Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?

Prone position is useful in reducing respiratory motion artifacts in lung nodules on 2-Deoxy-2-[<sup>18</sup>F] fluoro-D-glucose ([<sup>18</sup>F]FDG) positron emission tomography/computed tomography (PET/CT). However, whether prone position PET/CT is useful in evaluating hep...

Full description

Bibliographic Details
Main Authors: Chung Won Lee, Hye Joo Son, Ji Young Woo, Suk Hyun Lee
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/15/2539
_version_ 1797586898260066304
author Chung Won Lee
Hye Joo Son
Ji Young Woo
Suk Hyun Lee
author_facet Chung Won Lee
Hye Joo Son
Ji Young Woo
Suk Hyun Lee
author_sort Chung Won Lee
collection DOAJ
description Prone position is useful in reducing respiratory motion artifacts in lung nodules on 2-Deoxy-2-[<sup>18</sup>F] fluoro-D-glucose ([<sup>18</sup>F]FDG) positron emission tomography/computed tomography (PET/CT). However, whether prone position PET/CT is useful in evaluating hepatic lesions is unknown. Thirty-five hepatic lesions from 20 consecutive patients were evaluated. The maximum standardized uptake value (SUV<sub>max</sub>) and metabolic tumor volume (MTV) of both standard supine position PET/CT and additional prone position PET/CT were evaluated. No significant difference in SUV<sub>max</sub> (4.41 ± 2.0 vs. 4.23 ± 1.83; <i>p</i> = 0.240) and MTV (5.83 ± 6.69 vs. 5.95 ± 6.24; <i>p</i> = 0.672) was observed between supine position PET/CT and prone position PET/CT. However, SUV<sub>max</sub> changes in prone position PET/CT varied compared with those in supine position PET/CT (median, −4%; range: −30–71%). Prone position PET/CT was helpful when [<sup>18</sup>F]FDG uptake of the hepatic lesions was located outside the liver on supine position PET/CT (<i>n</i> = 4, SUV<sub>max</sub> change: median 15%; range: 7–71%) and there was more severe blurring on supine position PET/CT (<i>n</i> = 6, SUV<sub>max</sub> change: median 11%; range: −3–32%). Unlike in lung nodules, prone position PET/CT is not always useful in evaluating hepatic lesions, but it may be helpful in individual cases such as hepatic dome lesions.
first_indexed 2024-03-11T00:29:42Z
format Article
id doaj.art-b440dd2a1a814f65bd233fc4be0ae2e8
institution Directory Open Access Journal
issn 2075-4418
language English
last_indexed 2024-03-11T00:29:42Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj.art-b440dd2a1a814f65bd233fc4be0ae2e82023-11-18T22:46:55ZengMDPI AGDiagnostics2075-44182023-07-011315253910.3390/diagnostics13152539Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?Chung Won Lee0Hye Joo Son1Ji Young Woo2Suk Hyun Lee3Department of Radiology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaDepartment of Nuclear Medicine, Dankook University Medical Center, Cheonan 31116, Republic of KoreaDepartment of Radiology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaDepartment of Radiology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07441, Republic of KoreaProne position is useful in reducing respiratory motion artifacts in lung nodules on 2-Deoxy-2-[<sup>18</sup>F] fluoro-D-glucose ([<sup>18</sup>F]FDG) positron emission tomography/computed tomography (PET/CT). However, whether prone position PET/CT is useful in evaluating hepatic lesions is unknown. Thirty-five hepatic lesions from 20 consecutive patients were evaluated. The maximum standardized uptake value (SUV<sub>max</sub>) and metabolic tumor volume (MTV) of both standard supine position PET/CT and additional prone position PET/CT were evaluated. No significant difference in SUV<sub>max</sub> (4.41 ± 2.0 vs. 4.23 ± 1.83; <i>p</i> = 0.240) and MTV (5.83 ± 6.69 vs. 5.95 ± 6.24; <i>p</i> = 0.672) was observed between supine position PET/CT and prone position PET/CT. However, SUV<sub>max</sub> changes in prone position PET/CT varied compared with those in supine position PET/CT (median, −4%; range: −30–71%). Prone position PET/CT was helpful when [<sup>18</sup>F]FDG uptake of the hepatic lesions was located outside the liver on supine position PET/CT (<i>n</i> = 4, SUV<sub>max</sub> change: median 15%; range: 7–71%) and there was more severe blurring on supine position PET/CT (<i>n</i> = 6, SUV<sub>max</sub> change: median 11%; range: −3–32%). Unlike in lung nodules, prone position PET/CT is not always useful in evaluating hepatic lesions, but it may be helpful in individual cases such as hepatic dome lesions.https://www.mdpi.com/2075-4418/13/15/2539fluorodeoxyglucose F18positron emission tomographyprone positionliver
spellingShingle Chung Won Lee
Hye Joo Son
Ji Young Woo
Suk Hyun Lee
Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?
Diagnostics
fluorodeoxyglucose F18
positron emission tomography
prone position
liver
title Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?
title_full Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?
title_fullStr Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?
title_full_unstemmed Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?
title_short Is Prone Position [<sup>18</sup>F]FDG PET/CT Useful in Reducing Respiratory Motion Artifacts in Evaluating Hepatic Lesions?
title_sort is prone position sup 18 sup f fdg pet ct useful in reducing respiratory motion artifacts in evaluating hepatic lesions
topic fluorodeoxyglucose F18
positron emission tomography
prone position
liver
url https://www.mdpi.com/2075-4418/13/15/2539
work_keys_str_mv AT chungwonlee ispronepositionsup18supffdgpetctusefulinreducingrespiratorymotionartifactsinevaluatinghepaticlesions
AT hyejooson ispronepositionsup18supffdgpetctusefulinreducingrespiratorymotionartifactsinevaluatinghepaticlesions
AT jiyoungwoo ispronepositionsup18supffdgpetctusefulinreducingrespiratorymotionartifactsinevaluatinghepaticlesions
AT sukhyunlee ispronepositionsup18supffdgpetctusefulinreducingrespiratorymotionartifactsinevaluatinghepaticlesions