KMID : 1148920090430010035
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Nuclear Medicine and Molecular Imaging 2009 Volume.43 No. 1 p.35 ~ p.39
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Diffuse Hypermetabolism at Bone Marrow in F-18 FDG PET/CT: Correlation with Bone Marrow Biopsy and Complete Blood Cell Counts
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Kang Yun-Hee
Lim Seok-Tae Kim Dong-Wook Jeong Hwan-Jeong Sohn Myung-Hee Jeong Young-Jin
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Abstract
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Purpose: Increased FDG uptake in the bone marrow has been reported in patients taking erythropoietin or granulocyte-colony stimulating factor (G-CSF). The aim of this study is to investigate the correlation between F-18 FDG uptake in the bone marrow and bone marrow finding, hematological parameters.
Materials and Methods: Twenty patients who had diffuse FDG uptake at the bone marrow and received hematological examinations, bone marrow biopsy within 10 days before or after PET/CT were enrolled in this study. Among them, 11 patients were excluded; 4 patients received G-CSF or erythropoietin before PET/CT. Seven patients showed definite pathology in a bone marrow biopsy. The parameters included the measurement of WBC, hemoglobin, platelet and cellularity of the bone marrow.
Results: Bone marrow FDG uptake was correlated with a low hemoglobin but not WBC, platelet. Histopathologic findings in marrow biopsies were various: normal finding (n=3), hyperplasia of granulocytic cells (n=2), eosinophilic hyperplasia (n=1), reactive lymphoid nodules (n=1), hypercelluar marrow (n=1), hypocelluar marrow (n=1). All patients except two, showed normal marrow celluarity.
Conclusion: FDG uptake by bone marrow correlated with anemia but not WBC, platelet, bone marrow cellularity.
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KEYWORD
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Bone marrow, PET/CT, bone marrow biopsy, complete blood cell counts, FDG
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