Impact of a second FDG PET scan before adjuvant therapy for the early detection of residual/relapsing tumours in high-risk patients with oral cavity cancer and pathological extracapsular spread

Background: The application of FDG PET/CT scan for assessment of patients with breast cancer is increasing. The cost effectiveness of the application could be different in a developing country with limited PET scanners and treatment prioritiesMethods: Open discussions of the PET reviewers from 2 out of 4 PET centers of Tehran, the capital city of Iran, were organized to provide insight into their opinions on the indications of FDG PET in breast cancer patients. Results: The sensitivity of FDG PET scan is high for detection of distant metastases; however, assessment of lymph node pathology and the local extension of the breast cancer are questionable. Considering the cost of the procedure itself and the downstream diagnostic procedures, its application and diagnostic accuracy are hindered for breast cancer screening, staging, and assessment of response to treatment and prognosis. The advantages and disadvantages of FDG PET CT and dedicated breast FDG PET scan have been briefed in different clinical scenarios with a focus on limitations faced by a developing country.Conclusion: We suggest reserving the use of FDG PET for selected cases of suspected but not proven recurrent disease and in patients with high risk of metastasis before high risk surgery.

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OP0047 Fdg-pet scan investigations in vasculitis, other than giant cell arteritis or polymyalgia rheumatica

10.1136/annrheumdis-2001.235 ◽

2001 ◽

Author(s):

DE Blockmans ◽

A Maes ◽

S Stroobants ◽

H Bobbaers ◽

L Mortelmans

Keyword(s):

Giant Cell Arteritis ◽

Giant Cell ◽

Polymyalgia Rheumatica ◽

Fdg Pet ◽

Pet Scan ◽

Fdg Pet Scan

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G59(P) The role of fluorodeoxyglucose positron emission tomography FDG-PET scan in the diagnosis of autoimmune encephalitis

10.1136/archdischild-2020-rcpch.45 ◽

2020 ◽

Author(s):

AJ Jalal ◽

AJ Jollands

Keyword(s):

Positron Emission Tomography ◽

Fdg Pet ◽

Autoimmune Encephalitis ◽

Pet Scan ◽

Emission Tomography ◽

Fluorodeoxyglucose Positron Emission Tomography ◽

Positron Emission ◽

Fdg Pet Scan ◽

Fluorodeoxyglucose Positron Emission

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Developing of a Simple Screening Tool for Opportunistic COPD Case Finding

QJM ◽

10.1093/qjmed/hcaa042.007 ◽

2020 ◽

Vol 113 (Supplement_1) ◽

Author(s):

Y M Mohamed ◽

S H Sharkawy ◽

D I Darwish

Keyword(s):

High Risk ◽

Early Detection ◽

Early Diagnosis ◽

Outpatient Clinic ◽

World Wide ◽

Screening Tool ◽

Case Finding ◽

Screening Questionnaire ◽

Risk Patients ◽

Simple Screening

Abstract Background Under diagnosis of COPD is serious problem in many countries world-wide because there are no generally detection tools available to detect high-risk patients for spirometry, and patients will not go for COPD check-up until a serious issue happens like exacerbation. Objective The aim of the work is trying to assess a new screening tool for early diagnosis of COPD. Patients and Methods The present study was conducted upon 500 subjects during the period from march 2018 to august 2018 who admitted to our chest department or visit our outpatient clinic, employees and visitors to Ain Sham hospitals.All subjects >40yrs who smoker or ex-smoker(≥10pack-years) applied a six variants(age,sex,packed years smoked during life ,dyspnea,chronic phlegmand chronic cohgh)questionnaire modified from PUMA questionnaire Subjects with score ≥5 did spirometry Results 500 subjects shared in the study 497 of them were males ( 99.4% )and 3 were females (.6%). 152of them(30.4%) had score <5 and 348 of them (69.6%)had score ≥5 who did spirometry.152 subjects did not perform spirometry. By spirometry we diagnosed 81(23.3) case COPD (fev1-fvc <.7) out of 348 subjects under gone spirometry and 16.2% of total subjects(500) . Conclusion Modified puma score is a simple and easy screening questionnaire for early detection of COPD cases and spirometry should be done to confirm the diagnosis or rule out.COPD is prevalent in many healthy apparent persons.

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