Clinical value of a [18F]-FDG PET-CT muscle-to-muscle SUV ratio for the diagnosis of active dermatomyositis

Autor: Anne-Sophie Morin, Aurélie Grados, Benoit Brihaye, Éric Denis, Olivier Lidove, Thierry Zenone, Yoland Schoindre, Fanny Andry, Benjamin Terrier, Alexandra Audemard, Nihal Martis, Emeline Castela, Denis Quinsat, Mikael Ebbo, Nicolas Mounier, Stéphane Liguori, Laurent Marcq, Philippe Viau, Jean-Philippe Chaborel
Rok vydání: 2019
Předmět:
Zdroj: European Radiology. 29:6708-6716
ISSN: 1432-1084
0938-7994
DOI: 10.1007/s00330-019-06302-9
Popis: To study a muscle-to-muscle standardised uptake value (SUV) ratio with FDG-PET/CT (FDG-PET) as a marker for the detection of disease activity in dermatomyositis (DM). Patients with DM (n = 24) who met the European Neuro-Muscular Centre diagnostic criteria were retrospectively identified over a 3-year period through a national survey. Muscle biopsy was performed in all patients. Maximum SUV was measured in proximal muscles (SUVPROX) that had the highest radiotracer uptake on visual grading as well as in the musculus longissimus thoracis (SUVMLT), whereas mean SUV was measured for the liver (SUVLIV). Muscle-to-liver SUV ratios for either muscle group were compared and a SUVPROX/SUVMLT ratio was calculated. SUVPROX/SUVMLT of DM patients were compared with age- and sex-matched control subjects (n = 24) with melanoma who had received FDG-PET scans. DM patients presented with proximal and symmetrical muscle uptake. Differences in SUVPROX/SUVLIV and SUVMLT/SUVLIV ratios in DM subjects were significant (p
Databáze: OpenAIRE