[ value of multimodal imaging by single photon emission computed tomography associated to X ray computed tomography [SPECT-CT] in the management of differentiated thyroid carcinoma: about 156 cases]

ABSTRACT

Single photon emission computed tomography combined with a low dose computed tomography [SPECT-CT], is a hybrid imaging integrating functional and anatomical data. The purpose of our study was to evaluate the contribution of the SPECTCT over traditional planar imaging of patients with differentiated thyroid carcinoma [DTC]. Post therapy 131IWhole body scan followed by SPECTCT of the neck and thorax, were performed in 156 patients with DTC. Among these 156 patients followed for a predominantly papillary, the use of fusion imaging SPECT-CT compared to conventional planar imaging allowed us to correct our therapeutic approach in 26.9% [42/156 patients], according to the protocols of therapeutic management of our institute. SPECT-CT is a multimodal imaging providing better identification and more accurate anatomic localization of the foci of radioiodine uptake with impact on therapeutic management