Mediastinal lymph node metastases from prostate cancer: Enhanced diagnostic accuracy of PET/CT with 18F-DCFPyL versus 18F-choline

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Además, la TC de tórax (C, ventana pulmonar) mostró un nódulo subcentimétrico en el segmento anterior del lóbulo superior derecho sin captación significativa de 18F-colina en las imágenes PET." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R.M. Angulo Amorese, F.J. Pena Pardo, J.C. Rodríguez Gómez, N. Disotuar Ruiz, M.P. Talavera Rubio, V.M. Poblete García" "autores" => array:6 [ 0 => array:2 [ "nombre" => "R.M." "apellidos" => "Angulo Amorese" ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Pena Pardo" ] 2 => array:2 [ "nombre" => "J.C." "apellidos" => "Rodríguez Gómez" ] 3 => array:2 [ "nombre" => "N." "apellidos" => "Disotuar Ruiz" ] 4 => array:2 [ "nombre" => "M.P." "apellidos" => "Talavera Rubio" ] 5 => array:2 [ "nombre" => "V.M." "apellidos" => "Poblete García" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2253808924001010" "doi" => "10.1016/j.remnie.2024.500063" "estado" => "S200" "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/S2253808924001010?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X24000945?idApp=UINPBA00004N" "url" => "/2253654X/unassign/S2253654X24000945/v1_202410250422/es/main.assets" ] ] "itemSiguiente" => array:16 [ "pii" => "S2253808924001034" "issn" => "22538089" "doi" => "10.1016/j.remnie.2024.500074" "estado" => "S5" "fechaPublicacion" => "2024-10-30" "aid" => "500074" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Original Article" "titulo" => "Assessment of pulmonary nodules using [18F]-FDG PET/CT in deep inspiration breath-hold" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Valoración de los nódulos pulmonares mediante [18F]-FDG PET/TC en inspiración profunda mantenida" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.S. Casallas Cepeda, S.S. Cortes, I.G. Fernández, J.O. Rincón, L.R. Berenguer, E.J. Ardila Manjarrez, J.J. Ardila Mantilla, V.C. Morales, J.G. Cruz, D.Z. Rodriguez, A.M. Hualde, J.E. Montalvá Pastor, S.Á. Lara, J.C. Alonso Farto" "autores" => array:14 [ 0 => array:2 [ "nombre" => "M.S." "apellidos" => "Casallas Cepeda" ] 1 => array:2 [ "nombre" => "S.S." "apellidos" => "Cortes" ] 2 => array:2 [ "nombre" => "I.G." "apellidos" => "Fernández" ] 3 => array:2 [ "nombre" => "J.O." "apellidos" => "Rincón" ] 4 => array:2 [ "nombre" => "L.R." "apellidos" => "Berenguer" ] 5 => array:2 [ "nombre" => "E.J." "apellidos" => "Ardila Manjarrez" ] 6 => array:2 [ "nombre" => "J.J." "apellidos" => "Ardila Mantilla" ] 7 => array:2 [ "nombre" => "V.C." "apellidos" => "Morales" ] 8 => array:2 [ "nombre" => "J.G." "apellidos" => "Cruz" ] 9 => array:2 [ "nombre" => "D.Z." "apellidos" => "Rodriguez" ] 10 => array:2 [ "nombre" => "A.M." "apellidos" => "Hualde" ] 11 => array:2 [ "nombre" => "J.E." "apellidos" => "Montalvá Pastor" ] 12 => array:2 [ "nombre" => "S.Á." "apellidos" => "Lara" ] 13 => array:2 [ "nombre" => "J.C." "apellidos" => "Alonso Farto" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808924001034?idApp=UINPBA00004N" "url" => "/22538089/unassign/S2253808924001034/v1_202410300923/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S225380892400051X" "issn" => "22538089" "doi" => "10.1016/j.remnie.2024.500038" "estado" => "S200" "fechaPublicacion" => "2024-07-11" "aid" => "500038" "copyright" => "Sociedad Española de Medicina Nuclear e Imagen Molecular" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Interesting images" "titulo" => "Cardiovascular [18F]F-FDG PET/MRI in the diagnosis of acute cardiomyopathy inflammatory" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "PET/RM cardiovascular con [18F]F-FDG en el diagnóstico de miocardiopatia aguda inflamatoria" ] ] "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" => 1209 "Ancho" => 850 "Tamanyo" => 88787 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Axial PET/MR fusion images and axial CMR black blood sequences. Hyperuptake of [18F]F-FDG in lower mid-apical segments and apex of LV which is thickened on CMR (A), with active focus on the anterior wall of the right ventricle, with slight thickening on CMR (B) and hyperuptake of the tracer in the left appendage, without practical translation in CMR (C). Axial PET/MR fusion images and axial CMR black blood sequences. Hyperuptake of [18F]F-FDG in lower mid-apical segments and apex of LV wich is thickened on CMR (A), with active focus on the anterior wall of the right ventricle, with slight thickening on CMR (B) and hyperuptake of the tracer in the left appendage, without practical translation in CMR (C)." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.R. Garcia, R. Olivero, M. Panelo, L. Mont, L. Pinilla, M.E. Riera, A. Maceira" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J.R." "apellidos" => "Garcia" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Olivero" ] 2 => array:2 [ "nombre" => "M." 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"apellidos" => "Maceira" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S2253654X24000519" "doi" => "10.1016/j.remn.2024.500038" "estado" => "S200" "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/S2253654X24000519?