J. Clin. 1948. Vol. 27. No. 4. P. 476-483.
  5. Kudomi N., Hirano Y., Koshino K. et al. Rapid quantitative CBF and CMRO(2) measurements from a single PET scan with sequential administration of dual (15)O-labeled tracers. J. Cereb. Blood Flow Metab. 2013. Vol. 33. No. 3. P. 440-448.
  6. Ibaraki M., Shimosegawa E., Miura S. et al. PET measurements of CBF, OEF, and CMRO2 without arterial sampling in hyperacute ischemic stroke: method and error analysis. Ann. Nucl. Med. 2004. Vol. 18. No. 1. P. 35-44.
  7. Powers W.J. Cerebral blood flow and metabolism: regulation and pathophysiology in cerebrovascular disease. In: Stroke: Pathophysiology, Diagnosis, and Management. 6th ed., ed. by Grotta J.C., Albers G.W., Broderick J.P. et al. Elsevier Health Sci. 2015. P. 28-43.
  8. Raichle M.E., Grubb R.L.. J., Eichling J.O. et al. Measurement of brain oxygen utilization with radioactive oxygen-15: experimental verification. J. Appl. 1976. Vol. 40. No. 4. P. 638-640.
  9. Lebrun-Grandie P., Baron J.-C., Soussaline F. et al. Coupling between regional blood flow and oxygen utilization in the normal human brain. A study with positron tomography and oxygen-15. Arch. Neurol. 1983. Vol. 40. No. 4. P. 230-236.
  10. Sette G., Baron J.C., Mazoyer B. et al. Local brain haemodynamics and oxygen metabolism in cerebrovascular disease. Positron emission tomography. Brain. 1989. Vol. 112. Pt. 4. P. 931-951.
  11. Leblanc R., Yamamoto Y.L., Tyler J.L. et al. Borderzone ischemia. Ann. Neurol. 1987. Vol. 22. No. 6. P. 707-713.
  12. Gibbs J.M., Wise R.J., Leenders K.L. et al. Evaluation of cerebral perfusion reserve in patients with carotidartery occlusion. Lancet. 1984. Vol. 1. No. 8372. P. 310-314.
  13. Ackerman R.H., Correia J.A., Alpert N.M. et al. Positron imaging in ischemic stroke disease using compounds labeled with oxygen 15. Initial results of clinicophysiologic correlations. Archives of neurology. 1981. Vol. 38. No. 9. P. 537-543.
  14. Wise R.J., Bernardi S., Frackowiak R.S. et al. Serial observations on the pathophysiology of acute stroke. The transition from ischaemia to infarction as reflected in regional oxygen extraction. Brain. 1983. Vol. 106. Pt. 1. P. 197-222.
  15. Hakim A.M., Pokrupa R.P., Villanueva J. et al. The effect of spontaneous reperfusion on metabolic function in early human cerebral infarcts. Ann. 1987. Vol. 21. No. 3. P. 279-289.
  16. Baron, J.C., Bousser M.G., Comar D. Human hemispheric infarction studied by positron emission tomography and the 15O continuous inhalation technique. In: Computerized tomography ed. By Caille J.M., Salamon G. New York: Springer Verlag. 1980. P. 231-237.
  17. Baron J.C., Jones T. Oxygen metabolism, oxygen extraction and positron emission tomography: Historical perspective and impact on basic and clinical neuroscience. Neuroimage. 2012. Vol. 61. No. 2, 492-504.
  18. Powers W.J., Grubb R.L., Darriet D. et al. Cerebral blood flow and cerebral metabolic rate of oxygen requirements for cerebral function and viability in humans. J. Cereb. Blood Flow Metab. 1985. Vol. 5. No. 4. P. 600-608.
  19. Touzani O., Young A.R., Derlon J.M. et al. Progressive impairment of brain oxidative metabolism reversed by reperfusion following middle cerebral artery occlusion in anaesthetized baboons. Brain Res. 1997. Vol. 767. No. 1. P. 17-25.
  20. Marchal G., Benali K., Iglesias S. et al. Voxel-based mapping of irreversible ischaemic damage with PET in acute stroke. Brain. 1999. Vol. 122. Pt. 1. P. 2387-2400.
  21. Frykholm P., Andersson J.L., Valtysson J. et al. A metabolic threshold of irreversible ischemia demonstrated by PET in a middle cerebral artery occlusion-reperfusion primate model. Acta Neurol. 2000. Vol. 102. No. 1. P. 18-26.
  22. Marchal G., Rioux P., Serrati C. et al. Value of acutestage positron emission tomography in predicting neurological outcome after ischemic stroke: further assessment. Stroke. 1995. Vol. 26. No. 3. P. 524-525.
  23. Marchal G., Furlan M., Beaudouin V. et al. Early spontaneous hyperperfusion after stroke. A marker of favourable tissue outcome?. Brain. 1996. Vol. 119. Pt. 2. P. 409-419.
