18F-FDG-PET/CT Imaging in Patients with Febrile Neutropenia and Haematological Malignancies.
Identifieur interne : 000141 ( Main/Exploration ); précédent : 000140; suivant : 00014218F-FDG-PET/CT Imaging in Patients with Febrile Neutropenia and Haematological Malignancies.
Auteurs : Vincent Camus [France] ; Agathe Edet-Sanson [France] ; Michael Bubenheim [France] ; Anne Hitzel [France] ; Stéphanie Becker [France] ; Marion David [Réunion] ; Aspasia Stamatoullas [France] ; Pascal Lenain [France] ; Fabrice Jardin [France] ; Nathalie Contentin [France] ; Marie Laure Fontoura [France] ; Nathalie Cardinael [France] ; Sandrine Vaudaux [France] ; Sydney Dubois ; Hervé Tilly [France] ; Pierre Vera [France] ; Stéphane Leprêtre [France]Source :
- Anticancer Research [ 0250-7005 ] ; 2015.
Abstract
The aim of the present study was to assess the prevalence of hyper-metabolic infection sites revealed by fluorine-18 ((18)F) fluorodeoxyglucose (FDG) positron-emission tomography (PET) combined with computed tomography (CT) in patients with febrile neutropenia (FN). Forty-eight consecutive patients with haematological malignancies and persistent FN (temperature ≥38°C and neutrophil count <500 cells/μl for more than two days) as a consequence of intensive chemotherapy were prospectively included. Pathological FDG uptakes identified 31 foci of infections located in the lungs (n=15, 48.4 %), colon (n=4, 12.9%), pancreas (n=2, 6.5%), skin (n=3, 9.7%), ear-nose-throat area (n=5, 16.1%), central venous catheter tract (n=1, 3.2%) and gallbladder (n=1, 3.2%). These pathological FDG uptakes were observed in half of the 48 patients (n=24). Among the 38 patients with a clinical diagnosis of infection, 23 showed a pathological FDG uptake, resulting in a FDG-PET/CT sensitivity of 61% (95% CI, 43-76%). Our study confirmed the ability of FDG-PET/CT to diagnose infections in patients with persistent FN.
Url:
Affiliations:
- France, Réunion
- Haute-Normandie, Région Normandie
- Le Havre, Rouen
- Université de Rouen, Université du Havre
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Le document en format XML
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TSA 40031 - 31059 Toulouse cedex 9</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-toulouse.fr/-medecine-nucleaire-purpan-</ref></desc><listRelation><relation active="#struct-300075" type="direct"></relation><relation active="#struct-324120" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300075" type="direct"><org type="institution" xml:id="struct-300075" status="VALID"><orgName>CHU Toulouse [Toulouse]</orgName><desc><address><addrLine>330 Avenue de Grande Bretagne, TSA 40031, 31059 Toulouse Cedex 09</addrLine><country key="FR"></country></address></desc></org></tutelle><tutelle active="#struct-324120" type="direct"><org type="institution" xml:id="struct-324120" status="INCOMING"><orgName>Hôpital Rangueil</orgName><desc><address><country key="FR"></country></address></desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Becker, Stephanie" sort="Becker, Stephanie" uniqKey="Becker S" first="Stéphanie" last="Becker">Stéphanie Becker</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-110210" status="VALID"> <orgName>Service de médecine nucléaire [Rouen]</orgName> <desc> <address> <addrLine>1 Rue d'Amiens, 76038 Rouen</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.becquerel.fr/index.php/2007061156/les-services-du-centre/les-services-medico-techniques.html</ref> </desc> <listRelation> <relation active="#struct-301598" type="direct"></relation> <relation active="#struct-301860" type="direct"></relation> </listRelation><tutelles><tutelle active="#struct-301598" type="direct"><org type="institution" xml:id="struct-301598" status="VALID"> <orgName>CRLCC Haute Normandie</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle><tutelle active="#struct-301860" type="direct"><org type="institution" xml:id="struct-301860" status="VALID"> <orgName>CRLCC Henri Becquerel</orgName> <desc> <address> <country key="FR"></country> </address> </desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="David, Marion" sort="David, Marion" uniqKey="David M" first="Marion" last="David">Marion David</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-209018" status="VALID"><orgName>Physique et Ingénierie Mathématique pour l'Énergie, l'environnemeNt et le bâtimenT</orgName><orgName type="acronym">PIMENT</orgName><desc><address><addrLine>Campus universitaire du Tampon 117 rue du Général Ailleret 97430 Le Tampon</addrLine><country key="RE"></country></address><ref type="url">http://piment.univ-reunion.fr/</ref></desc><listRelation><relation name="EA4518" active="#struct-300316" type="direct"></relation></listRelation><tutelles><tutelle name="EA4518" active="#struct-300316" type="direct"><org