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225380892400051X?idApp=UINPBA00004N" "url" => "/22538089/unassign/S225380892400051X/v1_202407110420/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Interesting images" "titulo" => "Mediastinal lymph node metastases from prostate cancer: Enhanced diagnostic accuracy of PET/CT with 18F-DCFPyL versus 18F-choline" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "R.M. Angulo Amorese, F.J. Pena Pardo, J.C. Rodríguez Gómez, N. Disotuar Ruiz, M.P. Talavera Rubio, V.M. Poblete García" "autores" => array:6 [ 0 => array:4 [ "nombre" => "R.M." "apellidos" => "Angulo Amorese" "email" => array:1 [ 0 => "ricky407@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Pena Pardo" ] 2 => array:2 [ "nombre" => "J.C." "apellidos" => "Rodríguez Gómez" ] 3 => array:2 [ "nombre" => "N." "apellidos" => "Disotuar Ruiz" ] 4 => array:2 [ "nombre" => "M.P." "apellidos" => "Talavera Rubio" ] 5 => array:2 [ "nombre" => "V.M." "apellidos" => "Poblete García" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Nuclear, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Metástasis ganglionares mediastínicas de cáncer de próstata: mayor precisión diagnóstica de la PET/TC con 18F-DCFPyL frente a la 18F-colina" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1511 "Ancho" => 2633 "Tamanyo" => 234349 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "18F-DCFPyL PET/CT: anterior-view MIP image (A) demonstrated more foci of high uptake in thorax. In the corresponding transaxial images at thoracic level (B) enlarged hilar-mediastinal lymph nodes with intense uptake were evident (arrowhead in focus of right hilum; SUVmax, 40). The known subcentimeter nodule at RUL (C: lung window) also showed high uptake (thin arrow; SUVmax, 18.5)." ] ] ] "textoCompleto" => "We present a 65-year-old patient with biochemical recurrence (BCR) of prostate cancer (PCa). A 18F-choline PET/CT scan was performed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). It showed uptake in hilar-mediastinal lymph nodes, more evident in right hilum. In addition, a subcentimeter nodule in the anterior segment of right upper lobe (RUL) without significant 18F-choline uptake was identified in CT. In view of these findings, a 18F-DCFPyL PET/CT was performed to assess prostate-specific membrane antigen (PSMA) expression (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). It showed more foci of high uptake intensity in enlarged hilar-mediastinal lymph nodes (right hilum, SUVmax, 40). The known subcentimeter nodule at RUL also showed high uptake (SUVmax, 18.5).<elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia>As thoracic findings were suspicious of metastatic disease, with prognostic and management implications, histopathological evaluation was advised. An endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) of right hilar lymph node, assisted by sonographic elastography, was conducted, being positive for malignant tumor cellularity suggestive of adenocarcinoma of prostatic origin.Mediastinal lymph node metastases are rare in PCa.<a class="elsevierStyleCrossRef" href="#bib0005">1</a> Even with a high tumor burden. For the last decades PET/CT with choline-based tracers has been the traditional imaging modality of choice in BCR following patients.<a class="elsevierStyleCrossRef" href="#bib0010">2</a> It is common to find hilar-mediastinal lymph with uptake being attributed to inflammatory processes. Due to these limitations, radioligands targeting PSMA have been developed for PET/CT imaging, being the key when diagnostic doubts arise, even in atypical places,<a class="elsevierStyleCrossRef" href="#bib0015">3</a> as in the case described." "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1866 "Ancho" => 3300 "Tamanyo" => 298799 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Anterior-view MIP (A) and transaxial PET/CT images (B) of 18F-choline PET/CT showed uptake in hilar-mediastinal lymph nodes, more evident in right hilum (arrowhead; SUVmax, 5.4). In addition, the chest CT (lung window) image (C) showed a subcentimeter nodule in the anterior segment of RUL without significant 18F-choline uptake in PET images." ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1511 "Ancho" => 2633 "Tamanyo" => 234349 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "18F-DCFPyL PET/CT: anterior-view MIP image (A) demonstrated more foci of high uptake in thorax. In the corresponding transaxial images at thoracic level (B) enlarged hilar-mediastinal lymph nodes with intense uptake were evident (arrowhead in focus of right hilum; SUVmax, 40). The known subcentimeter nodule at RUL (C: lung window) also showed high uptake (thin arrow; SUVmax, 18.5)." ] ] ] "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" => "Adenopatías mediastínicas en la evolución de un cáncer de próstata metastásico" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Roca Edreira" 1 => "C. Aguilera Tubet" 2 => "A. Villanueva Peña" 3 => "R. Ballestero Diego" 4 => "S. Zubillaga Gerrero" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4321/S0210-48062007000600016" "Revista" => array:6 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2007" "volumen" => "31" "paginaInicial" => "693" "paginaFinal" => "695" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17896567" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "PET/CT with (11)C-choline for evaluation of prostate cancer patients with biochemical recurrence: meta-analysis and critical review of available data" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Fanti" 1 => "S. Minozzi" 2 => "P. Castellucci" 3 => "S. Balduzzi" 4 => "K. Herrmann" 5 => "B.J. Krause" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00259-015-3202-7" "Revista" => array:6 [ "tituloSerie" => "Eur J Nucl Med Mol Imaging" "fecha" => "2016" "volumen" => "43" "paginaInicial" => "55" "paginaFinal" => "69" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26450693" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of 18F-DCFPyL PET on changes in management of patients with prostate cancer: a systematic review and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H. Wang" 1 => "H. Zhu" 2 => "G. Li" 3 => "J. Dai" 4 => "H Huang" 5 => "Q. Jia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3389/fmed.2024.1355236" "Revista" => array:5 [ "tituloSerie" => "Front Med (Lausanne)" "fecha" => "2024" "volumen" => "11" "paginaInicial" => "1355236" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/38725467" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/unassign/S2253808924001010/v1_202410300910/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/22538089/unassign/S2253808924001010/v1_202410300910/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808924001010?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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