  24. Marchal G., Young A.R., Baron J.C. Early postischemic hyperperfusion: pathophysiologic insights from positron emission tomography. J. Cereb. Blood Flow Metab. 1999. Vol. 19. P. 467-482.
  25. Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N. Engl. J. Med. 1995. Vol. 333. No. 24. P. 1581-1587.
  26. Baron J.C., Bousser M.G., Comar D. et al. “Crossed cerebellar diaschisis” in human supratentorial braininfarction. Trans. Amer. Neurol. Assoc. 1981. Vol. 105. P. 459-461.
  27. Yamauchi H., Fukuyama H., Kimura J. Hemodynamic and metabolic changes in crossed cerebellar hypoperfusion. Stroke. 1992. Vol. 23. No. 6. P. 855-860.
  28. Baron J.C., Rougemont D., Soussaline F. et al. Local Interrelationships of Cerebral Oxygen Consumption and Glucose Utilization in Normal Subjects and in Ischemic Stroke Patients: A Positron Tomography Study. J. Cereb. Blood Flow Metab. 1984. Vol. 4. No. 2. P. 140-149.
  29. Yamauchi H., Fukuyama H., Nagahama Y. et al. Significance of increased oxygen extraction fraction in five-year prognosis of major cerebral arterial occlusive diseases. J. Nucl. Med. 1999. Vol. 40. No. 12. P. 1992-1998.
  30. Sobesky J., Thiel A., Ghaemi M. et al. Crossed cerebellar diaschisis in acute human stroke: a PET study of serial changes and response to supratentorial reperfusion. J. Cereb. Blood Flow Metab. 2005. Vol. 25. No. 12. P. 1685-1691.
  31. Pantano P., Baron J.C., Samson Y. et al. Crossed cerebellar diaschisis. Further studies. Brain. 1986. Vol. 109. Pt. 4. No. 1. P. 677-694.
  32. Serrati C., Marchal G., Rioux P. et al. Contralateral cerebellar hypometabolism: a predictor for stroke outcome?. J. Neurol. Neurosurg. Psychiatry. 1994. Vol. 57. No. 2. P. 174-179.
  33. Vinichuk S.M. Diashiz i ego rol' v razvitii reflektorno-dvigatel'nykh rasstroistv pri mozgovom insul'te. Ukrans'kii medichnii chasopis. 2013. No. 2. P. 143-147.
  34. Szelies B., Herholz K., Pawlik G. et al. Widespread functional effects of discrete thalamic infarction. Arch. Neurol. 1991. Vol. 48. No. 2. P. 178-182.
  35. Baron J.C., D’Antona R., Pantano P. et al. Effects of thalamic stroke on energy metabolism of the cerebral cortex. A positron tomography study in man. Brain. 1986. Vol. 109. Pt. 6. P. 1243-1259.
  36. Chabriat H., Pappata S., Levasseur M. et al. Cortical metabolism in posterolateral thalamic stroke: PET study. Acta Neurol. 1992. Vol. 86. No. 3. P. 285-290.
  37. Yamauchi H., Fukuyama H., Nagahama Y. et al. Uncoupling of oxygen and glucose metabolism in persistent crossed cerebellar diaschisis. Stroke. 1999. Vol. 30. No. 7. P. 1424-1428
  38. Powers W.J., Derdeyn C.P., Fritsch S.M. et al. Benign prognosis of never-symptomatic carotid occlusion. Neurology. 2000. Vol. 54. No. 4. P. 878-882.
  39. Hokari M., Kuroda S., Shiga T. et al. Impact of oxygen extraction fraction on long-term prognosis in patients with reduced blood flow and vasoreactivity because of occlusive carotid artery disease. Surg. Neurol. 2009. Vol. 71. No. 5. P. 532-538; discussion 538, 538-539.
  40. Yamauchi H., Fukuyama H., Nagahama Y. et al. Evidence of misery perfusion and risk for recurrent stroke in major cerebral arterial occlusive diseases from PET. J. Neurol. Psychiatry. 1996. Vol. 61. No. 1. P. 18-25.
  41. Yamauchi H., Higashi T., Kagawa S. et al. Is misery perfusion still a predictor of stroke in symptomatic major cerebral artery disease?. Brain. 2012. Vol. 135. No. 8. P. 2515-2526.
  42. Barnett H., Peerless S., Fox A. et al. Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial. The EC/IC Bypass Study Group. N. Engl. J. Med. 1985. Vol. 313. No. 19. P. 1191-1200.
  43. Schaller B. Extracranial-intracranial bypass to reduce the risk of ischemic stroke in intracranial aneurysms of the anterior cerebral circulation: a systematic review. J. Stroke Cerebrovasc. Dis. 2008. Vol. 17. No. 5. P. 287-298.
  44. Powers W.J., Clarke W.R., Grubb R.L. et al. Extracranial-intracranial bypass surgery for stroke prevention in hemodynamic cerebral ischemia: the Carotid Occlusion Surgery Study randomized trial. JAMA. 2011. Vol. 306. No. 18. P. 1983-1992.
