The utility of FDG-PET in the diagnosis of thymic epithelial tumors

In this article, seven studies evaluating the utility of FDG-PET in the diagnosis of thymic epithelial tumors were reviewed and the results of an investigation conducted in Tokushima University Hospital are reported. FDG accumulation of low-risk thymoma is low, and FDG accumulation of thymic carcino...

Full description

Saved in:
Bibliographic Details
Published inThe Journal of Medical Investigation Vol. 59; no. 3.4; pp. 225 - 234
Main Author Otsuka, Hideki
Format Journal Article
LanguageEnglish
Published Japan The University of Tokushima Faculty of Medicine 2012
Subjects
Online AccessGet full text
ISSN1343-1420
1349-6867
DOI10.2152/jmi.59.225

Cover

Abstract In this article, seven studies evaluating the utility of FDG-PET in the diagnosis of thymic epithelial tumors were reviewed and the results of an investigation conducted in Tokushima University Hospital are reported. FDG accumulation of low-risk thymoma is low, and FDG accumulation of thymic carcinoma is high. High-risk thymoma exhibits various degrees of accumulation and a definite conclusion has not yet been reached; however, overall, the higher the histological grade, the higher the FDG accumulation becomes, suggesting that this is correlated to staging. Our data also support the previous reports. FDG-PET may indicate lymph node metastasis and distant metastasis, which are sometimes difficult to detect using other modalities. When lymph node metastasis and/or distant metastasis are suspected in addition to thymic lesions, FDG-PET/CT, which allows for searching of the entire body at once, is useful. FDG-PET/CT is effective for estimating histopathological malignancy and staging in the diagnosis of thymic epithelial tumors and can be an important imaging test with high relevance to the prognosis of a patient. J. Med. Invest. 59: 225-234, August, 2012
AbstractList In this article, seven studies evaluating the utility of FDG-PET in the diagnosis of thymic epithelial tumors were reviewed and the results of an investigation conducted in Tokushima University Hospital are reported. FDG accumulation of low-risk thymoma is low, and FDG accumulation of thymic carcinoma is high. High-risk thymoma exhibits various degrees of accumulation and a definite conclusion has not yet been reached; however, overall, the higher the histological grade, the higher the FDG accumulation becomes, suggesting that this is correlated to staging. Our data also support the previous reports. FDG-PET may indicate lymph node metastasis and distant metastasis, which are sometimes difficult to detect using other modalities. When lymph node metastasis and/or distant metastasis are suspected in addition to thymic lesions, FDG-PET/CT, which allows for searching of the entire body at once, is useful. FDG-PET/CT is effective for estimating histopathological malignancy and staging in the diagnosis of thymic epithelial tumors and can be an important imaging test with high relevance to the prognosis of a patient. J. Med. Invest. 59: 225-234, August, 2012
In this article, seven studies evaluating the utility of FDG-PET in the diagnosis of thymic epithelial tumors were reviewed and the results of an investigation conducted in Tokushima University Hospital are reported. FDG accumulation of low-risk thymoma is low, and FDG accumulation of thymic carcinoma is high. High-risk thymoma exhibits various degrees of accumulation and a definite conclusion has not yet been reached; however, overall, the higher the histological grade, the higher the FDG accumulation becomes, suggesting that this is correlated to staging. Our data also support the previous reports. FDG-PET may indicate lymph node metastasis and distant metastasis, which are sometimes difficult to detect using other modalities. When lymph node metastasis and/or distant metastasis are suspected in addition to thymic lesions, FDG-PET/CT, which allows for searching of the entire body at once, is useful. FDG-PET/CT is effective for estimating histopathological malignancy and staging in the diagnosis of thymic epithelial tumors and can be an important imaging test with high relevance to the prognosis of a patient.
