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Objective:To explore the effects of body mass index (BMI) and gender on primary lung cancer 18F-FDG uptake param-eters, standardized uptake value (SUV), and standard uptake value of lean body mass (SUL). Methods:Data of 50 patients with prima-ry lung cancer confirmed by 18F-FDG positron emission tomography (PET)/computed tomography (CT) were retrospectively analyzed. AW4.6 workstation was employed to measure the SUVmean and SUVmax. Meanwhile, PETVCAR (PET Volume Computed Assisted Reading, GE Healthcare) software was used to automatically measure the SULmean, SULmax, and SULpeak. The SUVmean, SUV-max, SULmean, and SULmax of the liver (central region of the right lobe) were also measured automatically by PETVCAR. Afterward, T/N ratios (lesion SUVmax/liver SUVmean, lesion SULmax/liver SULmean, and lesion SULpeak/liver SULmean) of the lung cancer lesions were calculated. Correlations of the 18F-FDG metabolic parameters with BMI and gender of the patients were analyzed. Results:Liver SUVmean and SUVmax demonstrated significant positive correlations with BMI in all the patients (γ=0.38 and 0.36, P0.05). No significant correlation was not-ed between the SUVmean, SUVmax, SULmean, SULmax, and SULpeak of the lung cancer lesions and BMI (P>0.05). The correlation trend is the same as that in different gender groups. Only the SUVmax T/N ratio of the lung cancer lesions showed a significant nega-tive correlation with BMI (γ=?0.29, P0.05). Con-clusion:Patient BMI and gender mainly affect SUV values, particularly SUVmax, by contrast, patient BMI and gender did not signifi-cantly influence SUL and T/N ratio (SUL). Hence, SUL can be more suitable to quantitatively analyze and assess treatment response ob-jectively. This result will be helpful to the clinical application and promotion of PERCIST, which evaluates treatment response mainly by SUL.
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<p><b>OBJECTIVE</b>To investigate the diagnostic value of (18)F-FDG PET-CT imaging in primary extranodal lymphoma.</p><p><b>METHODS</b>A retrospective analysis of 139 clinically suspected primary extranodal lymphoma patients examined by PET-CT and confirmed by biopsies was performed. Considering the pathological diagnosis as the gold standard, PET-CT imaging of all patients was compared with CT and PET to evaluate the efficacy of 18F-FDG PET-CT in detection of primary extranodal lymphoma. The maximal standardized uptake value (SUVmax) from primary extranodal lymphoma patients was compared, and the data were analyzed by χ² test.</p><p><b>RESULTS</b>Of the total 139 analyzed cases, 128 patients were confirmed to have primary extranodal lymphoma. The sensitivity, specificity and positive rate of PET-CT were 82.8%, 81.8% and 82.7%, respectively, that of CT were 65.6%, 72.7% and 66.2%, and that of PET were 78.9%, 36.4% and 82.0%, respectively. The sensitivity and accuracy of PET-CT were better than that of CT (χ²=9.881, 10.006; P=0.003, 0.002). The specificity of PET-CT were better than that of PET (χ²=4.487, P=0.034). In the gastrointestinal lymphoma, the sensitivity of PET-CT were better than that of CT (χ²=5.110, P=0.024). In the head and neck lymphoma, the sensitivity of PET-CT were better than that of CT (χ²=5.278, P=0.022). In the diffuse large B-cell lymphoma, the sensitivity of PET-CT were better than that of CT (χ²=8.711, P=0.003). The SUV max of mucosa-associated lymphoma was significantly different from that of diffuse large B-cell lymphoma and natural killer/T-cell lymphoma (7.4±4.6 vs 15.8±10.6, P=0.032; 7.4±4.6 vs 13.6±7.1, P=0.046), respectively.</p><p><b>CONCLUSION</b>18F-FDG PET-CT imaging is important in the diagnosis of primary extranodal lymphoma, but the differential diagnosis with other disease is important, and the result should be combined with multiple biopsies.</p>
Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Child , Female , Humans , Male , Middle Aged , Young Adult , Fluorodeoxyglucose F18 , Lymphoma , Diagnosis , Diagnostic Imaging , Positron-Emission Tomography , Prognosis , Retrospective Studies , Sensitivity and Specificity , Tomography, X-Ray ComputedABSTRACT