  45. Persoon S., van Berckel B.N., Bremmer J.P. et al. Intervention versus standard medical treatment in patients with symptomatic occlusion of the internal carotid artery: a randomised oxygen-15 PET study. EJNMMI Res. 2013. Vol. 3. No. 1. P. 79.
  46. Powers W.J., Zazulia A.R. PET in cerebrovascular disease. PET Clin. 2010. Vol. 5. No. 1. P. 83106.
  47. Nortje J., Coles J.P., Timofeev I. et al. Effect of hyperoxia on regional oxygenation and metabolism after severe traumatic brain injury: preliminary findings. Crit. Care Med. 2008. Vol. 36. No. 1. P. 273-281.
  48. Hutchinson P.J., Gupta A.K., Fryer T.F. et al. Correlation between cerebral blood flow, substrate delivery, and metabolism in head injury: a combined microdialysis and triple oxygen positron emission tomography study. J. Cereb. Blood Flow Metab. 2002. Vol. 22. P. 735-745.
  49. Coles J.P., Steiner L.A., Johnston A.J. et al. Does induced hypertension reduce cerebral ischaemia within the traumatized human brain?. Brain. 2004. Vol. 127. No. 11. P. 2479-2490.
  50. Takasawa M., Jones P.S., Guadagno J.V. et al. How reliable is perfusion MR in acute stroke? Validation and determination of the penumbra threshold against quantitative PET. Stroke. 2008. Vol. 39. No. 3. P. 870-877.
  51. Sobesky J., Weber O.Z., Lehnhardt F.G. et al. Does the mismatch match the penumbra? Magnetic resonance imaging and positron emission tomography in early ischemic stroke. Stroke. 2005. Vol. 36. No. 5. P. 980-985.
  52. Yamauchi H., Kudoh T., Kishibe Y. et al. Selective neuronal damage and chronic hemodynamic cerebral ischemia. Ann. Neurol. 2007. Vol. 61. No. 5. P. 454-465.
  53. Yamauchi H., Kudoh T., Kishibe Y. et al. Selective neuronal damage and borderzone infarction in carotid artery occlusive disease: a 11C-flumazenil PET study. J. Nucl. Med. 2005. Vol. 46. No. 12. P. 1973-1979.
  54. Kuroda S., Shiga T., Houkin K. et al. Cerebral oxygen metabolism and neuronal integrity in patients with impaired vasoreactivity attributable to occlusive carotid artery disease. Stroke. 2006. Vol. 37. No. 2. P. 393-398.
  55. Giffard C., Landeau B., Kerrouche N. et al. Decreased chronic-stage cortical 11C-flumazenil binding after focal ischemia-reperfusion in baboons: a marker of selective neuronal loss? Stroke. 2008. Vol. 39. No. 3. P. 991-999.
  56. Fox P.T., Burton H., Raichle M.E. Mapping human somatosensory cortex with positron emission tomography. J. Neurosurg. 1987. Vol. 67. No. 1. P. 34-43.
  57. Fox P.T., Fox P.T., Miezin F.M. et al. Retinotopic organization of human visual cortex mapped with positron-emission tomography. J. Neurosci. 1987. Vol. 7. No. 3. P. 913-922.
  58. Petersen S.E., Fox P.T., Posner M.I. et al. Positron emission tomographic studies of the cortical anatomy of single-word processing. Nature. 1988. Vol. 331. No. 6157. P. 585-589.
  59. Posner M.I., Petersen S.E., Fox P.T. et al. Localization of cognitive operations in the human brain. Science. 1988. Vol. 240. No. 4859. P. 1627-1631.
  60. Feng C.-M., Narayana S., Lancaster J.L. et al. CBF changes during brain activation: fMRI vs. PET. Neuroimage. 2004. Vol. 22. No. 1. P. 443-446.
  61. Cumming P. PET Neuroimaging: The white elephant packs his trunk?. Neuroimage. 2014. Vol. 84. P. 1094-1100.
  62. Gunn R.N., Rabiner E.A. PET neuroimaging: The elephant unpacks his trunk. Neuroimage. 2014. Vol. 94. P. 408-410.
  63. Horwitz B., Simonyan K. PET neuroimaging: plenty of studies still need to be performed: comment on Cumming: “PET neuroimaging: the white elephant packs his trunk?”. Neuroimage. 2014. Vol. 84. P. 1101-1103.
  64. Siebner H.R., Strafella A.P., Rowe J.B. The white elephant revived: a new marriage between PET and MRI: comment to Cumming: “PET neuroimaging: the white elephant packs his trunk?”. Neuroimage. 2014. Vol. 84. P. 1104-1106.
  65. Werner P., Zeisig V., Saur D. et al. Simultaneous PET/MRI. A new tool for translational brain imaging early after stroke. J. Nucl. Med. 2014. Vol. 55. Suppl. No. 1. P. 412.

