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Thursday, May 21, 2020


Incidental Finding of Colon Carcinoma Related to High Uptake in 18F-PSMA-1007 PET
We present a 78-year-old man with suspicion of prostate cancer due to a PSA of 200 ng/mL, who underwent 18F-PSMA-1007 (prostate specific membrane antigen) PET/CT for primary staging. Besides heterogeneous uptake to the prostate, an increased PSMA uptake in the cecum was observed, located in the thickened cecal wall with suspicion of a secondary malignancy. Colonoscopic biopsy followed by hemicolectomy confirmed the diagnosis of colon adenocarcinoma. This case demonstrates the importance of bioptic...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Hepatobiliary Scintigraphy in Cholecystocolonic Fistula
We report a case of a 50-year-old man diagnosed with cholecystocolonic fistula (CCF), confirmed by scintigraphy. After negative initial radiologic workup, a colonoscopy revealed findings of right-sided ischemic colitis. Soon after, a febrile episode prompted a repeat abdominal CT scan demonstrating a possible CCF, later confirmed with a nuclear medicine hepatobiliary scintigraphy and treated surgically. Less than 10% of CCFs are diagnosed preoperatively. Received for publication January 17, 2020;...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
A Case of Coronavirus Infection Incidentally Found on FDG PET/CT Scan
We present a highly suspicious case of COVID-19 infection, incidentally found on 18F-FDG PET/CT images. Patient was scanned on February, 25, 2020, when COVID-19 outbreak was unrecognized in our country. She admitted having recent occasional dry cough and fever. A retrospective review of her clinical and laboratory data was strongly suggestive for diagnosis of COVID-19 infection. PET/CT images demonstrated hypermetabolic diffuse ground glass opacities in both lungs with bilateral nodules. There was...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Peyronie Disease as an Example of Nononcological, Inflammatory Uptake of 18F-Fluorocholine in Patient With Prostate Cancer
18F-fluorocholine PET/CT is commonly used for staging and assessing treatment response in prostate cancer patients. Growing clinical experience has shown that 18F-fluorocholine can actually accumulate in sites of inflammation. We report a rare case of a prostate cancer patient with incidentally detected Peyronie disease. Received for publication February 27, 2020; revision accepted March 20, 2020. Conflicts of interest and sources of founding: none declared. Correspondence to: Paulina...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
The Effect of Various β Values on Image Quality and Semiquantitative Measurements in 68Ga-RM2 and 68Ga-PSMA-11 PET/MRI Images Reconstructed With a Block Sequential Regularized Expectation Maximization Algorithm
Purpose To compare the block sequential regularized expectation maximization (BSREM) algorithm with the ordered subsets expectation maximization (OSEM) algorithm and to evaluate how different penalty factors (b values) influence image quality and SUV measurements. Methods We analyzed data from 78 prostate cancer patients who underwent 68Ga-RM2 (n = 42) or 68Ga-prostate-specific membrane antigen (PSMA)-11 (n = 36) PET/MRI. The raw PET data were retrospectively reconstructed using both...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
FDG PET/CT in a Pregnant Woman With Breast Cancer
This 37-year-old woman was diagnosed with breast cancer during pregnancy. After multidisciplinary meeting, she was referred to our department for an FDG PET/CT for staging, and chemotherapy with weekly infusion of paclitaxel was initiated before childbirth. We estimated the fetal dose from the PET/CT procedure, and our results show that, if deemed necessary, this examination can reasonably be performed during pregnancy. The patient gave birth vaginally at term to an apparently healthy girl. Received...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Disseminated Bacillus Calmette-Guérin Infection Detected on FDG PET/CT Following Intravesical Bacillus Calmette-Guérin Therapy
We report the case of a 64-year-old man who presented with back pain, anorexia, and weight loss 9 months following bacillus Calmette-Guérin immunotherapy for high-grade transitional cell carcinoma of the bladder. A FDG PET/CT was performed, which demonstrated osteolysis and intense FDG avidity of the T6/T7 and T8/T9 vertebral endplates. In addition, an aneurysm with FDG-avid soft tissue was present of the distal left common iliac artery. The provisional diagnosis was disseminated bacillus Calmette-Guérin...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Egested Feces Revealed Massive Protein Loss in 99mTc-HSA-D Scintigraphy
