PET-CT-guided percutaneous puncture of an infected cyst in autosomal dominant polycystic kidney disease: case report.
An infected cyst in autosomal dominant polycystic kidney disease was identified with a combined positron emission tomographic (PET) and computed tomographic (CT) system, an experimental setup mimicking an integrated CT-PET scanner. Image fusion of fluorine 18 fluorodeoxyglucose PET and CT images allowed exact localization of the infected cyst among many cysts identified on previous CT and magnetic resonance images. Confirmation was obtained instantly, followed by CT-guided percutaneous puncture. Integrated imaging systems hold promise for direct PET-guided puncture of areas of increased fluorodeoxyglucose uptake by using the anatomic accuracy of CT.
Kaim
A H
AH
Department of Nuclear Medicine, University Hospital of Zurich, Rämistrasse 100, CH-8091 Zurich, Switzerland. achim.kaim@dmr.usz.ch
Burger
C
C
Ganter
C C
CC
Goerres
G W
GW
Kamel
E
E
Weishaupt
D
D
Dizendorf
E
E
Schaffner
A
A
von Schulthess
G K
GK
D004927:Escherichia coli Infections / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011677:Punctures / Q000379:methods; D015641:Radiography, Interventional; D019275:Radiopharmaceuticals; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18