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Encrusted cystitis detected by 18F-FDG PET/CT
Cistitis incrustada detectada por PET/TC con 18F-FDG
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Imágenes axiales PET que muestran una captación de FDG superior en la cara posterior de la vejiga, claramente detectable pese a la excreción de FDG (B). TC axial sin contraste con un engrosamiento en la pared posterior de la vejiga con calcificaciones en su interior (C) e imágenes de fusión PET/TC (D) con la elevada captación de FDG en la vejiga que corresponde a la lesión detectada por TC.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Bonacina, D. Albano, R. Durmo, F. Barbera, F. Bertagna, R. Giubbini" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Bonacina" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Albano" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Durmo" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Barbera" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Bertagna" ] 5 => array:2 [ "nombre" => "R." 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"en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1750 "Ancho" => 2333 "Tamanyo" => 225829 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">123</span>I-MIBG scintigraphy was performed with planar anterior/posterior acquisitions of abdomen, 4 and 24<span class="elsevierStyleHsp" style=""></span>h after the intravenous injection of 370<span class="elsevierStyleHsp" style=""></span>MBq of radiopharmaceutical. 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Axial PET images showing a higher FDG uptake in the posterior part of the bladder, clearly detectable despite urinary FDG outflow (B). Axial non-contrast enhanced CT with a bladder posterior wall thickening with calcifications within (C) and PET/CT fused images (D) with the high bladder FDG uptake corresponding to the lesion detected by CT.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 69-years-old patient previously treated in 2014 with brachytherapy and radiochemotherapy for a squamous cellular uterine cervix carcinoma, underwent in 2016 a restaging 18fluorine-fluorodesoxiglucose positron emission tomography/computed tomography (<span class="elsevierStyleSup">18</span>F-FDG PET/CT) after the onset of haematuria. PET/CT images were acquired 60<span class="elsevierStyleHsp" style=""></span>min after the intravenous injection of 3.5<span class="elsevierStyleHsp" style=""></span>MBq/kg of <span class="elsevierStyleSup">18</span>F-FDG on a Discovery 690 tomograph (GE; Milwaukee, Wis; 64-slice CT, 80<span class="elsevierStyleHsp" style=""></span>mA, 120<span class="elsevierStyleHsp" style=""></span>kV; 2.5<span class="elsevierStyleHsp" style=""></span>min/bed; 256<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>256 matrix, 60-cm field of view). PET/CT images revealed an aspecific subcarinal mediastinal node uptake and a high <span class="elsevierStyleSup">18</span>F-FDG uptake in the urinary bladder trigone combined with a wall thickening with calcifications; the focal uptake was clearly detectable despite the urinary bladder activity (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) (lesion SUVmax 54.58, urinary bladder SUVmax 10.75). The patient underwent a transurethral resection that identified the <span class="elsevierStyleSup">18</span>F-FDG avid lesion as an encrusted cystitis with granulation tissue.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Encrusted cystitis is a chronic inflammatory disease caused by bacteria, mainly Corynebacterium urealyticum, that develops when the urinary bladder wall has been previously altered by other pathologies or iatrogenic conditions. A case of encrusted cystitis’ arousal after pelvic radiotherapy and brachytherapy has been previously described.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> To the best of our knowledge this is the first case of an encrusted cystitis detected by <span class="elsevierStyleSup">18</span>F-FDG PET/CT; it is interesting that the lesion was detected by hybrid imaging despite presence of radiolabeled urine within the bladder, which is a well known cause of interference.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> Urinary inflammatory disease detected by <span class="elsevierStyleSup">18</span>F-FDG PET/CT has already been described,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> and the role of this technique in this field requires further investigation.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "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 "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Bonacina M, Albano D, Durmo R, Barbera F, Bertagna F, Giubbini R. Cistitis incrustada detectada por <span class="elsevierStyleSup">18</span>F-FDG PET/CT. Rev Esp Med Nucl Imagen Mol. 2019;38:250–251.</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" => 1091 "Ancho" => 1300 "Tamanyo" => 107268 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Maximum intensity projection (MIP) showing increased FDG uptake within urinary bladder (A). Axial PET images showing a higher FDG uptake in the posterior part of the bladder, clearly detectable despite urinary FDG outflow (B). Axial non-contrast enhanced CT with a bladder posterior wall thickening with calcifications within (C) and PET/CT fused images (D) with the high bladder FDG uptake corresponding to the lesion detected by CT.</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" => "Encrusted cystitis after definitive radiotherapy for cervical cancer: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Perucci" 1 => "V. Lancellotta" 2 => "M. di Benedetto" 3 => "I. Palumbo" 4 => "F. Matrone" 5 => "M. Chiodi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5114/jcb.2016.62958" "Revista" => array:6 [ "tituloSerie" => "J Contemp Brachytherapy" "fecha" => "2016" "volumen" => "8" "paginaInicial" => "541" "paginaFinal" => "543" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28115961" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "PET–CT and PET–MR in urological cancers other than prostate cancers: an update on state of the art" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Razik" 1 => "C.J. Das" 2 => "S. Sharma" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/iju.IJU_321_17" "Revista" => array:6 [ "tituloSerie" => "Indian J Urol" "fecha" => "2018" "volumen" => "34" "paginaInicial" => "20" "paginaFinal" => "27" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29343908" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "(18)F-FDG PET/CT detected a septic focus corresponding to a small periurethral abscess in a patient with bacteremia due to <span class="elsevierStyleItalic">Enterococcus faecium</span>" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Treglia" 1 => "F. Bertagna" 2 => "B. Muoio" 3 => "L. Giovanella" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.remn.2014.08.005" "Revista" => array:6 [ "tituloSerie" => "Rev Esp Med Nucl Imagen Mol" "fecha" => "2015" "volumen" => "34" "paginaInicial" => "209" "paginaFinal" => "210" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25304846" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000003800000004/v1_201907020628/S2253808918301150/v1_201907020628/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/22538089/0000003800000004/v1_201907020628/S2253808918301150/v1_201907020628/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808918301150?idApp=UINPBA00004N" ]
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