Interesting Images: Surprising and didactic findings from clinical practice
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Revista Española de Medicina Nuclear e Imagen Molecular (English Edition)
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] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes de interés</span>" "titulo" => "Tratamiento repetido con una dosis baja de [<span class="elsevierStyleSup">131</span>I]MIBG con buena respuesta y sin toxicidad" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "S2" "paginaFinal" => "S3" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Repeated treatment with low dose of [<span class="elsevierStyleSup">131</span>I]MIBG with good response and without toxicity" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 923 "Ancho" => 1500 "Tamanyo" => 105727 ] ] "descripcion" => array:1 [ "es" => "<p id="spar1010" class="elsevierStyleSimplePara elsevierViewall">las lesiones positivas con [123I]MIBG en la axila izquierda (A, flecha negra) y en mediastino (A y B, flecha roja), confirmadas en la tomografía computarizada de emisión monofotónica/tomografía computarizada (SPECT/TC) (B), e incluyendo la infiltración neoplásica en húmero izquierdo (A), confirmada asimismo en la SPECT/TC (B), La siguiente gammagrafía con [123I]MIBG (octubre de 2019), realizada tras el ciclo terapéutico con [131I]MIBG mostró una evidente disminución de la captación de la [123I]MIBG en las adenopatías de axila izquierda (C), así como en mediastino (C y D).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Lisa-Maria Rossetti, Alexander Stephan Kroiss, Christian Uprimny, Sabine Buxbaum, Irene Johanna Virgolini" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Lisa-Maria" "apellidos" => "Rossetti" ] 1 => array:2 [ "nombre" => "Alexander Stephan" "apellidos" => "Kroiss" ] 2 => array:2 [ "nombre" => "Christian" "apellidos" => "Uprimny" ] 3 => array:2 [ "nombre" => "Sabine" "apellidos" => "Buxbaum" ] 4 => array:2 [ "nombre" => "Irene Johanna" "apellidos" => "Virgolini" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S225380892030121X" "doi" => "10.1016/j.remnie.2020.09.016" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225380892030121X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X20301402?idApp=UINPBA00004N" "url" => "/2253654X/00000041000000S1/v1_202207160644/S2253654X20301402/v1_202207160644/es/main.assets" ] ] "itemSiguiente" => array:19 [ 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la captación en los conductos biliares intrahepáticos en <span class="elsevierStyleSup">18</span>F-FDGPET/TC en un caso de colangitis esclerosante primaria" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 843 "Ancho" => 1505 "Tamanyo" => 141949 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0025" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Whole body maximum intensity projection (MIP) (A), axial computerized tomography (CT) (B), axial fusion (C) coronal CT (D) and coronal fusion (E) images of liver Diffuse linear increased <span class="elsevierStyleSup">18</span>F-FDG uptake was seen throughout the intrahepatic bile ducts (SUVmax:8.0), probably due to inflammatory process, together with mild radiotracer uptake in the periportal lymph nodes (SUVmax:4.6).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mine Araz, Pınar Akkuş, Muhammet Halil Baltacioglu, Cigdem Soydal, K. 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The following 123I-MIBG imaging after 131I-MIBG therapy clearly depicted the decline of 123I-MIBG accumulation of the lymph nodes along the left axilla (C) and the mediastinum (C and D). A diffuse 123I-MIBG infiltration of the left humerus (A–D) remained stable after 131I-MIBG therapy.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In the field of nuclear diagnostic imaging, meta-iodo-benzyl-guanidine (MIBG) labelled with radioiodine has been found to be highly sensitive and specific in pheochromocytoma (PHEO).<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1,2</span></a> We compared <span class="elsevierStyleSup">123</span>I-MIBG imaging before and after the last <span class="elsevierStyleSup">131</span>I-MIBG therapy, which has been performed due to persistent tumour disease.</p><p id="par0010" class="elsevierStylePara elsevierViewall">This patient, born February 1939, was diagnosed with PHEO in the year 1998. He underwent adrenalectomy of the right adrenal gland in the same year of diagnosis, following operation due to lymph node and bone metastases in the year 2006 (tumour debulking aortocaval and the left humerus). Due to relapse of tumour disease, he underwent lymph node extirpation of the left axilla July 2014 and radiation therapy of bone lesions (left humerus and the fifth thoracic vertebra August–September 2014; total: 39<span class="elsevierStyleHsp" style=""></span>Gy). From initial diagnosis until today, he received twelve <span class="elsevierStyleSup">131</span>I-MIBG therapies (July 2007–May 2019, total: 47.5<span class="elsevierStyleHsp" style=""></span>GBq). Elevated catecholamine levels of the plasma and the urine were not observed before and after <span class="elsevierStyleSup">131</span>I-MIBG therapy. <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> showed