For citation: Znamenskiy IA, Kondakov AK, Milkin VV, Mosin DJu, Grechko AV. Positron Emission Tomography with Oxygen-15 in Neurological Practice. Part 2. Clinical Application. Medical Radiology and Radiation Safety. 2016;61(4):68-75. Russian.

PDF (RUS) Full-text article (in Russian)

Medical Radiology and Radiation Safety. 2016. Vol. 61. No. 4. P. 59-63

NUCLEAR MEDICINE

T.M. Geliashvili, A.V. Vazhenin, E.B. Vasil’eva, N.G. Afanas’eva

Experience of Use 18F-FDG PET/CT in Detecting Tumor Recurrence and Metastasis of Differentiated Thyroid Cancer

Chelyabinsk Regional Clinical Oncology Center, Chelyabinsk, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

ABSTRACT

Purpose: To investigate the diagnostic accuracy and impact in patients management of the integrated 18F-FDG PET/CT modality in patients with differentiated thyroid cancer.

Material and methods: A retrospective review of patients who underwent PET/CT scans were performed. The study included patients with elevated thyroglobulin levels during the postoperative radioiodine ablation course or after completion of the combination treatment at follow-up of DTC.

Results: PET/CT was positive in 39 cases (64 %), 18 (46.1 %) of which was loco-regional recurrence, 12 (30.8 %) - distant metastases and the combination of loco-regional recurrence with distant metastases 9 (23.1 %). The negative result was obtained for 22 (36 %) PET/CT study (without pathology 7 (31.8 %), questionable results 15 (68.2 %)). Totally 27 (44.3 %) loco-regional recurrences diagnosed with PET / CT, and by 131I whole body scan (WBS) - 14 (23 %)). 15 surgical interventions for loco-regional recurrence were achieved. Diagnosis of recurrence in 13 cases (87 %) was proved historically. In 2 (13 %) patients we received a false-positive results of PET/CT. In 21 (34.4 %) of PET/CT study distant metastases were revealed (in the lungs and/or mediastinum - 14 (67 %), in bone 3 (14 %), a combination of several sites of distant metastases 4 (19 %)). In 11 of 14 cases (78.6 %) lung metastases were revealed exclusively in CT mode. Mediastinal lymph node metastases appeared all PET-positive 6 (100 %). Metastases in other organs were detected in 7 cases out of which all bone metastases were PET positive (6 cases); soft tissue metastases identified by CT mode in 1 case. By planar WBS detected distant metastases in 18 cases (29.5 %).