Author Otsuka, Hideki
Author_xml – sequence: 1
  fullname: Otsuka, Hideki
  organization: Department of Medical Imaging, Institute of Health Biosciences, Tokushima University Graduate School
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23037192$$D View this record in MEDLINE/PubMed
BookMark eNptkEtLAzEUhYMo9qEbf4BkLUzNu5mVSG2rUNBFXYdMJtOmzKMk6aL_3tQ-FuLqXjjfOZd7BuC67VoLwANGI4I5ed40bsTzESH8CvQxZXkmpBhf_-40w4ygHhiEsEGIUs75LegRiugY56QPJsu1hbvoahf3sKvg7G2efU2X0LUwJqV0etV2wYWDFtf7xhloty5JtdM1jLum8-EO3FS6Dvb-NIfgezZdTt6zxef8Y_K6yIzALGY4XcdEEoYlF5hTUxXSjq2UyNgS56zgHBUmZ1qWlBouq1IIVhUWcSGZMJYOweMxd7srGluqrXeN9nt1_iYB6AgY34XgbaWMizq6ro1eu1phpA6FqVSY4rlKhSXL0x_LOfVf-OUIb0LUK3tBtY_O1PaMUsVOjoti1tor29If_9WBQg
CitedBy_id crossref_primary_10_1093_icvts_ivu068
crossref_primary_10_1016_j_nrleng_2016_04_007
crossref_primary_10_1007_s00595_018_1712_1
crossref_primary_10_1016_j_cpet_2014_06_002
crossref_primary_10_1016_j_nrl_2016_04_001
crossref_primary_10_1016_j_thorsurg_2018_12_007
crossref_primary_10_12659_PJR_892105
crossref_primary_10_1007_s00464_013_3233_8
crossref_primary_10_5761_atcs_oa_16_00205
crossref_primary_10_1159_000455190
crossref_primary_10_1016_j_lungcan_2013_08_003
crossref_primary_10_4236_crcm_2014_36079
crossref_primary_10_1016_j_lungcan_2014_08_008
crossref_primary_10_1007_s11604_023_01497_w
Cites_doi 10.1016/j.lungcan.2008.01.003
10.3348/kjr.2003.4.1.46
10.1016/j.ejcts.2010.09.009
10.1007/s00259-009-1082-4
10.1002/jmri.22377
10.1016/j.ejrad.2010.08.010
10.1016/j.ejrad.2006.05.003
10.1016/j.lungcan.2011.02.018
10.1016/j.ejrad.2007.10.002
10.1200/JCO.2009.27.4662
10.1016/j.athoracsur.2004.03.097
ContentType Journal Article
Copyright 2012 by The University of Tokushima Faculty of Medicine
Copyright_xml – notice: 2012 by The University of Tokushima Faculty of Medicine
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
DOI 10.2152/jmi.59.225
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
DatabaseTitleList
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1349-6867
EndPage 234
ExternalDocumentID 23037192
10_2152_jmi_59_225
article_jmi_59_3_4_59_225_article_char_en
Genre Journal Article
Review
GroupedDBID ---
.55
123
29L
2WC
3O-
53G
5GY
7.U
ADBBV
ALMA_UNASSIGNED_HOLDINGS
BAWUL
CS3
DIK
DU5
E3Z
EBS
EJD
F5P
JSF
JSH
KQ8
OK1
OVT
RJT
RNS
RZJ
TKC
TR2
X7M
XSB
ZXP
AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
ID FETCH-LOGICAL-c614t-1335128241856153cfb8e7e880ced194b550bc94a8d33c58fd664fbe056846ce3
ISSN 1343-1420
IngestDate Tue Jul 04 17:13:35 EDT 2023
Tue Jul 01 01:05:53 EDT 2025
Thu Apr 24 23:10:34 EDT 2025
Wed Sep 03 06:30:02 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 3.4
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c614t-1335128241856153cfb8e7e880ced194b550bc94a8d33c58fd664fbe056846ce3
OpenAccessLink https://www.jstage.jst.go.jp/article/jmi/59/3.4/59_225/_article/-char/en
PMID 23037192
PageCount 10
ParticipantIDs pubmed_primary_23037192
crossref_citationtrail_10_2152_jmi_59_225
crossref_primary_10_2152_jmi_59_225
jstage_primary_article_jmi_59_3_4_59_225_article_char_en
ProviderPackageCode CITATION
AAYXX
PublicationCentury 2000
PublicationDate 2012-00-00
PublicationDateYYYYMMDD 2012-01-01
PublicationDate_xml – year: 2012
  text: 2012-00-00
PublicationDecade 2010
PublicationPlace Japan
PublicationPlace_xml – name: Japan
PublicationTitle The Journal of Medical Investigation
PublicationTitleAlternate J. Med. Invest.