type="institution" xml:id="struct-300316" status="VALID"><orgName>Université de la Réunion</orgName><desc><address><addrLine>15, avenue René Cassin CS9200397744 Saint Denis Cedex 9</addrLine><country key="RE"></country></address><ref type="url">http://www.univ-reunion.fr</ref></desc></org></tutelle></tutelles></hal:affiliation><country>Réunion</country></affiliation></author><author><name sortKey="Stamatoullas, Aspasia" sort="Stamatoullas, Aspasia" uniqKey="Stamatoullas A" first="Aspasia" last="Stamatoullas">Aspasia Stamatoullas</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-46229" status="VALID"><orgName>Groupe d'étude des proliférations lymphoïdes</orgName><desc><address><addrLine>Rouen</addrLine><country key="FR"></country></address></desc><listRelation><relation active="#struct-300318" type="direct"></relation><relation name="U918" active="#struct-303623" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300318" type="direct"><org type="institution" xml:id="struct-300318" status="VALID"><orgName>Université de Rouen</orgName><desc><address><addrLine> 1 rue Thomas Becket - 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76821 Mont-Saint-Aignan</addrLine><country key="FR"></country></address><ref type="url">http://www.univ-rouen.fr/</ref></desc></org></tutelle><tutelle name="U918" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"><idno type="IdRef">026388278</idno><orgName>Institut National de la Santé et de la Recherche Médicale</orgName><orgName type="acronym">INSERM</orgName><desc><address><addrLine>101, rue de Tolbiac, 75013 Paris </addrLine><country key="FR"></country></address><ref type="url">http://www.inserm.fr</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rouen</settlement><region type="region" nuts="2">Région Normandie</region><region type="old region" nuts="2">Haute-Normandie</region></placeName><orgName type="university">Université de Rouen</orgName></affiliation></author><author><name sortKey="Vera, Pierre" sort="Vera, Pierre" uniqKey="Vera P" first="Pierre" last="Vera">Pierre Vera</name><affiliation wicri:level="1"><hal:affiliation type="researchteam" xml:id="struct-399309" status="INCOMING"><orgName>QUANTIF LITIS</orgName><desc><address><country key="FR"></country></address></desc><listRelation><relation active="#struct-23832" type="direct"></relation><relation active="#struct-300317" type="indirect"></relation><relation name="EA4108" active="#struct-300318" type="indirect"></relation><relation active="#struct-301288" type="indirect"></relation><relation active="#struct-301232" type="indirect"></relation><relation active="#struct-110330" type="direct"></relation><relation active="#struct-300106" type="indirect"></relation><relation active="#struct-300147" type="indirect"></relation></listRelation><tutelles><tutelle active="#struct-23832" type="direct"><org type="laboratory" xml:id="struct-23832" status="VALID"><orgName>Laboratoire d'Informatique, de Traitement de l'Information et des Systèmes</orgName><orgName type="acronym">LITIS</orgName><desc><address><addrLine>Avenue de l'Université UFR des Sciences et Techniques 76800 Saint-Etienne du Rouvray</addrLine><country key="FR"></country></address><ref type="url">http://www.litislab.eu</ref></desc><listRelation><relation active="#struct-300317" type="direct"></relation><relation name="EA4108" active="#struct-300318" type="direct"></relation><relation active="#struct-301288" type="direct"></relation><relation active="#struct-301232" type="indirect"></relation></listRelation></org></tutelle><tutelle active="#struct-300317" type="indirect"><org type="institution" xml:id="struct-300317" status="VALID"><orgName>Université du Havre</orgName><desc><address><country key="FR"></country></address></desc></org></tutelle><tutelle name="EA4108" active="#struct-300318" type="indirect"><org type="institution" xml:id="struct-300318" status="VALID"><orgName>Université de Rouen</orgName><desc><address><addrLine> 1 rue Thomas Becket - 76821 Mont-Saint-Aignan</addrLine><country key="FR"></country></address><ref type="url">http://www.univ-rouen.fr/</ref></desc></org></tutelle><tutelle active="#struct-301288" type="indirect"><org type="department" xml:id="struct-301288" status="VALID"><orgName>Institut National des Sciences Appliquées - Rouen</orgName><orgName type="acronym">INSA Rouen</orgName><desc><address><country key="FR"></country></address></desc><listRelation><relation active="#struct-301232" type="direct"></relation></listRelation></org></tutelle><tutelle active="#struct-301232" type="indirect"><org type="institution" xml:id="struct-301232" status="VALID"><orgName>Institut National des Sciences Appliquées</orgName><orgName type="acronym">INSA</orgName><desc><address><country key="FR"></country></address></desc></org></tutelle><tutelle active="#struct-110330" type="direct"><org