Usefulness of Low Dose Oral Contrast Media in 18F-FDG PET/CT
18F-FDG PET/CT에서 저용량 경구용 조영제의 유용성
안, 영실; 윤, 준기; 홍, 선표; 조, 철우; 윤, 석남
Haek ŭihak punja yŏngsang, 40(5):257-262, 2006
Haek ŭihak punja yŏngsang; Nuclear medicine and molecular imaging; 핵의학분자영상
Purpose: The standard protocol using large volume of oral contrast media may cause gastrointestinal discomfort and contrast-related artifacts in PET/CT. The aim of this study was to evaluate the usefulness of low dose oral contrast in 18F-FDG PET/CT.
Materials and Methods: We retrospectively reviewed the whole-body PET/CT images in a total of 435 patients. About 200 ml of oral contrast agent (barium sulfate) was administered immediately before injection of 18F-FDG. The FDG uptake of intestines was analyzed by visual and semi- quantitative method on transaxial, coronal and saggital planes.
Results: Seventy (16%, 113 sites) of 435 images showed high FDG uptake (peak SUV > 4); 50 (74%, 84 sites) with diffuse and 20 (26%, 29 sites) with focal uptake. The most commonly delivered site of oral contrast media was small bowel (n=27, 39%). On PET/CT images, FDG uptake coexisted with oral contrast media in 26 patients (54%, 38 sites) with diffuse pattern and 9 (45%, 9 sites) with focal pattern, and by sites, those were 38 (45%) and 9 (31%), respectively. In small bowel regions, the proportion of coexistence reached as high as 61% (29/47 sites). A visual analysis of available non-attenuation corrected PET images of 27 matched regions revealed no contrast-related artifact.
Conclusion: We concluded that the application of low dose contrast media could be helpful in the evaluation of abdominal uptake in the FDG PET/CT image.
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