A 66-year-old man with severe diarrhea and severe hypoproteinemia was referred for 99mTc-DTPA-human serum albumin (HSA-D) scintigraphy. The scintigraphy at 24 hours postinjection showed strong accumulation of 99mTc-HSA-D in not only the colon but also all his diapers containing his egested feces. The ratio of the diapers counts to the total counts was 17.0%, and a considerable amount of protein loss was confirmed. 99mTc-HSA-D scintigraphy has an important role in diagnosing protein-losing enteropathy,...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Posttreatment FDG-Avid Splenic Lesions in DLBCL and HD: Clinical and Radiographic Characteristics for Risk Assessment
Residual end of treatment (EOT) FDG-avid lesions are often due to infectious or inflammatory process and not due to refractory lymphoma. Nonetheless, such lesions prompt diagnostic and therapeutic interventions. We evaluate clinical and radiological characteristics of patients with EOT FDG-avid splenic lesions. Comparing metabolic volume (MV) ratio between EOT to interim, showed a marked difference between false positive and true positive lesions (0.5 vs 3.6, P = 0.02). EOT SUVmax was also significantly...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Radioiodine Retention Within Dilated Common Biliary Duct Mimicking Metastatic Thyroid Cancer Diagnosed by the Combination of SPECT/CT and MRI
A 55-year-old woman with papillary thyroid carcinoma under total thyroidectomy and cervical lymph node dissection was referred for 131I radioiodine therapy. Posttherapeutic whole-body scintigraphy revealed increased focal uptake in the right upper abdomen, which localized to the region of the head of the pancreas on SPECT/CT fusion images. Further evaluation with MRI affirmed the radioiodine retention corresponded to bile duct dilation. Received for publication January 29, 2020; revision accepted...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
18F-FDG PET/CT Imaging of Vasculitis Complicated With Relapsing Polychondritis
We present a case of a 38-year-old woman who complained with cough, fever, and back pain with a weight loss. 18F-FDG PET/CT to search fever origin revealed uptake in the tracheobronchial and the left auricular cartilage and wall of the thoracic aorta. She underwent biopsy of the left auricle and was diagnosed with relapsing polychondritis (RP) complicating vasculitis. After steroid therapy, FDG PET/CT demonstrated regression of inflammation, showing decreases in the uptakes. Vasculitis should be...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
18F-FDG PET/CT in Sporadic Creutzfeldt-Jakob Disease
We report the case of a 64-year-old man referred for optic ataxia, constructional apraxia, and spatial orientation disorders evolving for 2 months. Benson syndrome (posterior cortical atrophy) was initially suspected. Brain 18F-FDG PET/CT depicted an asymmetric decreased uptake pattern consistent with Creutzfeldt-Jakob disease. 14-3-3 proteins were detected in the cerebrospinal fluid. Clinical evolution was quickly unfavorable. The patient died 1 month after the PET/CT, and Creutzfeldt-Jakob disease...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Urinary Reflux Into the Prostate Gland and Seminal Vesicles: A Potential Pitfall in: 18: F-FDG and: 68: Ga-PSMA PET/CT
A 64-year-old man with lung cancer underwent 18F-FDG PET/CT for restaging, which demonstrated intense 18F-FDG uptake in the right lobe of prostate gland and seminal vesicles, indicating a potential prostate cancer. In 68Ga-PSMA PET/CT, intense uptake in the right lobe of prostate gland and seminal vesicles was also observed but decreased in postmictional delayed images. Magnetic resonance imaging showed high signal intensity of urine in the same areas of uptakes. 18F-FDG and 68Ga-PSMA PET/CT findings...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Low-Grade Myofibroblastic Sarcoma Demonstrated on 99mTc-MDP Bone Scan and 18F-FDG PET/CT
A 24-year-old woman with left hip pain for 4 months was admitted. Radiographs of the left hip showed a radiolucent lesion in the proximal femur. The lesion demonstrated hypointensity on T1-weighted and high intensity on T2-weighted fat saturated images. 99mTc-MDP bone scan and 18F-FDG PET/CT illustrated intense radiotracer accumulation at the osteolytic lesion. Postoperative pathology confirmed a low-grade myofibroblastic sarcoma (LGMS). LGMS is a rare neoplasm, which often occurred in the head and...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Is It Time to Introduce PET/CT in Colon Cancer Guidelines?
International colon cancer guidelines suggest 18F-FDG PET/CT in a few circumstances: (1) at disease presentation in case of suspected or proven metastatic synchronous adenocarcinoma; (2) in the workup of recurrent colon cancer with metachronous metastases documented by CT, MRI, or biopsy and in case of serial CEA elevation with negative colonoscopy and negative CT; and (3) in case of contraindication to iodine- and gadolinium-based contrast agents. However, review of the literature has shown that...
