Reduction of FDG uptake in brown adipose tissue in clinical patients by a single dose of propranolol

作者: Veli Söderlund , Stig A. Larsson , Hans Jacobsson

DOI: 10.1007/S00259-006-0318-9

关键词:

摘要: Uptake in brown adipose tissue (hibernating fat) is sometimes seen at FDG-PET examinations. Despite a characteristic appearance, this may hide clinically relevant uptake. Stimulation of the sympathetic nervous system increases glucose uptake fat. We now re-examine patients with fat activity that could disguise tumour after pre-treatment propranolol (a non-selective β-blocker) order to reduce Our first examinations kind are reported. Eleven strong were studied. There was mean 5 days (range 2–8) between At second examination, 80 mg given orally 2 h before FDG administration. In addition visual evaluation uptake, SUV assessments fat, lung, heart, liver, spleen and bone marrow made. All showed complete or almost disappearance examination (p < 0.001) both upon when comparing SUVs. seven there also known strongly suspected malignancy, which remained unchanged Beyond an insignificant decrease myocardial no redistribution various examined organs examination. Pre-treatment single dose blocks tissue, thereby increasing specificity The seems not be impaired.

参考文章(12)
Mithat Gonen, Steven M Larson, Heiko Schöder, Ravinder K Grewal, Henry W D Yeung, Patterns of (18)F-FDG uptake in adipose tissue and muscle: a potential source of false-positives for PET. The Journal of Nuclear Medicine. ,vol. 44, pp. 1789- 1796 ,(2003)
Sally F. Barrington, Michael N. Maisey, Skeletal Muscle Uptake of Fluorine-18-FDG: Effect of Oral Diazepam The Journal of Nuclear Medicine. ,vol. 37, pp. 1127- 1129 ,(1996)
Christian Cohade, Richard L. Wahl, Karen A. Mourtzikos, "USA-Fat": prevalence is related to ambient outdoor temperature-evaluation with 18F-FDG PET/CT. The Journal of Nuclear Medicine. ,vol. 44, pp. 1267- 1270 ,(2003)
Mylene T Truong, Jeremy J Erasmus, Homer A Macapinlac, Edith M Marom, Osama Mawlawi, Gregory W Gladish, Bradley S Sabloff, John F Bruzzi, Reginald F Munden, Integrated positron emission tomography/computed tomography in patients with non-small cell lung cancer: normal variants and pitfalls. Journal of Computer Assisted Tomography. ,vol. 29, pp. 205- 209 ,(2005) , 10.1097/01.RCT.0000159510.13694.8C
Mylene T. Truong, Jeremy J. Erasmus, Reginald F. Munden, Edith M. Marom, Bradley S. Sabloff, Gregory W. Gladish, Donald A. Podoloff, Homer A. Macapinlac, Focal FDG uptake in mediastinal brown fat mimicking malignancy: a potential pitfall resolved on PET/CT. American Journal of Roentgenology. ,vol. 183, pp. 1127- 1132 ,(2004) , 10.2214/AJR.183.4.1831127
Thomas F. Hany, Esmaiel Gharehpapagh, Ehab M. Kamel, Alfred Buck, Jean Himms-Hagen, Gustav K. von Schulthess, Brown adipose tissue: a factor to consider in symmetrical tracer uptake in the neck and upper chest region. European Journal of Nuclear Medicine and Molecular Imaging. ,vol. 29, pp. 1393- 1398 ,(2002) , 10.1007/S00259-002-0902-6
Hans Jacobsson, Martin Bruzelius, Stig A. Larsson, Reduction of FDG uptake in brown adipose tissue by propranolol European Journal of Nuclear Medicine and Molecular Imaging. ,vol. 32, pp. 1130- 1130 ,(2005) , 10.1007/S00259-005-1851-7
C. Rousseau, E. Bourbouloux, L. Campion, N. Fleury, B. Bridji, J. F. Chatal, I. Resche, M. Campone, Brown fat in breast cancer patients: analysis of serial (18)F-FDG PET/CT scans. European Journal of Nuclear Medicine and Molecular Imaging. ,vol. 33, pp. 785- 791 ,(2006) , 10.1007/S00259-006-0066-X