A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Head-to-Head Comparison of 68Ga-Citrate and 18F-FDG PET/CT for Detection of Infectious Foci in Patients with Staphylococcus aureus Bacteraemia
Tekijät: Salomäki Soile P, Kemppainen Jukka, Hohenthal Ulla, Luoto Pauliina, Eskola Olli, Nuutila Pirjo, Seppänen Marko, Pirilä Laura, Oksi Jarmo, Roivainen Anne
Julkaisuvuosi: 2017
Journal: Contrast Media and Molecular Imaging
Artikkelin numero: 3179607
Sivujen määrä: 8
ISSN: 1555-4309
eISSN: 1555-4317
DOI: https://doi.org/10.1155/2017/3179607
Verkko-osoite: https://www.hindawi.com/journals/cmmi/2017/3179607/
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/29226320
Purpose. This study evaluated the potential of 68Ga-citrate positron emission tomography/computed tomography (PET/CT) for the detection of infectious foci in patients with Staphylococcus aureus bacteraemia by comparing it with 2-[18F]fluoro-2-deoxy--glucose (18F-FDG) PET/CT. Methods. Four patients admitted to hospital due to S. aureus bacteraemia underwent both 18F-FDG and 68Ga-citrate whole-body PET/CT scans to detect infectious foci. Results. The time from hospital admission and the initiation of antibiotic treatment to the first PET/CT was 4–10 days. The time interval between 18F-FDG and 68Ga-citrate PET/CT was 1–4 days. Three patients had vertebral osteomyelitis (spondylodiscitis) and one had osteomyelitis in the toe; these were detected by both 18F-FDG (maximum standardised uptake value [SUVmax 6.0 ± 1.0] ) and 68Ga-citrate (SUVmax 6.8 ± 3.5, P = 0.61). Three patients had soft tissue infectious foci, with more intense 18F-FDG uptake (SUVmax 6.5 ± 2.5) than 68Ga-citrate uptake (SUVmax 3.9 ± 1.2, P = 0.0033). Conclusions. Our small cohort of patients with S. aureus bacteraemia revealed that 68Ga-citrate PET/CT is comparable to 18F-FDG PET/CT for detection of osteomyelitis, whereas 18F-FDG resulted in a higher signal for the detection of soft tissue infectious foci.
Ladattava julkaisu This is an electronic reprint of the original article. |