Clinical Nuclear Medicine - Published Ahead-of-Print
Tue May 19, 2020 03:00
Racial differences in prostate cancer: does timing of puberty play a role?
British Journal of Cancer, Published online: 22 May 2020; doi:10.1038/s41416-020-0897-4Racial differences in prostate cancer: does timing of puberty play a role?
Cancer
03:00
Omental adipocytes promote peritoneal metastasis of gastric cancer through the CXCL2–VEGFA axis
British Journal of Cancer, Published online: 22 May 2020; doi:10.1038/s41416-020-0898-3Omental adipocytes promote peritoneal metastasis of gastric cancer through the CXCL2–VEGFA axis
Cancer
03:00
Identification of low-dose multidrug combinations for sunitinib-naive and pre-treated renal cell carcinoma
British Journal of Cancer, Published online: 22 May 2020; doi:10.1038/s41416-020-0890-yIdentification of low-dose multidrug combinations for sunitinib-naive and pre-treated renal cell carcinoma
Cancer
03:00
A systematic molecular and pharmacologic evaluation of AKT inhibitors reveals new insight into their biological activity
British Journal of Cancer, Published online: 22 May 2020; doi:10.1038/s41416-020-0889-4A systematic molecular and pharmacologic evaluation of AKT inhibitors reveals new insight into their biological activity
Cancer
03:00
Defining COMMD4 as an anti-cancer therapeutic target and prognostic factor in non-small cell lung cancer
British Journal of Cancer, Published online: 22 May 2020; doi:10.1038/s41416-020-0899-2Defining COMMD4 as an anti-cancer therapeutic target and prognostic factor in non-small cell lung cancer
Cancer
03:00
Translating current basic research into future therapies for neurofibromatosis type 1
British Journal of Cancer, Published online: 22 May 2020; doi:10.1038/s41416-020-0903-xTranslating current basic research into future therapies for neurofibromatosis type 1
Cancer
03:00
Racial differences in prostate cancer: does timing of puberty play a role?
Cancer
01:06
Defining COMMD4 as an anti-cancer therapeutic target and prognostic factor in non-small cell lung cancer
Cancer
01:06
Omental adipocytes promote peritoneal metastasis of gastric cancer through the CXCL2–VEGFA axis
Cancer
01:06
Translating current basic research into future therapies for neurofibromatosis type 1
Cancer
01:06
A systematic molecular and pharmacologic evaluation of AKT inhibitors reveals new insight into their biological activity
Cancer
01:06
Identification of low-dose multidrug combinations for sunitinib-naive and pre-treated renal cell carcinoma
Cancer
01:06
Effectiveness of Leader Village Health Volunteers Training Program on Preventing Cholangiocarcinoma in Thailand: Advantages for High-Risk Area with Limited Public Health Personnel
Abstract Cholangiocarcinoma (CCA) still affects the health of rural people in northeast Thailand. Most people had a high level of overall risk according to CCA risk assessment in 2014. The question is how to make prevention of CCA as cost-effective as possible. The most appropriate answer is that someone should become a health leader to transfer knowledge to the public. This is the reason for developing the training program for village health volunteers (VHVs)—who play the role...
Journal of Cancer Education
03:00
Assessing the Feasibility of an Online Training Designed to Enable Community Health Workers to Deliver a Comprehensive, Evidence-Based Weight Loss Intervention for Rural African Americans of Faith
Abstract Obesity is a critical modifiable risk factor in cancer prevention, control, and survivorship. Comprehensive weight loss interventions (e.g., Diabetes Prevention Program (DPP)) have been recommended by governmental agencies to treat obesity. However, their high implementation costs limit their reach, especially in underserved African American (AA) communities. Community health workers (CHWs) or trusted community members can help increase access to obesity interventions...
Journal of Cancer Education
Thu May 21, 2020 03:00
Emerging and Reemerging Sexually Transmitted Infections
The 21st century has seen a global resurgence of sexually transmitted infections (STIs). From a nadir in the 1990s, the rates of gonorrhea, syphilis, and chlamydia infections have increased substantially in high-income countries, with particular increases among men who have sex with men (MSM).…
The New England Journal of Medicine: Search Results in Primary Care\Hospitalist\Clinical Practice
Thu May 21, 2020 03:00
Disseminated Fusariosis
Figure 1.