PublicationYear 2012
Publisher The University of Tokushima Faculty of Medicine
Publisher_xml – name: The University of Tokushima Faculty of Medicine
References 10. Sadohara J, Fujimoto K, Müller NL, Kato S, Takamori S, Ohkuma K, Terasaki H, Hayabuchi N: Thymic epithelial tumors: comparison of CT and MR imaging findings of low-risk thymomas, high-risk thymomas, and thymic carcinomas. Eur J Radiol 60(1): 70-9, 2006
1. Sung YM, Lee KS, Kim BT, Choi JY, Shim YM, Yi CA: 18F-FDG PET/CT of thymic epithelial tumors: usefulness for distinguishing and staging tumor subgroups. J Nucl Med 47(10): 1628-34, 2006
9. Han J, Lee KS, Yi CA, Kim TS, Shim YM, Kim J, Kim K, Kwon OJ: Thymic epithelial tumors classified according to a newly established WHO scheme: CT and MR findings. Korean J Radiol 4(1): 46-53, 2003
12. Takahashi K, Al-Janabi NJ: Computed tomography and magnetic resonance imaging of mediastinal tumors. J Magn Reson Imaging 32(6): 1325-39, 2010
11. Tomiyama N, Honda O, Tsubamoto M, Inoue A, Sumikawa H, Kuriyama K, Kusumoto M, Johkoh T, Nakamura H: Anterior mediastinal tumors: diagnostic accuracy of CT and MRI. Eur J Radiol 69(2): 280-8, 2009
3. Inoue A, Tomiyama N, Tatsumi M, Ikeda N, Okumura M, Shiono H, Inoue M, Higuchi I, Aozasa K, Johkoh T, Nakamura H, Hatazawa J: 18F-FDG PET for the evaluation of thymic epithelial tumors: Correlation with the World Health Organization classification in addition to dual-time-point imaging. Eur J Nucl Med Mol Imaging 36(8): 1219-25, 2009
7. Terzi A, Bertolaccini L, Rizzardi G, Luzzi L, Bianchi A, Campione A, Comino A, Biggi A: Usefulness of 18-F FDG PET/CT in the pre-treatment evaluation of thymic epithelial neoplasms. Lung Cancer 74(2): 239-43, 2011
4. Kaira K, Endo M, Abe M, Nakagawa K, Ohde Y, Okumura T, Takahashi T, Murakami H, Tsuya A, Nakamura Y, Naito T, Hayashi I, Serizawa M, Koh Y, Hanaoka H, Tominaga H, Oriuchi N, Kondo H, Nakajima T, Yamamoto N: Biologic correlation of 2-[18F]-fluoro-2-deoxy-D-glucose uptake on positron emission tomography in thymic epithelial tumors. J Clin Oncol 28(23): 3746-53, 2010
5. Nakajo M, Kajiya Y, Tani A, Yoneda S, Shirahama H, Higashi M, Nakajo M: 18FDG PET for grading malignancy in thymic epithelial tumors: significant differences in 18FDG uptake and expression of glucose transporter-1 and hexokinase II between low and high-risk tumors: preliminary study. Eur J Radiol 81(1): 146-51, 2010
6. Igai H, Matsuura N, Tarumi S, Chang SS, Misaki N, Go T, Ishikawa S, Yokomise H: Usefulness of [18F]fluoro-2-deoxy-D-glucose positron emission tomography for predicting the World Health Organization malignancy grade of thymic epithelial tumors. Eur J Cardiothorac Surg 40(1): 143-5, 2011
2. Endo M, Nakagawa K, Ohde Y, Okumura T, Kondo H, Igawa S, Nakamura Y, Tsuya A, Murakami H, Takahashi T, Yamamoto N, Ito I, Kameya T: Utility of 18FDG-PET for differentiating the grade of malignancy in thymic epithelial tumors. Lung Cancer 61(3): 350-5, 2008
8. Park MS, Chung KY, Kim KD, Yang WI, Chung JH, Kim YS, Chang J, Kim JH, Kim SK, Kim SK: Prognosis of thymic epithelial tumors according to the new World Health Organization histologic classification. Ann Thorac Surg 78(3): 992-7, 2004
11
1
12
2
3
4
5
6
7
8
9
10
References_xml – reference: 1. Sung YM, Lee KS, Kim BT, Choi JY, Shim YM, Yi CA: 18F-FDG PET/CT of thymic epithelial tumors: usefulness for distinguishing and staging tumor subgroups. J Nucl Med 47(10): 1628-34, 2006
