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Application of Oral Contrast Media in Coregistered Positron Emission Tomography—CT

Elena V. Dizendorf1, Valerie Treyer, Gustav K. von Schulthess and Thomas F. Hany

1 All authors: Department of Medical Radiology, Division of Nuclear Medicine, University Hospital Zurich, Raemistr. 100, CH-8091 Zurich, Switzerland.



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Fig. 1A. 68-year-old man with head and neck tumor of unknown primary origin detected after neck dissection on right side. Positron emission tomography (PET)—CT was performed without oral contrast media. Coronal PET image shows high-intensity FDG uptake in ascending colon.

 


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Fig. 1B. 68-year-old man with head and neck tumor of unknown primary origin detected after neck dissection on right side. Positron emission tomography (PET)—CT was performed without oral contrast media. Fused coronal PET-CT image at same location as A shows no opacification of intestinal structures in CT image.

 


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Fig. 2A. 53-year-old woman with history of breast cancer on left side. Positron emission tomography (PET)—CT was performed with oral contrast media. Coronal PET image shows high-intensity FDG uptake in ascending colon.

 


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Fig. 2B. 53-year-old woman with history of breast cancer on left side. Positron emission tomography (PET)—CT was performed with oral contrast media. Fused coronal PET—CT image at same location as A shows opacification of intestinal structures in ascending colon while high-intensity FDG uptake is present in ascending colon.

 


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Fig. 3A. 65-year-old man with vocal cord carcinoma. Positron emission tomography (PET)—CT was performed without oral contrast media. Coronal PET image shows only low-intensity FDG uptake in intestinal structures.

 


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Fig. 3B. 65-year-old man with vocal cord carcinoma. Positron emission tomography (PET)—CT was performed without oral contrast media. Fused coronal PET—CT image was obtained at same location as A.

 


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Fig. 4A. 57-year-old man with hypopharyngeal carcinoma. Positron emission tomography (PET)—CT was performed with oral contrast media. PET image shows only low-intensity FDG uptake in intestinal structures.

 


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Fig. 4B. 57-year-old man with hypopharyngeal carcinoma. Positron emission tomography (PET)—CT was performed with oral contrast media. Fused coronal PET—CT image was obtained at same coronal slice location as A. Note opacification of ascending and descending colon in CT images.

 


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Fig. 5. Graph shows distribution of low- and high-intensity FDG uptake in contrast agent—containing regions in contrast group. Black bars = high-intensity FDG uptake, gray bars = low-intensity FDG uptake.

 

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