The New England Journal of Medicine: Search Results in Primary Care\Hospitalist\Clinical Practice
Thu May 21, 2020 03:00
Hemophilic Pseudotumor
Figure 1.
The New England Journal of Medicine: Search Results in Primary Care\Hospitalist\Clinical Practice
Thu May 21, 2020 03:00
Case 16-2020: A 47-Year-Old Woman with Recurrent Melanoma and Pulmonary Nodules
Presentation of Case. Dr. Justine V. Cohen: A 47-year-old woman with malignant melanoma was seen in the pulmonary clinic of this hospital because of new abnormal findings on chest imaging. The patient had observed routine quarterly surveillance imaging after resection of right axillary melanoma,…
The New England Journal of Medicine: Search Results in Primary Care\Hospitalist\Clinical Practice
Thu May 21, 2020 03:00
Addressing cost‐related nonadherence to oral anticancer medications through health policy reform: Challenges and opportunities
Cancer
Thu May 21, 2020 13:04
Why individual‐level interventions are not enough: Systems‐level determinants of oral anticancer medication adherence
Nonadherence to oral anticancer medications (OAMs) in the United States is as low as 33% for some cancers. The reasons for nonadherence to these lifesaving medications are multifactorial, yet the majority of studies focus on patient‐level factors influencing uptake and adherence. Individually based interventions to increase patient adherence have not been effective, and this warrants attention to factors at the payor, pharmaceutical, and clinical systems levels. Based on the authors' research and...
Cancer
Thu May 21, 2020 13:04
Patterns and predictors of cancer‐related fatigue in ovarian and endometrial cancers: 1‐year longitudinal study
Background Fatigue is a common and distressing symptom for patients with gynecologic cancers. Few studies have empirically examined whether it spontaneously resolves. This study was aimed at identifying longitudinal patterns of fatigue and predictors of clinically significant fatigue 1 year after treatment completion. Methods This was a prospective cohort study of women with newly diagnosed ovarian (n = 81) or endometrial cancer (n = 181) that did not progress or recur within 1 year of treatment...
Cancer
Thu May 21, 2020 15:03
[ASAP] Untargeted Defining Protein–Metabolites Interaction Based on Label-Free Kinetic Size Exclusion Chromatography-Mass Spectrometry
Analytical ChemistryDOI: 10.1021/acs.analchem.0c00495
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] Dual-Readout Sandwich Immunoassay for Device-Free and Highly Sensitive Anthrax Biomarker Detection
Analytical ChemistryDOI: 10.1021/acs.analchem.0c01090
Analytical Chemistry
Thu May 21, 2020 07:00

[ASAP] Raman-Based Differentiation of Hemp, Cannabidiol-Rich Hemp, and Cannabis
Analytical ChemistryDOI: 10.1021/acs.analchem.0c00828
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] Identification of <italic toggle="yes">Aspergillus</italic> Conidia in Bronchoalveolar Lavage Using Offline Combination of Capillary Electrophoresis in Supercritical Water-Treated Fused Silica Capillary and Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry
Analytical ChemistryDOI: 10.1021/acs.analchem.0c00165
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] Rapid Fingerprinting of High-Molecular-Weight Polymers by Laser Desorption-Ionization Using Through-Hole Alumina Membrane High-Resolution Mass Spectrometry
Analytical ChemistryDOI: 10.1021/acs.analchem.0c01070
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] Retip: Retention Time Prediction for Compound Annotation in Untargeted Metabolomics
Analytical ChemistryDOI: 10.1021/acs.analchem.9b05765
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] Assessing the Onset of Calcium Phosphate Nucleation by Hyperpolarized Real-Time NMR
Analytical ChemistryDOI: 10.1021/acs.analchem.0c00516
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] Bioluminescent Protein–Inhibitor Pair in the Design of a Molecular Aptamer Beacon Biosensing System
Analytical ChemistryDOI: 10.1021/acs.analchem.0c00518
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] A Randomized Combined Channel Approach for the Quantification of Color- and Intensity-Based Assays with Smartphones
Analytical ChemistryDOI: 10.1021/acs.analchem.0c01099
Analytical Chemistry
Thu May 21, 2020 07:00
[ASAP] Facile Polymerization Strategy for the Construction of Eu<sup>3+</sup>-Based Fluorescent Materials with the Capability of Distinguishing D<sub>2</sub>O from H<sub>2</sub>O
Analytical ChemistryDOI: 10.1021/acs.analchem.0c00981
Analytical Chemistry
Thu May 21, 2020 07:00

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