– reference: 6. Igai H, Matsuura N, Tarumi S, Chang SS, Misaki N, Go T, Ishikawa S, Yokomise H: Usefulness of [18F]fluoro-2-deoxy-D-glucose positron emission tomography for predicting the World Health Organization malignancy grade of thymic epithelial tumors. Eur J Cardiothorac Surg 40(1): 143-5, 2011
– reference: 4. Kaira K, Endo M, Abe M, Nakagawa K, Ohde Y, Okumura T, Takahashi T, Murakami H, Tsuya A, Nakamura Y, Naito T, Hayashi I, Serizawa M, Koh Y, Hanaoka H, Tominaga H, Oriuchi N, Kondo H, Nakajima T, Yamamoto N: Biologic correlation of 2-[18F]-fluoro-2-deoxy-D-glucose uptake on positron emission tomography in thymic epithelial tumors. J Clin Oncol 28(23): 3746-53, 2010
– reference: 10. Sadohara J, Fujimoto K, Müller NL, Kato S, Takamori S, Ohkuma K, Terasaki H, Hayabuchi N: Thymic epithelial tumors: comparison of CT and MR imaging findings of low-risk thymomas, high-risk thymomas, and thymic carcinomas. Eur J Radiol 60(1): 70-9, 2006
– reference: 7. Terzi A, Bertolaccini L, Rizzardi G, Luzzi L, Bianchi A, Campione A, Comino A, Biggi A: Usefulness of 18-F FDG PET/CT in the pre-treatment evaluation of thymic epithelial neoplasms. Lung Cancer 74(2): 239-43, 2011
– reference: 8. Park MS, Chung KY, Kim KD, Yang WI, Chung JH, Kim YS, Chang J, Kim JH, Kim SK, Kim SK: Prognosis of thymic epithelial tumors according to the new World Health Organization histologic classification. Ann Thorac Surg 78(3): 992-7, 2004
– reference: 12. Takahashi K, Al-Janabi NJ: Computed tomography and magnetic resonance imaging of mediastinal tumors. J Magn Reson Imaging 32(6): 1325-39, 2010
– reference: 3. Inoue A, Tomiyama N, Tatsumi M, Ikeda N, Okumura M, Shiono H, Inoue M, Higuchi I, Aozasa K, Johkoh T, Nakamura H, Hatazawa J: 18F-FDG PET for the evaluation of thymic epithelial tumors: Correlation with the World Health Organization classification in addition to dual-time-point imaging. Eur J Nucl Med Mol Imaging 36(8): 1219-25, 2009
– reference: 5. Nakajo M, Kajiya Y, Tani A, Yoneda S, Shirahama H, Higashi M, Nakajo M: 18FDG PET for grading malignancy in thymic epithelial tumors: significant differences in 18FDG uptake and expression of glucose transporter-1 and hexokinase II between low and high-risk tumors: preliminary study. Eur J Radiol 81(1): 146-51, 2010
– reference: 2. Endo M, Nakagawa K, Ohde Y, Okumura T, Kondo H, Igawa S, Nakamura Y, Tsuya A, Murakami H, Takahashi T, Yamamoto N, Ito I, Kameya T: Utility of 18FDG-PET for differentiating the grade of malignancy in thymic epithelial tumors. Lung Cancer 61(3): 350-5, 2008
– reference: 11. Tomiyama N, Honda O, Tsubamoto M, Inoue A, Sumikawa H, Kuriyama K, Kusumoto M, Johkoh T, Nakamura H: Anterior mediastinal tumors: diagnostic accuracy of CT and MRI. Eur J Radiol 69(2): 280-8, 2009
– reference: 9. Han J, Lee KS, Yi CA, Kim TS, Shim YM, Kim J, Kim K, Kwon OJ: Thymic epithelial tumors classified according to a newly established WHO scheme: CT and MR findings. Korean J Radiol 4(1): 46-53, 2003
– ident: 2
  doi: 10.1016/j.lungcan.2008.01.003
– ident: 9
  doi: 10.3348/kjr.2003.4.1.46
– ident: 6
  doi: 10.1016/j.ejcts.2010.09.009
– ident: 3
  doi: 10.1007/s00259-009-1082-4
– ident: 12
  doi: 10.1002/jmri.22377
– ident: 1
– ident: 5
  doi: 10.1016/j.ejrad.2010.08.010
– ident: 10
  doi: 10.1016/j.ejrad.2006.05.003
– ident: 7
  doi: 10.1016/j.lungcan.2011.02.018
– ident: 11
  doi: 10.1016/j.ejrad.2007.10.002
– ident: 4
  doi: 10.1200/JCO.2009.27.4662
– ident: 8
  doi: 10.1016/j.athoracsur.2004.03.097
SSID ssj0033555
Score 1.9960203
SecondaryResourceType review_article
Snippet In this article, seven studies evaluating the utility of FDG-PET in the diagnosis of thymic epithelial tumors were reviewed and the results of an investigation...