Conclusions: PET/CT showed higher sensitivity in the detection of the neck lymph nodes metastases (44.3 %) than WBS (23 %). With regard to detection of distant metastases, PET/CT and WBS showed similar sensitivity (34.5 % and 29.5 %, respectively). Through a combination of modes of PET with CT mode the sensitivity of PET/CT in detection of metastases in the lungs increases greatly.

Key words18: F-FDG PET/CT, differentiated thyroid cancer, whole body scan, loco-regional recurrence, distant metastases

REFERENCES

  1. Sherman S.I. Thyroid carcinoma. Lancet, 2003. Vol. 361. No. 9356. P. 501-511.
  2. Sipos J.A., Mazzaferri E.L. Thyroid cancer epidemiology and prognostic variables. Clin. Oncol. 2010. Vol. 22. No. 6. P. 395-404.
  3. Davies L., Welch H.G. Increasing incidence of thyroid cancer in the United States, 1973-2002. JAMA. 2006. Vol. 295. No. 18. P. 2164-2167.
  4. Eustatia-Rutten C.F., Corssmit E.P., Biermasz NR et al. Survival and death causes in differentiated thyroid carcinoma. J. Clin. Endocrinol. Metabolism. 2006. Vol. 91. No. 1. P. 313-319.
  5. Zaplatnikov K., Mentsel' K., Dil' M. et al. Pozitronno-emissionnaya tomografiya s 1818F-ftordezoksiglyukozoi v rakurse sovremennoi diagnostiki, dispansernogo nablyudeniya i lecheniya differentsirovannogo raka shchitovidnoi zhelezy. Problemy endokrinologii. 2003. No. 4. P. 46-50. (In Russ.).
  6. Schluter B., Bohuslavizki K.H., Beyer W. et al. Impact of FDG PET on patients with differentiated thyroid cancer who present with elevated thyroglobulin and negative 131I scan. J. Nucl. Med. 2001. Vol. 42. No. 1. P. 71-76.
  7. Joensuu H., Ahonen A. Imaging of metastases of thyroid carcinoma with fluorine-18 fluorodeoxyglucose. J. Nucl. Med. 1987. Vol. 28. No. 5. P. 910-914.
  8. Feine U., Lietzenmayer R., Hanke J.P. et al. Fluorine-18-FDG and iodine-131-iodide uptake in thyroid cancer. J. Nucl. Med. 1996. Vol. 37. No. 9. P. 1468-1472.
  9. Wang H., Fu H.L., Li J.N. et al. Comparison of whole-body 18F-FDG PET and posttherapeutic 131I scintigraphy in the detection of metastatic thyroid cancer. Clin. Imaging. 2008. Vol. 32. No. 1. P. 32-37.
  10. Hooft L., Hoekstra O.S., Devillé W. et al. Diagnostic accuracy of 18F-fluorodeoxyglucose positron emission tomography in the follow-up of papillary or follicular thyroid cancer. J. Clin. Endocrinol. Metabolism. 2001. Vol. 86. No. 8. P. 3779-3786.
  11. Khan N., Oriuchi N., Higuchi T. et al. PET in the follow-up of differentiated thyroid cancer. Brit. J. Radiol. 2003. Vol. 76. No. 910. P. 690-695.
  12. Dong M.J. et al. Value of 18F-FDG-PET/CT in differentiated thyroid carcinoma with radioiodinenegative whole-body scan. Meta-analysis. Nucl. Med. Commun. 2009. Vol. 30. No. 8. P. 639-650.

