Kawabe J, Okamura T, Koyama K, Shakudo M, Sakamoto H, Kobashi T, Juan W L, Shigematsu M, Yamada R, Ochi H
Division of Nuclear Medicine, Osaka City University Medical School, Japan.
Ann Nucl Med. 1998 Jun;12(3):145-8. doi: 10.1007/BF03164779.
We report a case of maxillary sinus (MS) aspergillosis studied by positron emission tomography (PET) with F-18 fluorodeoxyglucose (FDG) and by 67Ga-citrate (Ga) single photon emission computed tomography (SPECT). The FDG uptake existed in the lesion and along the inflammatory edematous mucous membrane of the MS. Ga uptake occurred not only in the lesion and in the mucous membrane but also in the MS. Relative quantification, the standardized uptake value (SUV) of the lesion showed relatively high FDG uptake (3.7). But in other reports, many malignant head and neck tumors had a SUV below 3.7. It was thought to be difficult to differentiate between aspergillosis and malignant head and neck tumors by FDG-PET.
我们报告一例上颌窦曲霉菌病,该病例通过正电子发射断层扫描(PET)结合F-18氟脱氧葡萄糖(FDG)以及67Ga枸橼酸盐(Ga)单光子发射计算机断层扫描(SPECT)进行研究。FDG摄取存在于病变部位以及上颌窦的炎性水肿黏膜处。Ga摄取不仅发生在病变部位和黏膜处,还出现在上颌窦内。相对定量分析显示,病变部位的标准化摄取值(SUV)显示FDG摄取相对较高(3.7)。但在其他报道中,许多头颈部恶性肿瘤的SUV低于3.7。因此认为通过FDG-PET难以区分曲霉菌病与头颈部恶性肿瘤。