2012
DOI: 10.1007/s00259-012-2278-6
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The diagnostic value of 18F-FDG PET and MRI in paediatric histiocytosis

Abstract: Our retrospective analysis suggests a pivotal role of (18)F-FDG PET in lesion follow-up due to a lower number of false-positive findings after chemotherapy. MRI showed a higher sensitivity and is indispensable for primary staging, evaluation of brain involvement and biopsy planning. Combined MRI/PET analysis improved sensitivity by decreasing the false-negative rate during primary staging indicating a future role of simultaneous whole-body PET/MRI for primary investigation of paediatric histiocytosis.

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Cited by 63 publications
(42 citation statements)
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“…As contrast enhancement on CEMRI has been shown to correlate with disease activity or perilesional inflammation, MRI is equally used to evaluate treatment response [27]. On FDG PET CT, LCH lesions are FDG avid (Fig.…”
Section: Primary Intraosseous Tumorsmentioning
confidence: 99%
See 1 more Smart Citation
“…As contrast enhancement on CEMRI has been shown to correlate with disease activity or perilesional inflammation, MRI is equally used to evaluate treatment response [27]. On FDG PET CT, LCH lesions are FDG avid (Fig.…”
Section: Primary Intraosseous Tumorsmentioning
confidence: 99%
“…3). However, due to the small size of some lesions, the overall sensitivity of FDG PET is limited (67%) [27]. The relatively high specificity of FDG PET for LCH (76% as opposed to only 47% with MRI) provides important information regarding disease response.…”
Section: Primary Intraosseous Tumorsmentioning
confidence: 99%
“…MRI, in particular, more accurately diagnosed brain involvement. Combined PET-MRI analysis improved falsenegative and false-positive rates in primary staging, whereas no clear advantage over PET alone was seen for disease follow-up [51]. Considering that fully integrated PET-MRI hybrid systems may soon become widespread, simultaneous PET-MRI acquisition has the potential to become the first choice for initial evaluation of patients with LCH allowing to reduce examination time and radiation exposure while maintaining a high diagnostic accuracy.…”
Section: Systemic Imaging Findingsmentioning
confidence: 93%
“…Note the high conspicuity of the lesion on diffusion-weighted imaging (DWI; small arrow) compared to SSFSE single-shot fast spin echo imaging only for neuroradiologic applications but also in children with sarcoma, lymphoma, small cell cancers, and other cancers which also benefit from the physiologic characterization and metabolic information from PET [68,[70][71][72][73].…”
Section: Pediatric Neoplasmsmentioning
confidence: 99%