For citation: Geliashvili TM, Vazhenin AV, Vasil'eva EB, Afanas'eva NG. Experience of Use 18F-FDG PET/CT in Detecting Tumor Recurrence and Metastasis of Differentiated Thyroid Cancer. Medical Radiology and Radiation Safety. 2016;61(4):59-63. Russian.

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Medical Radiology and Radiation Safety. 2016. Vol. 61. No. 61. P. 64-67

NUCLEAR MEDICINE

Yu.V. Lysak1, B.Ya. Narkevich2,3, S.V. Shiryaev2, V.V. Krylov4

Mathematical Modeling of Liquid Radioactive Waste in Radionuclide Therapy

1. Moscow Engineering Physics Institute, Moscow, Russia; 2. N.N. Blokhin Russian Oncological Research Center, Moscow, Russia; 3. Institute of Medical Physics and Engineering, Moscow, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ; 4. A.F. Tsyb Medical Radiological Research Center, Obninsk

ABSTRACT

Purpose: To determine the estimated capacity of the station cleaning in special units radionuclide therapy based on mathematical modeling of processes of accumulation and exposure to the collapse of liquid radioactive waste.

Material and methods: The simulation is based on solving a system of linear first order differential equations with constant coefficients under certain simplifying assumptions about these processes of accumulation and exposure. For specific numerical simulation results technical and clinical settings for typical units of radionuclide therapy were used.

Results: It is shown that only the presence of a vacuum in the unit special sewage radionuclide therapy ensures that the requirements of regulations on permissible discharge disintegrated liquid radioactive waste into the domestic sewage. Water consumption was hospitalized in “active” patient rooms should not exceed 50 liters / day for 1 person.

Conclusion: Mathematical modeling allows to objectify the processes of dealing with liquid radioactive waste in radionuclide therapy units of radiological clinics in Russia.

Key words: radionuclide therapy, liquid radioactive waste, cleaning station power, mathematical modeling

REFERENCES

  1. Normy radiatsionnoi bezopasnosti NRB-99/2009. SanPiN 2.6.1.2523-09. (In Russ.). (In Russ.).
  2. Osnovnye sanitarnye pravila obespecheniya radiatsionnoi bezopasnosti OSPORB-99/2010. SP 2.6.1.2612-10. (v red. izmenenii No. 1, utv. postanovleniem Glavnogo gosudarstvennogo sanitarnogo vracha RF ot 16.09.2013 No. 43). (In Russ.). (In Russ.).
  3. Sanitarnye pravila obrashcheniya s radioaktivnymi otkhodami SPORO-2002. Izmeneniya i dopolneniya no. 1 k SP 2.6.6.1168-02. SanPiN 2.6.6.2796-10. (In Russ.). (In Russ.).
  4. Gigienicheskie trebovaniya po obespecheniyu radiatsionnoi bezopasnosti pri provedenii luchevoi terapii s pomoshch'yu otkrytykh radionuklidnykh istochnikov. SanPiN 2.6.1.2368-08. (In Russ.). (In Russ.).
  5. Osnovnye sanitarnye pravila obespecheniya radiatsionnoi bezopasnosti OSPORB-99/2010. SP 2.6.1.2612-10. (In Russ.). (In Russ.).
  6. Sanitarnye pravila obrashcheniya s radioaktivnymi otkhodami (SPORO-2002). SP 2.6.6.1168-02. (In Russ.). (In Russ.).
  7. Narkevich B.Ya., Shiryaev S.V., Krylov V.V. Povyshaet li novaya versiya OSPORB-99/2010 uroven' radiatsionnoi bezopasnosti v yadernoi meditsine? // Medical Radiology and Radiation Safety. 2015. Vol. 60. No. 6. P. 5-9. (In Russ.). (In Russ.).
  8. Manual on Therapeutic Uses of Iodine-131. IAEA. Vienna. 1996. 65 p.
  9. Radiological Protection after Nuclear Medicine Procedures. ICRP Publication 94. 2006. 27 p.

For citation: Lysak YuV, Narkevich BYa, Shiryaev SV, Krylov VV. TMathematical Modeling of Liquid Radioactive Waste in Radionuclide Therapy. Medical Radiology and Radiation Safety. 2016;61(6):64-7. Russian.

