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Intramedullary metastasis detected with 18F FDG-PET/CT
Detección de metástasis intramedular con 18F FDG-PET/CT
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array:22 [ "pii" => "S0212698211002825" "issn" => "2253654X" "doi" => "10.1016/j.remn.2011.11.002" "estado" => "S300" "fechaPublicacion" => "2012-09-01" "aid" => "353" "copyright" => "Elsevier España, S.L. and SEMNIM" "copyrightAnyo" => "2011" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2012;31:299-300" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 757 "formatos" => array:2 [ "HTML" => 558 "PDF" => 199 ] ] "itemAnterior" => array:18 [ "pii" => "S0212698211002709" "issn" => "2253654X" "doi" => "10.1016/j.remn.2011.10.004" "estado" => "S300" "fechaPublicacion" => "2012-09-01" "aid" => "341" "copyright" => "Elsevier España, S.L. and SEMNIM" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2012;31:297-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 874 "formatos" => array:2 [ "HTML" => 688 "PDF" => 186 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Isolated adrenal metastasis of small cell neuroendocrine carcinoma of the ovary detected with FDG-PET/CT" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "297" "paginaFinal" => "298" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Metástasis suprarrenal única de cáncer de ovario neuroendocrino no microcítico detectada con FDG-PET/TAC" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 518 "Ancho" => 1400 "Tamanyo" => 172438 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Primary focus of the tumor in ovary. (A) Histopathological verification determined small cell neuroendocrine carcinoma of the ovary. Hematoxylin–eosin staining (40×) revealed positive synaptophysin, and negative chromogranin and inhibin staining with small cell carcinoma infiltration in ovarian stroma. (B) Histopathological verification of adrenal biopsy, also, revealed small cell neuroendocrine carcinoma of the ovary.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "T. Ozpacaci, M.O. Tamam, M. Mulazimoglu, G. Kamali, D. Ozcan" "autores" => array:5 [ 0 => array:2 [ "nombre" => "T." "apellidos" => "Ozpacaci" ] 1 => array:2 [ "nombre" => "M.O." "apellidos" => "Tamam" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Mulazimoglu" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Kamali" ] 4 => array:2 [ "nombre" => "D." "apellidos" => "Ozcan" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0212698211002709?idApp=UINPBA00004N" "url" => "/2253654X/0000003100000005/v1_201305061112/S0212698211002709/v1_201305061112/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Intramedullary metastasis detected with <span class="elsevierStyleSup">18</span>F FDG-PET/CT" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "299" "paginaFinal" => "300" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "O. Sari, B. Kaya, G. Kara Gedik, P. Ozcan Kara, E. Varoglu" "autores" => array:5 [ 0 => array:4 [ "nombre" => "O." "apellidos" => "Sari" "email" => array:1 [ 0 => "oktaysari@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "B." "apellidos" => "Kaya" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "G." "apellidos" => "Kara Gedik" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "P." "apellidos" => "Ozcan Kara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "E." "apellidos" => "Varoglu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Selcuk University Meram Medical Faculty, Department of Nuclear Medicine, Konya, Turkey" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Selcuk University Selcuklu Medical Faculty, Department of Nuclear Medicine, Konya, Turkey" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Detección de metástasis intramedular con <span class="elsevierStyleSup">18</span>F FDG-PET/CT" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 889 "Ancho" => 1500 "Tamanyo" => 193084 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A 50-year-old woman with a history of shortness of breath, chest pain, back pain and hemoptysis diagnosed as lung cancer. The patient was done PET/CT for initial imaging. PET/CT showed an increased FDG uptake in the spine at the level of 11th thoracic vertebrae (SUVmax: 6.9). This focal lesion was an intramedullary metastasis.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report F-18 FDG-PET/CT images of MRI-correlated spine metastasis from non-small cell lung cancer (NSCLC). A 50-year-old woman was admitted to hospital with shortness of breath, chest pain, back pain and hemoptysis. She had a diagnosis of non-small cell lung cancer by lung biopsy. F-18 FDG-PET/CT study was carried out for staging. PET/CT imaging showed a gross mass in the upper lobe of the right lung, mediastinal, right cervical and supraclavicular metastatic lymph nodes, liver metastasis and multiple bone and muscle metastasis. Also, there was an increased FDG uptake in the spine in the level of 11th thoracic vertebrae (SUVmax: 6.9). This focal lesion was an intramedullary metastasis. Correlation with MRI showed that intramedullary mass showed an heterogeneous contrast enhancement. This image was suggestive of malignant lesion (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">PET/CT has greater sensitivity, specificity, and accuracy than CT scan in preoperative staging of the NSCLC and is recommended as the final confirmatory investigation in NSCLC. Whole body PET/CT imaging is also a valuable method for extrathoracic staging. PET/CT can identify noncerebral metastatic disease not detected by conventional techniques in up to 20% of patients. Intramedullary metastasis is a rare entity in NSCLC. Most intramedullary metastasis is diagnosed by contrast-enhanced MRI. In our case, the metastasis was discovered by whole body PET/CT imaging and confirmed by contrast-enhanced MRI.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2011-09-02" "fechaAceptado" => "2011-11-07" "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 889 "Ancho" => 1500 "Tamanyo" => 193084 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A 50-year-old woman with a history of shortness of breath, chest pain, back pain and hemoptysis diagnosed as lung cancer. The patient was done PET/CT for initial imaging. PET/CT showed an increased FDG uptake in the spine at the level of 11th thoracic vertebrae (SUVmax: 6.9). This focal lesion was an intramedullary metastasis.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 774 "Ancho" => 1300 "Tamanyo" => 131060 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Gadolinium enhanced magnetic resonance imaging showed a nodular lesion in the spine at the level of 11th thoracic vertebrae. This lesion was associated with metastasis.</p>" ] ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle">Further reading</span>" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lung cancer—where are we today? Current advances in staging and nonsurgical treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.G. Spiro" 1 => "J.C. Porter" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/rccm.200202-070SO" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2002" "volumen" => "166" "paginaInicial" => "1166" "paginaFinal" => "1196" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12403687" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global cancer statistics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G.M. Parkin" 1 => "P. Pisani" 2 => "J. Ferlay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "CA Cancer J Clin" "fecha" => "1999" "volumen" => "49" "paginaInicial" => "33" "paginaFinal" => "64" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10200776" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Extrathoracic staging of bronchogenic carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Salvatierra" 1 => "C. Baamonde" 2 => "J.M. Llamas" 3 => "F. Cruz" 4 => "J. Lopez-Pujol" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1990" "volumen" => "97" "paginaInicial" => "1052" "paginaFinal" => "1058" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2184992" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/2253654X/0000003100000005/v1_201305061112/S0212698211002825/v1_201305061112/en/main.assets" "Apartado" => array:4 [ "identificador" => "7962" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imágenes de interés" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/2253654X/0000003100000005/v1_201305061112/S0212698211002825/v1_201305061112/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0212698211002825?idApp=UINPBA00004N" ]
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