Imaging Features of Chest Wall Mass in the Hybrid Imaging Modalities: SPECT/CT and PET/CT
Year 2023,
Volume: 3 Issue: 3, 1 - 7, 30.12.2023
Zehra Pınar Koç
,
Pelin Özcan Kara
,
Mehmet Oğuz Köksel
,
Hamide Sayar
Abstract
Background: The chest wall tumors are rare lesions thus there are limited literature data about the radiologic appearance of these tumors and no previous study exists about the diagnostic performance of the functional imaging modalities. Aim of this study is to analyze the diagnostic accuracy of the hybrid imaging modalities: Single photon emission computed tomography/computed tomography (SPECT/CT) and Positron emission tomography/computed tomography (PET/CT) in comparison to the histopathology results of the chest wall tumors.
Materials and Methods: Imaging results of the patients (n=20, 7F/13M, mean: 53±21,9 years of age) with the diagnosis of chest wall mass were recorded. Retrospective evaluation of the images were performed by an experienced Nuclear Medicine physician and compared with the histopathology results as gold standard.
Results: The lesions of the patients that were involved in this study were mean: 63±33.8 mm and the standardized uptake value (SUVmax) were mean: 13.7±10.8. The imaging/metabolic characteristics of the lesions were considered malign in all the patients included. All the patients diagnosed to have malign neoplasms except two.
Conclusion: The hybrid imaging has excellent diagnostic facility in diagnosis of the chest wall neoplasm. Prospective studies about this issue are warranted.
Ethical Statement
Ethics approval was obtained, consent to participate obtained, consent for publication
obtained, availability of data and material provided, competing interests;nothing to disclose,
funding; none provided, authors' contributions; sufficently participated, acknowledgements;
none.
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Year 2023,
Volume: 3 Issue: 3, 1 - 7, 30.12.2023
Zehra Pınar Koç
,
Pelin Özcan Kara
,
Mehmet Oğuz Köksel
,
Hamide Sayar
References
- Ilgan, S., Dikmen, E., Cetinkanat, C. G., Dakak, M., & Güngör, A. (2014). Schwannomatozis of the Chest Wall: FDG PET Findings. Molecular imaging and radionuclide therapy, 23(2), 64–66. https://doi.org/10.4274/mirt.353
- Chadaz, T., Hobbs, S. K., & Son, H. (2013). Chest wall sarcoma: 18F-FDG PET/CT in a patient with Li-Fraumeni syndrome. Clinical nuclear medicine, 38(10), 818–820. https://doi.org/10.1097/RLU.0b013e3182a20033
- Carter, B. W., Benveniste, M. F., Betancourt, S. L., de Groot, P. M., Lichtenberger, J. P., 3rd, Amini, B., & Abbott, G. F. (2016). Imaging Evaluation of Malignant Chest Wall Neoplasms. Radiographics : a review
Molecular Oncologic Imaging 2023;3(3):01-07 7 publication of the Radiological Society of North America, Inc, 36(5), 1285–1306. https://doi.org/10.1148/rg.2016150208
- Jiang, L., Gao, Y., Sheng, S., Xu, M., Lu, L., & Lu, H. (2011). A first described chest wall metastasis from colon cancer demonstrated with (18)F-FDG PET/CT. Hellenic journal of nuclear medicine, 14(3), 316–317.
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- David, E. A., & Marshall, M. B. (2011). Review of chest wall tumors: a diagnostic, therapeutic, and reconstructive challenge. Seminars in plastic surgery, 25(1), 16–24. https://doi.org/10.1055/s-0031-1275167
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- Bandi, V., Lunn, W., Ernst, A., Eberhardt, R., Hoffmann, H., & Herth, F. J. (2008). Ultrasound vs. CT in detecting chest wall invasion by tumor: a prospective study. Chest, 133(4), 881–886. https://doi.org/10.1378/chest.07-1656
- Cohen, L. M., Schwartz, A. M., & Rockoff, S. D. (1986). Benign schwannomas: pathologic basis for CT inhomogeneities. AJR. American journal of roentgenology, 147(1), 141–143. https://doi.org/10.2214/ajr.147.1.141
- O'Sullivan, P., O'Dwyer, H., Flint, J., Munk, P. L., & Muller, N. (2007). Soft tissue tumours and mass-like lesions of the chest wall: a pictorial review of CT and MR findings. The British journal of radiology, 80(955), 574–580. https://doi.org/10.1259/bjr/16591964
- Cheng, G., Newberg, A. B., & Alavi, A. (2011). Metastatic melanoma causing complete atrioventricular block--the role of FDG PET/CT in diagnosis. Clinical imaging, 35(4), 312–314. https://doi.org/10.1016/j.clinimag.2010.08.008
- Halac, M., Cnaral, F., Sait, S., Ylmaz, S., Kerim, S., Sergülen, D., & Uslu, I. (2008). FDG PET/CT findings in recurrent malignant schwannoma. Clinical nuclear medicine, 33(3), 172–174. https://doi.org/10.1097/RLU.0b013e318162d922
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- Yeom, Y. K., Kim, M. Y., Lee, H. J., & Kim, S. S. (2015). Solitary Fibrous Tumors of the Pleura of the Thorax: CT and FDG PET Characteristics in a Tertiary Referral Center. Medicine, 94(38), e1548. https://doi.org/10.1097/MD.0000000000001548