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Medical Radiology and Radiation Safety. 2016. Vol. 61. No. 4. P. 52-58

RADIATION EPIDEMIOLOGY

I.A. Martinenko1, M.E. Sokolnikov1, N.A. Koshurnikova1, Yu.G. Mokrov2, D.A. Beregich2

Risk Assessment of Thyroid Cancer Incidence Among Population Due to the Residence Close to Mayak PA

1. Southern Urals Biophysics Institute, Ozersk, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ; 2. Mayak PA, Ozersk, Russia

ABSTRACT

Purpose: Thyroid cancer incidence rates in the population residing as children in areas contaminated by radioactive gas-aerosol emissions during technological development at Mayak PA were assessed in the current epidemiological study.

Material and methods: The study was carried out in a cohort of 31,836 people residing in childhood in Ozersk during 1948-1962. In that period uncontrolled gas-aerosol emissions from chimneys of radiochemical plants took place. There were 60 thyroid cancer cases diagnosed and histologically verified in the study cohort. Standardized incidence rates (SIR) were estimated by the indirect standardization by age and sex with a 95 % confidence interval. Age- and sex-related thyroid cancer incidence rates in Russia and among the urban population of Chelyabinsk were chosen as a standard. Information on radiation exposure levels of thyroid for Ozersk residents of different ages was obtained on the basis of preliminary dose calculations for two scenarios of food consumption from different suppliers. Radiation excess relative risk per unit dose (ERR/Sv) was calculated with the us of a Poisson regression model implemented in Amfit module of the Epicure software.

Results: SIR of thyroid cancer in the cohort was 3.16 among men (1.68-5.06) and 2.07 (1.52-2.65) among women compared to the data of national statistics. Significant difference of thyroid cancer incidence in the cohort compared to the regional statistics was also found: SIR was 2.04 (1.08-3.26) among men and 1.59 (1.17-2.04) among women. ERR/Sv was -0.03 (p > 0.5), i.e. increase of thyroid cancer incidence in the study cohort is not associated with the obtained estimates of equivalent doses to the thyroid.

Conclusion: In the cohort of persons residing as children in Ozersk in the period of uncontrolled gas-aerosol emissions from the chimneys of radiochemical plants in 1948-1962, age- and sex-related thyroid cancer incidence rates and relative risk of thyroid cancer incidence in men and women significantly (2-3 times) exceeded those in the national and regional statistics. The correlation between dose and effect was not observed. It could be associated with using group doses due to lack of individual doses.

Key words: thyroid cancer incidence, Mayak PA, radiation risk, standardized incidence ratio

