Article
Revista Española de Medicina Nuclear e Imagen Molecular (English Edition)
array:23 [ "pii" => "S2253808923000083" "issn" => "22538089" "doi" => "10.1016/j.remnie.2023.01.005" "estado" => "S300" "fechaPublicacion" => "2023-05-01" "aid" => "1412" "copyright" => "Sociedad Española de Medicina Nuclear e Imagen Molecular" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2023;42:190-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S2253808923000332" "issn" => "22538089" "doi" => "10.1016/j.remnie.2023.04.002" "estado" => "S300" "fechaPublicacion" => "2023-05-01" "aid" => "1399" "copyright" => "Sociedad Española de Medicina Nuclear e Imagen Molecular" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2023;42:192" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Incidental finding of epiploic appendagitis in the <span class="elsevierStyleSup">18</span>F-FDG PET/CT study of a patient with recurrence of ovarian cancer" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "192" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hallazgo incidental de apendagitis epiploica en estudio <span class="elsevierStyleSup">18</span>F-FDG PET/TC de paciente con recidiva de Cáncer de ovario" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 731 "Ancho" => 2007 "Tamanyo" => 160928 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A 62-year-old woman underwent surgery for a diagnosis of bilateral mixed malignant ovarian tumor, accompanied by reactive lymphadenitis and metastatic involvement of the omentum and ileocecal appendix. She started adjuvant chemotherapy treatment presenting complete response and after two years relapsed with pathological mediastinal, mesenteric and pelvic lymphadenopathies, for which she started a new chemotherapy treatment with good response. On the PET/CT scan performed to characterize a pulmonary nodule seen in a follow-up CT scan, the only finding was a lesion with ring-shaped hypermetabolism and trabeculation of the perilesional fat suggestive of epiploic appendagitis. PET/CT study acquired 60 min after the intravenous administration of 222 MBq of <span class="elsevierStyleSup">18</span>FFDG. (a and b) Maximum intensity projection (MIP) coronal, supravesical hypermetabolic lesion is observed (blue arrow). (C–e) axial and sagittal PET/CT showing a 2.3 cm ovoid fatty lesion adjacent to the sigma with ring-shaped hypermetabolism (SUVmax 7.2) and trabeculation of the perilesional fat. f) Axial plane of control CT carried out two months later showing no evidence of the lesion that had responded to anti-inflammatory treatment.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Guardia Jimena, M.V. Guiote Moreno, A.M. Santos Bueno, J.A. Vallejo Casas" "autores" => array:4 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Guardia Jimena" ] 1 => array:2 [ "nombre" => "M.V." "apellidos" => "Guiote Moreno" ] 2 => array:2 [ "nombre" => "A.M." "apellidos" => "Santos Bueno" ] 3 => array:2 [ "nombre" => "J.A." "apellidos" => "Vallejo Casas" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S2253654X22001172" "doi" => "10.1016/j.remn.2022.08.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X22001172?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808923000332?idApp=UINPBA00004N" "url" => "/22538089/0000004200000003/v2_202401190458/S2253808923000332/v2_202401190458/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2253808922001215" "issn" => "22538089" "doi" => "10.1016/j.remnie.2022.12.004" "estado" => "S300" "fechaPublicacion" => "2023-05-01" "aid" => "1415" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2023;42:188-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Sciatic nerve tumoral infiltration: <span class="elsevierStyleSup">18</span>F-FDG PET/CT findings" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "188" "paginaFinal" => "189" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infiltración tumoral del nervio ciático: hallazgos en <span class="elsevierStyleSup">18</span>F-FDG PET/TC" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2641 "Ancho" => 1675 "Tamanyo" => 147846 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Posteroanterior maximum intensity projection image showing pathological uptake in the left sciatic nerve (arrows).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Lourdes López-Urquía, María López-Acosta, Alicia Díaz-Silván, Jon Andoni Uña-Gorospe, Eva Martínez-Gimeno, Ana Allende-Riera" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Lourdes" "apellidos" => "López-Urquía" ] 1 => array:2 [ "nombre" => "María" "apellidos" => "López-Acosta" ] 2 => array:2 [ "nombre" => "Alicia" "apellidos" => "Díaz-Silván" ] 3 => array:2 [ "nombre" => "Jon Andoni" "apellidos" => "Uña-Gorospe" ] 4 => array:2 [ "nombre" => "Eva" "apellidos" => "Martínez-Gimeno" ] 5 => array:2 [ "nombre" => "Ana" "apellidos" => "Allende-Riera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S2253654X22001901" "doi" => "10.1016/j.remn.2022.12.