positive <span class="elsevierStyleSup">123</span>I-MIBG manifestations of the left axilla (A black arrow) and of the mediastinum (A and B red arrow), confirmed by SPECT/CT (B), including malign bone infiltration of the left humerus (A) confirmed by SPECT/CT (B), leading to the medical decision to perform <span class="elsevierStyleSup">131</span>I-MIBG therapy, again. The following <span class="elsevierStyleSup">123</span>I-MIBG imaging (October 2019) after <span class="elsevierStyleSup">131</span>I-MIBG therapy clearly depicted the decline of <span class="elsevierStyleSup">123</span>I-MIBG accumulation of the lymph nodes along the left axilla (C) and the mediastinum (C and D). A diffuse <span class="elsevierStyleSup">123</span>I-MIBG infiltration of the left humerus (A–D) remained stable after <span class="elsevierStyleSup">131</span>I-MIBG therapy. Interestingly, this patient reported on severe pain relief of the left humerus three months after the last <span class="elsevierStyleSup">131</span>I-MIBG therapy. Neither haematological toxicities, e.g. bone marrow depression, blood cell deterioration, nor non-haematological toxicities, such as hypertensive crisis, deterioration of kidney function or hypothyroidism were observed in this patient after each <span class="elsevierStyleSup">131</span>I-MIBG therapy. <span class="elsevierStyleSup">131</span>I-MIBG therapy is one of the considerable effective treatments in patients with unresectable and/or metastatic PHEO.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a><span class="elsevierStyleSup">131</span>I-MIBG therapy is effective in preventing disease progression and reducing (pain) symptoms derived from hormonal abnormality and metastatic lesions – observed in our patient regarding the malign bone infiltration with strong <span class="elsevierStyleSup">123</span>I-MIBG accumulation (A–D). Partial remission of the last <span class="elsevierStyleSup">131</span>I-MIBG therapy was documented. With reference to initial diagnosis, this 81-year-old patient is still in good clinical condition although he cannot be healed from tumour disease.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rossetti L-M, Kroiss AS, Uprimny C, Buxbaum S, Virgolini IJ. Tratamiento repetido con una dosis baja de <span class="elsevierStyleSup">131</span>I-MIBG con buena respuesta y sin toxicidad. Rev Esp Med Nucl Imagen Mol. 2022;41:S2–S3.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1675 "Ancho" => 2583 "Tamanyo" => 217653 ] ] "descripcion" => array:1 [ "en" => "<p id="spar1010" class="elsevierStyleSimplePara elsevierViewall">positive 123I-MIBG manifestations of the left axilla (A black arrow) and of the mediastinum (A and B red arrow), confirmed by SPECT/CT (B), including malign bone infiltration of the left humerus (A) confirmed by SPECT/CT (B). The following 123I-MIBG imaging after 131I-MIBG therapy clearly depicted the decline of 123I-MIBG accumulation of the lymph nodes along the left axilla (C) and the mediastinum (C and D). A diffuse 123I-MIBG infiltration of the left humerus (A–D) remained stable after 131I-MIBG therapy.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nuclear medicine imaging of pheochromocytoma and neuroblastoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.C. Sisson" 1 => "B.L. Shulkin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Q J Nucl Med" "fecha" => "1999" "volumen" => "43" "paginaInicial" => "217" "paginaFinal" => "223" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10568137" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current status of functional imaging in neuroblastoma, pheochromocytoma, and paraganglioma disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.S. Kroiss" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s10354-018-0676-5" "Revista" => array:6 [ "tituloSerie" => "Wien Med Wochenschr" "fecha" => "2019" "volumen" => "169" "paginaInicial" => "25" "paginaFinal" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30623278" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current consensus on I-131 MIBG therapy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Kayano" 1 => "S. Kinuya" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s13139-018-0523-z" "Revista" => array:7 [ "tituloSerie" => "Nucl Med Mol Imaging" "fecha" => "2018" "volumen" => "52" "paginaInicial" => "254" "paginaFinal" => "265" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30100938" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S030089321100635X" "estado" => "S300" "issn" => "03008932" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/00000041000000S1/v1_202207210552/S225380892030121X/v1_202207210552/en/main.assets" "Apartado" => array:4 [ "identificador" => "7927" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Interesting images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22538089/00000041000000S1/v1_202207210552/S225380892030121X/v1_202207210552/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225380892030121X?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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More infoRevista Española de Medicina Nuclear e Imagen Molecular (English Edition)
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