SourceID pubmed
crossref
jstage
SourceType Index Database
Enrichment Source
Publisher
StartPage 225
SubjectTerms diagnosis
FDG-PET
Fluorodeoxyglucose F18
Humans
Multimodal Imaging - methods
Neoplasm Staging
Neoplasms, Glandular and Epithelial - diagnostic imaging
Neoplasms, Glandular and Epithelial - pathology
pathology
Positron-Emission Tomography - methods
Radiopharmaceuticals
staging
thymic epithelial tumor
Thymus Neoplasms - diagnostic imaging
Thymus Neoplasms - pathology
Tomography, X-Ray Computed
Title The utility of FDG-PET in the diagnosis of thymic epithelial tumors
URI https://www.jstage.jst.go.jp/article/jmi/59/3.4/59_225/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/23037192
Volume 59
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX The Journal of Medical Investigation, 2012, Vol.59(3.4), pp.225-234
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELaWghAXRHmUBVpZggtCWZrYeR1R2-0CovSQSr2F2LHVdF8VTQ7w65mJ7SRb9VB68a4cP5SZ8eQbe2ZMyAcfc6wlEcONqn2P6xDWHIiJB9i00EEkAiFbb4uTaHbGv52H56PRr4HXUlOLifx7a1zJfbgKdcBXjJL9D852g0IF_Af-QgkchvLOPIbhF9atYnp47J0eZc51sTRedCbhCPADveDVFcZgLNpgkWa5tkc5l_1wA4DqznAGqTj6M_uf9XUzb4HnrCrVvBruHvi9lZld3PT9yNbz5vqiWhafpgWm_fjTTeVO-I2KZJjUlAfmNEW5utSLEnOxhtOrNtO3kR824UM1aYKd7Rc3MNuZN5U53riLynxZTcJ00nXZSI5tSZ9DozxMc5Zz_IG2uXuCwWsgKw_IwyCOfXT6PPz63X2rGaCtsDXJ7TuZBLY48-d-3g3I8ugSUDumY9iwQlo0kj0jTy2X6Bcz_TYZqdVz8tiR8QU5AMJTKxp0rakVDVqtKPCfdqKBz4xo0F40qBGNl-RsepQdzDx7X4YnAWTVng-vA3AjwHxEiOOlFomKFSw9qUo_5QKsUSFTXiQlYzJMdBlFXAsFGBhQqFTsFdlarVfqNaHQqShUHHJRlFzxqNBax0yqtNzXgLHDMfnoSJJLm0we7zRZ5GBUIvkcR4B8Y_K-a3tlUqjc2ioxlO3a3Jm3Y7JjeNF1BbsaVFAavLn_oG_JE1wvZrftHdmqfzdqF_BnLfZaEYLy5PTHP9NBjJ8
linkProvider Flying Publisher
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+utility+of+FDG-PET+in+the+diagnosis+of+thymic+epithelial+tumors&rft.jtitle=The+Journal+of+Medical+Investigation&rft.au=Otsuka%2C+Hideki&rft.date=2012&rft.pub=The+University+of+Tokushima+Faculty+of+Medicine&rft.issn=1343-1420&rft.eissn=1349-6867&rft.volume=59&rft.issue=3.4&rft.spage=225&rft.epage=234&rft_id=info:doi/10.2152%2Fjmi.59.225&rft.externalDocID=article_jmi_59_3_4_59_225_article_char_en
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1343-1420&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1343-1420&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1343-1420&client=summon