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X22001901?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808922001215?idApp=UINPBA00004N" "url" => "/22538089/0000004200000003/v2_202401190458/S2253808922001215/v2_202401190458/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "<span class="elsevierStyleSup">18</span>F-FDG PET/CT in the detection of meningeal carcinomatosis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "190" "paginaFinal" => "191" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Guzmán Ortiz, R. Jimeno Pernett, M. Mitjavila Casanovas" "autores" => array:3 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Guzmán Ortiz" "email" => array:1 [ 0 => "estefany-go@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Jimeno Pernett" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Mitjavila Casanovas" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Nuclear, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleSup">18</span>F-FDG PET/TC en la detección de la carcinomatosis meníngea" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1916 "Ancho" => 1675 "Tamanyo" => 164874 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sagittal <span class="elsevierStyleSup">18</span>F-FDG PET/CT images showed high-intensity pathological uptakes in the right frontoparietal mass and in spinal nerve roots, suggestive of meningeal implants. (A) D7, L2 and S1. (B) Right frontoparietal subcutaneous mass, D12 and in the cauda equina at the level of S1-S4.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 58-year-old woman diagnosed with pulmonary adenocarcinoma located in the right upper lobe with metastasis in the right frontal cerebral lobe (T1bN1M1b) and receiving chemotherapy. She went to the emergency department due to lumbosacral pain radiating to the right lower limb that did not subside with analgesics and urinary retention that required urinary catheterization. Magnetic resonance imaging (MRI) of the brain and spine without intravenous (IV) contrast was performed due to the deterioration of the patient's functional status, which showed a hernia at the C5-C6 level and disc protrusion at L5-S. Given the persistence of the symptoms and no MRI findings without IV contrast, brain MRI with IV contrast and <span class="elsevierStyleSup">18</span>F-FDG PET/CT were requested in search of disseminated disease, which showed suspicious findings of malignancy in the right frontoparietal mass, nerve roots located in D7, D12, L2 and in the cauda equina at the level of S1-S4, suggestive of meningeal carcinomatosis (MC) (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). Brain MRI with IV contrast showed post-surgical changes of a right frontoparietal craniotomy with underlying meningeal thickening of pseudonodular morphology with enhancement after administration of IV contrast, consistent with MC, post-surgical right frontoparietal changes with underlying malacia area showing ring-shaped nodular enhancement suggestive of remainder/recurrence and mass in the right frontoparietal subcutaneous cellular tissue with intense enhancement, compatible with an implant (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). Continued active treatment was ruled out and symptomatic control was prioritized, referring the patient to palliative care. After a short time, the patient died.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">MC is the infiltration of malignant cells from a primary tumor into the meninges due to its dissemination or direct extension into the cerebrospinal fluid and/or the leptomeninges, being a rare presentation of a solid tumor.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Given the suspicion of MC of a brain and spinal MRI with IV contrast is recommended for solid tumor identification before any therapy, however, the gold standard is cerebrospinal fluid (CSF) cytological analysis.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> The prognosis is poor despite aggressive therapy, since 80% of patients die within 3 months after.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">PET/CT is a valid alternative diagnostic tool when spinal MRI with IV contrast or CSF cytological analysis cannot be performed in patients with impaired performance status, for technical reasons, for example, a patient with a pacemaker, or when results are available. inconclusive, because it allows a study of the whole body, it detects tumor lesions when it has not been possible to carry out other tests or when the findings of these tests do not justify the patient's symptoms.