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PET/CT imaging in polymyalgia rheumatica: praepubic 18F-FDG uptake correlates with pectineus and adductor longus muscles enthesitis and with tenosynovitis Cover

PET/CT imaging in polymyalgia rheumatica: praepubic 18F-FDG uptake correlates with pectineus and adductor longus muscles enthesitis and with tenosynovitis

Open Access
|Jan 2017

Figures & Tables

Table 1

Imaging and laboratory results of all patients. Reported baseline treatment was initiated several days after baseline PET/CT

NoDisease
status
Date of baseline
(B) and
follow up (FU)
examination
Time to
control
exam
(months)
B/FU
praepubic
to liver
uptake ratio
B/FU FW
(mm/h)
B/FU CRP
(mg/dL)
B/FU
treatment
(mg/day)
B/ FU region of positivity of
other PMR areas (target-to-
liver ratio)
B/FU
vascular
positivity
1R11-18-20144.01.1344423P 15S 2.23, H 1.25, Scl 1.13, Isch
1.45
no positivity
3-20-20150.576161.4P 5H 1.11no positivity
2N2-23-201048.71.23412049P 15S 1.65, H 1.24, Scl 1.24, Isch
1.17, L 1.14
no positivity
3-15-20140.8122616.9M 8no positivityno positivity
3N9-1-20143.22.148120137P 60S 1.87, Scl 1.45, H 2.31, Isch
1.65, L 1.12, Th 1.14, C 1.24
no positivity
12-8-20140.9923516.7P 10S 1.36no positivity
4N7-24-20106.11.89112056.8P 40S 1.78, Scl 1.54, H 1, Isch 2.21,
L 1.08
no positivity
1-25-20110.345305.7P 2.5no positivityno positivity
5N3-13-201412.01.7726028.5P 20S 2.02, H 1.47, Scl 1.24, Isch
2.02, L 1.23
V3/6
3-13-20150.98771P 0no positivityV1/6
no positivity
6N10-14-201316.91.2985445P 20S1.78, H1.88, Scl 1.95, L 1.25,
Isch 1.16
3-13-20150.53765.3P 2.5no positivityno positivity
7R1-3-201413.11.3027778.3M 16S 1.78, H 1.87, Scl 1.35, Isch
1.65, L 1.12
V4/6
2-6-20150.40351.9M 2no positivityno positivity
8N6-9-201233.11.8355076P 30S 2.21, H 2.16, Scl 1.8, Isch
1.78, L 1.2
V4/6
3-13-20150.54143.1P 0H 1.23V2/6
9N6-3-20153.11.5026041.5P 15S 2.36, H 2.24, Scl 2.03, Isch
2.04, C 1.11
no positivity
9-4-20150.761613.4P 10no positivityno positivity
no positivity
10N1-8-201421.71.2098078.3P 60S 1.84, H1.78, Scl 1.69, Isch
1.57, L 1.23
10-30-20150.395102.5P 7.5no positivityno positivity
11R3-4-20158.11.5466216.5M 48 +
MTX 10/
week
M 4 +
S 2.66, H 2.74, Scl 2.0, Isch
1.72, C 1.47, L 1.48
V5/6
11-5-20150.811303.3MTX 10/
week
H 1.14, C 1.08, S 1.11, Scl 1.07
S 2.27, H 2.06, Scl 2.16, Isch
V3/6
12N2-6-20158.31.78912098.7M 323.03, L 1.45no positivity
10-16-20150.97407.5M 8Scl 1.14, Isch 1.21no positivity
13N1-23-2015141.1237067.5P 15S 1.78, H 1.87, Scl 1.69, Isch
1.57, L 1.24
no positivity
3-24-20160.44161.4P 5no positivityno positivity
no positivity
14N9-16-20155.81.2827452P 20S 2.44, H 3.04, Scl 2.07, L 1.21
3-9-20160.41243.2P 7.5no positivityno positivity
15N10-26-20153.21.89280118.8P 30S 2.93, H 2.97, Isch 3.22, C
1.44, L 1.24, Th 1.17, Scl 1.79
V4/6
2-1-20160.67851.3P20no positivityno positivity

B/C = baseline and control; C, L, Th = cervical, lumbal, thoracic interspinous space; FW = Fåhræus-Westergren test; H = hip; M = methylprednisolone; Isch = ischiogluteal bursae; MTX = methotrexate; N = newly diagnosed; P = prednisone; R = relapse; S = shoulder; Scl = sternoclavicular joint; V = vascular uptake with number indicating presence in regions from 6 measured

Table 2

Patients’ baseline characteristics

CharacteristicsNumbers (%)
n= 15 (100%)
Sex, n (%)
 females10 (66.7 %)
 males5 (33.3 %)
Age at the disease onset
 median (min-max)70 years (53-78)
Time to follow up exam
 median (min-max)8 months (3-49)
Table 3

Changes in analysed laboratory parameters between baseline and follow up examination

Baseline
median (min-max)
Follow up
median (min-max)
p-value
median (min-max)
CRP57 mg/l (17-137)3 mg/l (1-17)0.001
FW74 mm/hod (44-120)16 mm/hod (5-40)0.001
Table 4

Nuclear medicine data at baseline and follow up examination

Baseline
median (min-max)
Follow up
median (min-max)
p-value
median (min-max)
18F-FDG366 MBq (327-434)362 MBq (301-400)0.271
Praepubic / liver 18F-FDG uptake1.50 (1.12-2.15)0.58 (0.35-0.99)0.001

Initial 18FDG-PET/CT examination of all 15 examined patients, showing transversal planes through maximal praepubic uptake. Visually detectable accumulation can be observed in all patients.

Control 18FDG-PET/CT examination showing corresponding transversal slices as in Figure 1. Compared with Figure 1, decrease or complete diminishment of 18FDG accumulation is observable in all patients.

DOI: https://doi.org/10.1515/raon-2017-0001 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 8 - 14
Submitted on: Aug 29, 2016
Accepted on: Dec 14, 2016
Published on: Jan 14, 2017
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Zdenek Rehak, Andrea Sprlakova-Pukova, Zbynek Bortlicek, Zdenek Fojtik, Tomas Kazda, Marek Joukal, Renata Koukalova, Jiri Vasina, Jana Eremiasova, Petr Nemec, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.