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Incidental Colonic Focal Lesions Detected by FDG PET/CT

Fabrice Gutman1,2, Jean-Louis Alberini1, Myriam Wartski1, Didier Vilain3, Elise Le Stanc3, Farid Sarandi1, Carine Corone1, Catherine Tainturier3 and Alain Paul Pecking1

1 Department of Nuclear Medicine, Rene Huguenin Cancer Research Center, 35 Rue Dailly, Saint-Cloud, France 92210.
2 Department of Nuclear Medicine, Henri Becquerel Cancer Research Center, Rouen, France.
3 Department of Nuclear Medicine, Hospital Foch, Suresnes, France.



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Fig. 1 Per-lesion standardized uptake value intensity (SUVmax) mean and SD for different colonoscopic findings. • = carcinoma (n = 3); x = high-grade dysplasia adenoma (n = 4); {diamondsuit} = mild-to-moderate-grade dysplasia adenoma (n = 6); {blacksquare} = negative colonoscopy (n = 7, false-positive FDG PET/CT result).

 


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Fig. 2 Intense focal standardized uptake value (SUVmax = 15) located in descending colon was associated with colonic wall thickening on fused slices. A 20-mm adenoma with severe dysplasia (arrows) was found in colonoscopy (patient 2).

 


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Fig. 3 Intense focal standardized uptake value (SUVmax = 12.4) was shown in rectum, corresponding to a 20-mm adenoma with severe dysplasia (arrows) (patient 7).

 


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Fig. 4 Focal colonic FDG standardized uptake value (SUVmax = 7) was shown in cecum, with fecal stasis (arrows) on CT image. Colonoscopy was negative (patient 8).

 

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