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1916 "Ancho" => 1675 "Tamanyo" => 164874 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sagittal <span class="elsevierStyleSup">18</span>F-FDG PET/CT images showed high-intensity pathological uptakes in the right frontoparietal mass and in spinal nerve roots, suggestive of meningeal implants. (A) D7, L2 and S1. (B) Right frontoparietal subcutaneous mass, D12 and in the cauda equina at the level of S1-S4.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1808 "Ancho" => 1675 "Tamanyo" => 207731 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Axial <span class="elsevierStyleSup">18</span>F-FDG PET/CT images showed high-intensity pathological and focal uptakes suggestive of meningeal implants in the cauda equina at the level of bilateral S1, left S2, and S3-S4.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 959 "Ancho" => 1005 "Tamanyo" => 104700 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Brain MRI. T1-weighted sequence images with gadolinium in the axial plane showed postoperative changes of a right frontoparietal craniotomy with an underlying meningeal thickening of pseudonodular morphology with intense enhancement after the administration of IV contrast, compatible with MC, postoperative right frontoparietal changes with an area of ​​underlying malacia showing ring nodular enhancement suggestive of remnant/recurrence and a mass in the right frontoparietal subcutaneous cellular tissue with intense enhancement, compatible with an implant.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neoplastic nerve lesions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D.K. Patel" 1 => "K.G. Gwathmey" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s10072-022-05951-x" "Revista" => array:7 [ "tituloSerie" => "Neurol Sci." "fecha" => "2022" "volumen" => "43" "numero" => "5" "paginaInicial" => "3019" "paginaFinal" => "3038" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35195810" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intracranial leptomeningeal carcinomatosis: a diagnostic study with <span class="elsevierStyleSup">18</span>F-fluorodeoxyglucose positron emission tomography/computed tomography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Nuvoli" 1 => "S. Contu" 2 => "B.L.J. Pung" 3 => "P. Solinas" 4 => "G. Madeddu" 5 => "A. Spanu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000486710" "Revista" => array:7 [ "tituloSerie" => "Case Rep Neurol." "fecha" => "2018" "volumen" => "10" "numero" => "1" "paginaInicial" => "45" "paginaFinal" => "53" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29515424" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Leptomeningeal carcinomatosis and intramedullary spinal cord metastases from lung cancer: detection with FDG positron emission tomography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T. Komori" 1 => "D. Delbeke" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00003072-200111000-00001" "Revista" => array:7 [ "tituloSerie" => "Clin Nucl Med." "fecha" => "2001" "volumen" => "26" "numero" => "11" "paginaInicial" => "905" "paginaFinal" => "907" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11595839" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000004200000003/v2_202401190458/S2253808923000083/v2_202401190458/en/main.assets" "Apartado" => array:4 [ "identificador" => "47121" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Interesting image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22538089/0000004200000003/v2_202401190458/S2253808923000083/v2_202401190458/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808923000083?idApp=UINPBA00004N" ]
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The Revista Española de Medicina Nuclear e Imagen Molecular (Spanish Journal of Nuclear Medicine and Molecular Imaging), was founded in 1982, and is the official journal of the Spanish Society of Nuclear Medicine and Molecular Imaging, which has more than 700 members. The Journal, which publishes 6 regular issues per year, has the promotion of research and continuing education in all fields of Nuclear Medicine as its main aim. For this, its principal sections are Originals, Clinical Notes, Images of Interest, and Special Collaboration articles. The works may be submitted in Spanish or English and are subjected to a peer review process. In 2009, it became the leading Spanish journal in the field of Medical Imaging on having an Impact Factor , awarded by the Journal Citation Reports.
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