REFERENCES

  1. Il'in L.A. et al. Radioaktivnyi iod v probleme radiatsionnoi bezopasnosti. Moscow: Atomizdat. 1972. 272 p. (In Russ.).
  2. Akleev A.V., Krestinina L.Yu., Preston D. et al. Radiatsionnyi risk zlokachestvennykh novoobrazovanii u zhitelei pribrezhnykh sel reki Techi. Medical Radiology and Radiation Safety. 2008. Vol. 53. No. 4. P. 13-37. (In Russ.).
  3. Glagolenko Yu.V., Drozhko E.G., Mokrov Yu.G. et al. Metodika rekonstruktsii radionuklidnogo sostava i aktivnosti oskolkov deleniya, nakaplivayushchikhsya v obluchennom urane na moment ego radiokhimicheskoi pererabotki na zavode «B» PO «Mayak» v nachale 1950-kh gg.. Voprosy radiats. bezopasnosti. Spets. vyp. 2008. P. 35-51. (In Russ.).
  4. Glagolenko Yu.V., Drozhko E.G., Mokrov Yu.G. et al. Rekonstruktsiya vybrosov v atmosferu ioda-131 iz trub radiokhimicheskogo proizvodstva PO «Mayak» za period s 1948 po 1967 gg.. Voprosy radiats. bezopasnosti. Spets. vyp. 2008. P. 52-61. (In Russ.).
  5. Il'in L.A., Aksel' E.M., Drozhko E.G. et al. Zabolevaemost' rakom shchitovidnoi zhelezy sredi zhitelei g. Ozerska (epidemiologicheskoe issledovanie). Medical Radiology and Radiation Safety. 2003. Vol. 48. No. 1. P. 57-64. (In Russ.).
  6. Koshurnikova N.A., Kabirova N.R., Bolotnikova M.G. et al. Kharakteristika registra lits, prozhivavshikh v detskom vozraste vblizi proizvodstvennogo ob"edineniya «Mayak». Medical Radiology and Radiation Safety. 2003. Vol. 48. No. 1. P. 27-34. (In Russ.).
  7. Mokrov Yu.G., Martyushov V.Z., Stukalov P.M. et al. Osobennosti struktury pitaniya naseleniya g. Ozerska za period s 1948 po 1966 gg., znachimye dlya otsenki peroral'noi sostavlyayushchei doz vnutrennego oblucheniya. Voprosy radiats. bezopasnosti. Spets. vypusk. 2008. P. 62-75. (In Russ.).
  8. Fomin E.P., Okatenko P.V., Koshurnikova N.A. Opyt retrospektivnogo sozdaniya kantser-registra dlya naseleniya g. Ozerska i analiz pokazatelei zabolevaemosti zlokachestvennymi novoobrazovaniyami na ego osnove s 1948 po 2005 gg.. Voprosy radiats. bezopasnosti. 2007. No. 4. P. 54-62. (In Russ.).
  9. Davydov M.I., Aksel' E.M. Statistika zlokachestvennykh novoobrazovanii v Rossii i stranakh SNG v 2005 g.. Vestnik RONTs im. N.N. Blokhina RAMN. 2007. Vol. 18. No. 2. 156 p. (In Russ.).
  10. Glagolenko Yu.V., Drozhko E.G., Mokrov Yu.G. et al. Metodika i rezul'taty rekonstruktsii vybrosov inertnykh radioaktivnykh gazov iz trub grafitovykh reaktorov PO «Mayak» za ves' period ikh ekspluatatsii. Voprosy radiats. bezopasnosti. Spets. vypusk. 2008. P. 6-21. (In Russ.).
  11. Sbyder S.F., Farris W.T., Napier B.A., Ikenberry T.A. et al. Parameters used in the environmental pathway and radiological dose modules (DESCARTES, CIDER and CRD Codes) of the Hanford Environmental Dose Reconstruction Integrated Codes (HEDRIC). In: PNWD-2023. Rev. 1. UC-000. Battelle. Pacific Northwest Laboratories. Richland. Washington. (In Russ.).
  12. Preston D.L., Lubin J.H., Pierce D.A. EPICURE user’s Guide. Seattle: Hirosoft International Corp. 1993. 330 p. (In Russ.).
  13. Masharova E.I., Azizova T.V., Chutchikova T.A. et al. Rasprostranennost' patologii shchitovidnoi zhelezy v kogorte zhitelei g. Ozerska, podvergshikhsya v detskom vozraste tekhnogennomu oblucheniyu. Klinich. i eksperim. tireoidologiya. 2011. Vol. 7. No. 4. P. 56-62. (In Russ.).
  14. Koshurnikova N.A., Martinenko I.A., Kaigorodova L.Ya. et al. Zabolevaemost' rakom shchitovidnoi zhelezy pri prozhivanii v detskom vozraste vblizi atomnogo predpriyatiya. V sb.: «Istochniki i effekty oblucheniya rabotnikov PO «Mayak» i naseleniya, prozhivayushchego v zone vliyaniya pred-priyatiya». Chast' IV. Kiseleva M.F., Romanova S.A. (Eds.). Chelyabinsk: Chelyabinskii Dom pechati. 2012. P. 187-204. (In Russ.).
  15. Martinenko I.A., Sokol'nikov M.E. Otnositel'nyi risk zabolevaniya rakom shchitovidnoi zhelezy u zhitelei dvukh raionov ZATO g. Ozersk. Voprosy radiats. bezopasnosti. 2012. No. 2. P. 66-72. (In Russ.).

For citation: Martinenk IA, Sokolnikov ME, Koshurnikova NA, Mokrov YuG, Beregich DA. Risk Assessment of Thyroid Cancer Incidence among Population Due to the Residence Close to Mayak PA. Medical Radiology and Radiation Safety. 2016;61(4):52-8. Russian.

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