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"apellidos" => "Riera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S2253654X15000128" "doi" => "10.1016/j.remn.2015.02.005" "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/S2253654X15000128?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808915000762?idApp=UINPBA00004N" "url" => "/22538089/0000003400000005/v1_201508130058/S2253808915000762/v1_201508130058/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "Interesting image" "titulo" => "Bilateral multiple pulmonary 18F-FDG microembolisms demonstrated on PET/CT" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "333" "paginaFinal" => "334" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. 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"apellidos" => "Mazican" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "e" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Department of Nuclear Medicine, Recep Tayyip Erdogan University Training and Research Hospital, Rize, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Radiology, Agrı State Hospital, Agrı, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Thoracic Medicine, Sanlıurfa Viransehir State Hospital, Sanlıurfa, Turkey" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Department of Radiology, Karaman State Hospital, Karaman, Turkey" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Department of Thoracic Medicine, Agrı State Hospital, Agrı, Turkey" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Múltiples microembolismos pulmonares bilaterales en 18F-FDG PET/TAC" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2457 "Ancho" => 3250 "Tamanyo" => 593447 ] ] "descripcion" => array:1 [ "en" => "Maximum intensity projection (A), transaxial slices of CT and fusion PET/CT images of thorax demonstrated bilateral multiple pulmonary focal FDG uptakes in the right upper lobes (B and C), right lower lobe (D) and left upper lobe (E) without any anatomical correlation on CT." ] ] ] "textoCompleto" => "A 51-year-old female patient presented with a history of mastectomy and chemotherapy because of breast cancer. 18F-FDG PET/CT was performed to assess treatment response and revealed partial regression of the lung and liver metastases (data not shown). In addition to these lesions, maximum intensity projection, transaxial slices of CT and fusion PET/CT images of thorax demonstrated bilateral multiple pulmonary focal FDG uptakes in the right upper lobe, right lower lobe and left upper lobe without any anatomical correlation on CT (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This artifact is well known in the literature and most likely explained by the migration of 18F-FDG containing blood clot that produced during injection process from injection site to small vascular structures of the lung parenchyma.<a class="elsevierStyleCrossRefs" href="#bib0020">1–3</a> Blood clots may exist when vascular endothelium is damaged by paravenous injection, high flow of materials, location of needle tip, or aspiration of blood.<a class="elsevierStyleCrossRef" href="#bib0020">1</a> Paravenous injection is known as the most appropriate mechanism for FDG microembolism. Although 18F-FDG is generally injected into a vein in the forearm, in our case it is administered into the dorsal vein of right foot due to invisible and impalpable forearm veins. At sites of endothelial injury, platelets are activated and adhere to the subendothelium, rapidly change their shape and subsequently aggregate, releasing the contents of the a-cytoplasmic granules by exocytosis.<a class="elsevierStyleCrossRef" href="#bib0025">2</a> Although anaerobic glycolysis is the major energy source for platelets at rest, all steps of the activation process are highly dependent on extracellular glucose. The most active glucose transporter, GLUT-3, has been shown to be the major agent responsible for glucose uptake by activated platelets.<a class="elsevierStyleCrossRefs" href="#bib0025">2,3</a> The activation of platelets by thrombin induces a three- to five-fold increase in glucose transport via GLUT-3.<a class="elsevierStyleCrossRef" href="#bib0030">3</a> Activated platelets and fibrin are the major constituents of blood clots and this may account for the high 18F-FDG uptake of the focal lesions observed on PET images. To our knowledge, this is the first report of bilateral multiple microembolisms in the lung following paravenous 18F-FDG radiotracer injection at the dorsum of the foot. Our hypothesis is that lower extremity injection and the degree of endothelium injury may account for bilateral multiple FDG microembolisms.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Conflict of interestAll the authors state that there were no conflicts of interests when the manuscript was written." "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2457 "Ancho" => 3250 "Tamanyo" => 593447 ] ] "descripcion" => array:1 [ "en" => "Maximum intensity projection (A), transaxial slices of CT and fusion PET/CT images of thorax demonstrated bilateral multiple pulmonary focal FDG uptakes in the right upper lobes (B and C), right lower lobe (D) and left upper lobe (E) without any anatomical correlation on CT." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary 18F FDG microembolism detected on only delayed image in a PET/CT study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G.D. Gorur" 1 => "E. Ciftci" 2 => "S. Isgoren" 3 => "H. Demir" 4 => "C. Haksal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/RLU.0000000000000585" "Revista" => array:6 [ "tituloSerie" => "Clin Nucl Med" "fecha" => "2015" "volumen" => "40" "paginaInicial" => "253" "paginaFinal" => "255" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25243945" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thrombin stimulates glucose transport in human platelets via the translocation of the glucose transporter GLUT-3 from alpha-granules to the cell surface" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H.F. Heijnen" 1 => "V. Oorschot" 2 => "J.J. Sixma" 3 => "J.W. Slot" 4 => "D.E. James" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Cell Biol" "fecha" => "1997" "volumen" => "138" "paginaInicial" => "323" "paginaFinal" => "330" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9230074" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thrombin-induced translocation of GLUT3 glucose transporters in human platelets" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L.R. Sorbara" 1 => "T.M. Davies-Hill" 2 => "E.M. Koehler-Stec" 3 => "S.J. Vannucci" 4 => "M.K. Horne" 5 => "I.A. Simpson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Biochem J" "fecha" => "1997" "volumen" => "328" "paginaInicial" => "511" "paginaFinal" => "516" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9371709" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000003400000005/v1_201508130058/S2253808915000877/v1_201508130058/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/22538089/0000003400000005/v1_201508130058/S2253808915000877/v1_201508130058/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808915000877?idApp=UINPBA00004N"]

ISSN: 2253-8089

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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1.6

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0.208

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