The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
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The role of 18F-fluorodeoxyglucose positron emission tomography in the assessment of disease activity of adult-onset Still's disease

  • An, Young-Sil (Department of Nuclear Medicine and Molecular Imaging, Ajou University School of Medicine) ;
  • Suh, Chang-Hee (Department of Rheumatology, Ajou University School of Medicine) ;
  • Jung, Ju-Yang (Department of Rheumatology, Ajou University School of Medicine) ;
  • Cho, Hundo (Department of Rheumatology, Ajou University School of Medicine) ;
  • Kim, Hyoun-Ah (Department of Rheumatology, Ajou University School of Medicine)
  • Received : 2015.09.26
  • Accepted : 2015.11.23
  • Published : 2017.11.01
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Abstract

Background/Aims: $^{18}F-fluorodeoxyglucose$ positron emission tomography/computed tomography ($^{18}F-FDG$ PET/CT) has been suggested as a reliable imaging technique for monitoring of disease activity in patients with adult-onset Still's disease (AOSD). Therefore, we investigated the clinical significance of $^{18}F-FDG$ PET/CT in Korean AOSD patients. Methods: Thirteen AOSD patients were included in the study. The PET/CT images were evaluated with visual and semiquantitative method using standardized uptake values (SUVs). Results: The presence of increased $^{18}F-FDG$ uptake was noted in 90% of clinically active AOSD patients. $^{18}F-FDG$ uptake was located in the lymph node, spleen, and bone marrow. Visual grade and SUV intensity of lymph node was significantly correlated with the systemic score of AOSD. Visual grade of spleen was significantly correlated with the systemic score, erythrocyte sedimentation rate (ESR), and ferritin. Additionally, visual grade and SUV intensity of bone marrow was significantly correlated with the systemic score, ESR, leukocyte, and neutrophil. Conclusions: Visual grade and SUV intensity of lymph node, spleen, and bone marrow on $^{18}F-FDG$ PET/CT scan showed significant correlations with known disease activity markers. The data suggest that $^{18}F-FDG$ PET/CT scan may be a useful imaging technique for evaluation of disease activity in AOSD patients.

Keywords

References

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