Objective To explore the reason of colon cancer with appendicitis and reduce the rate of misdiagnosis. Methods We car-ried out analysis retrospectively to analyze 1 094 hospitalized patients with colon cancer in the First Affiliated Hospital of Harbin Medical Uni-versity from January 2006 to March 2013. Results Among 1 094 colon cancer patients,31 patients who firstly diagnosed with acute appendi-citis received appendectomy,1 patient with appendiceal abscess received non-surgical treatment. Among 31 patients with acute appendicitis,6 patients were found to be with ileocecal tumors during surgeries;24 patients were diagnosed with colon cancer within one year;incision of 1 patient did not heal, with continuous drainage of brown liquid;the appendicitis of 1 patient who received non-surgical treatment was recur-rent. Conclusion As lack of typical symptoms,colon cancer is prone to misdiagnose and diagnose incorrectly when the cancer co-exists with appendicitis and symptoms of appendicitis were showed firstly. Therefore,clinicians should be vigilant for patients with appendicitis. In order to induce the rate of misdiagnosis,it is essential that requesting disease history carefully,timely and relevant inspection and appropriate ex-ploratory surgery for the patients with appendicitis.
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Sixty-two adult rats were employed, 8 of them served as controls and the remainderwere exposed to whole body X-irradiation in a single dose of 500 r. The animals weresacrificed at intervals of 2, 6, 12 hours and 1, 3, 6, 10, 20, 30 days after irradiation.Specimens of the spleen were obtained from both the experimental and control groups forhistological and histochemical examinations. The data indicate that: 1. A marked decrease in the spleen size and in the number of its Malpighian cor-puscles, and a severe destruction of its architecture with an extensive necrosis of lympho-cytes, occurred within 24 hours after irradiation. Regeneration began on the 6th day andthe spleen became almost normal at the end of the 30th day. Among the various cell-types of the spleen, the radiosensitivity was highest in the lymphocytes and lowest in theplasma cells. The reticular cells were apparently injured during the early stage afterirradiation, though they belonged to the radioresistant series. 2. The decrease in staining intensity of both desoxyribose-and ribose nucleic acidsof the spleen started as early as 2 hours after irradiation and continued to reach itsmaximum in a period of 1--3 days. This result was produced not only by the depletionin cell population, but also by the decrease in nucleic acid content of individual cells. 3. A marked increase in the activity of nonspecific alkaline phosphatase and ade-nosine triphosphatase occurred within 24 hours and it returned gradually to normal fromthe 3rd day to the 10th day after irradiation. 4. There was no significant change in the amount of protein-bound SH-groups ofvarious cell-types of the spleen in each post-irradiation period. 5. No difference was found in the changes produced by irradiation between theanimals fed with normal diet and those fed with phospholipides in addition.
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The tip of the external ear of the rabbit was cut off with one pair of unsterilizedscissors. The newly formed epidermal cells at the site of the wound were examined atdifferent stages during the healing process with ordinary, special and vital staining methods.It was found that in the neighborhood of the growing epidermis, various kinds of connectivetissue elements, including leucocytes, collagenous fibers, macrophages, cartilages, etc., werebroken up into structureless debris of different sizes and forms. These debris graduallytransformed into newly formed naked nuclei, connecting with the previously formedepidermal cells, and these newly formed naked nuclei progressively developed into newlyformed epidermal cells. There was no evidence of mitotic division among the newly formed epidermis butit may be found in the previously formed region. The possibility of the identity of theseconnective tissue debris with the so-called "the living substance" and their transformationinto newly formed cells was discussed.