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Dual-Time-Point 18F-FDG PET for the Evaluation of Gallbladder Carcinoma

Yoshihiro Nishiyama, MD1, Yuka Yamamoto, MD1, Kotaro Fukunaga, MD1, Naruhide Kimura, MD1, Akihiro Miki, RT1, Yasuhiro Sasakawa, RT1, Hisao Wakabayashi, MD2, Katashi Satoh, MD1 and Motoomi Ohkawa, MD1

1 Department of Radiology, Faculty of Medicine, Kagawa University, Kagawa, Japan; and 2 First Department of Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan


Figure 1
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FIGURE 1.  Radiologic findings in 66-y-old man with gallbladder carcinoma. (A) MR image shows small polypoid lesion projecting into lumen of gallbladder (arrow). (B) Early 18F-FDG PET image (SUVearly, 2.72; T/L(E) ratio, 1.10) shows slightly increased uptake at tumor site (arrow). (C) Delayed 18F-FDG PET image (SUVdelayed, 3.21; T/L(D) ratio, 1.52) shows more definite uptake (arrow) than does early image. CRP was 0.25 mg/dL.

 

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FIGURE 2.  Radiologic findings in 68-y-old woman with xanthogranulomatous cholecystitis. (A) CT image obtained after administration of contrast material shows thickening and enhancement of gallbladder wall. (B) Early 18F-FDG PET image (SUVearly, 8.39; T/L(E) ratio, 3.18) shows intense uptake at gallbladder lesion. (C) Delayed 18F-FDG PET image (SUVdelayed, 10.90; T/L(D) ratio, 4.74) shows more definite uptake than does early image. CRP was 9.34 mg/dL.

 





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