type="laboratory" xml:id="struct-110330" status="VALID"><orgName>Service d'imagerie médicale</orgName><desc><address><country key="FR"></country></address></desc><listRelation><relation active="#struct-300106" type="direct"></relation><relation active="#struct-300147" type="direct"></relation></listRelation></org></tutelle><tutelle active="#struct-300106" type="indirect"><org type="institution" xml:id="struct-300106" status="VALID"><orgName>Hôpital Charles Nicolle</orgName><desc><address><country key="FR"></country></address></desc></org></tutelle><tutelle active="#struct-300147" type="indirect"><org type="institution" xml:id="struct-300147" status="VALID"><orgName>CHU Rouen</orgName><desc><address><country key="FR"></country></address></desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Le Havre</settlement><region type="region" nuts="2">Région Normandie</region><region type="old region" nuts="2">Haute-Normandie</region></placeName><orgName type="university">Université du Havre</orgName><placeName><settlement type="city">Rouen</settlement><region type="region" nuts="2">Région Normandie</region><region type="old region" nuts="2">Haute-Normandie</region></placeName><orgName type="university">Université de Rouen</orgName></affiliation></author><author><name sortKey="Lepretre, Stephane" sort="Lepretre, Stephane" uniqKey="Lepretre S" first="Stéphane" last="Leprêtre">Stéphane Leprêtre</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-46229" status="VALID"><orgName>Groupe d'étude des proliférations lymphoïdes</orgName><desc><address><addrLine>Rouen</addrLine><country key="FR"></country></address></desc><listRelation><relation active="#struct-300318" type="direct"></relation><relation name="U918" active="#struct-303623" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300318" type="direct"><org type="institution" xml:id="struct-300318" status="VALID"><orgName>Université de Rouen</orgName><desc><address><addrLine> 1 rue Thomas Becket - 76821 Mont-Saint-Aignan</addrLine><country key="FR"></country></address><ref type="url">http://www.univ-rouen.fr/</ref></desc></org></tutelle><tutelle name="U918" active="#struct-303623" type="direct"><org type="institution" xml:id="struct-303623" status="VALID"><idno type="IdRef">026388278</idno><orgName>Institut National de la Santé et de la Recherche Médicale</orgName><orgName type="acronym">INSERM</orgName><desc><address><addrLine>101, rue de Tolbiac, 75013 Paris </addrLine><country key="FR"></country></address><ref type="url">http://www.inserm.fr</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Rouen</settlement><region type="region" nuts="2">Région Normandie</region><region type="old region" nuts="2">Haute-Normandie</region></placeName><orgName type="university">Université de Rouen</orgName></affiliation></author></analytic><series><title level="j">Anticancer Research</title><idno type="ISSN">0250-7005</idno><imprint><date type="datePub">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the present study was to assess the prevalence of hyper-metabolic infection sites revealed by fluorine-18 ((18)F) fluorodeoxyglucose (FDG) positron-emission tomography (PET) combined with computed tomography (CT) in patients with febrile neutropenia (FN). Forty-eight consecutive patients with haematological malignancies and persistent FN (temperature ≥38°C and neutrophil count <500 cells/μl for more than two days) as a consequence of intensive chemotherapy were prospectively included. Pathological FDG uptakes identified 31 foci of infections located in the lungs (n=15, 48.4 %), colon (n=4, 12.9%), pancreas (n=2, 6.5%), skin (n=3, 9.7%), ear-nose-throat area (n=5, 16.1%), central venous catheter tract (n=1, 3.2%) and gallbladder (n=1, 3.2%). These pathological FDG uptakes were observed in half of the 48 patients (n=24). Among the 38 patients with a clinical diagnosis of infection, 23 showed a pathological FDG uptake, resulting in a FDG-PET/CT sensitivity of 61% (95% CI, 43-76%). Our study confirmed the ability of FDG-PET/CT to diagnose infections in patients with persistent FN.</div></front></TEI><affiliations><list><country><li>France</li><li>Réunion</li></country><region><li>Haute-Normandie</li><li>Région Normandie</li></region><settlement><li>Le Havre</li><li>Rouen</li></settlement><orgName><li>Université de Rouen</li><li>Université du Havre</li></orgName></list><tree><noCountry><name sortKey="Dubois, Sydney" sort="Dubois, Sydney" uniqKey="Dubois S" first="Sydney" last="Dubois">Sydney Dubois</name></noCountry><country name="France"><noRegion><name sortKey="Camus, Vincent" sort="Camus, Vincent" uniqKey="Camus V" first="Vincent" last="Camus">Vincent Camus</name></noRegion><name sortKey="Becker, Stephanie" sort="Becker, Stephanie" uniqKey="Becker S" first="Stéphanie" last="Becker">Stéphanie Becker</name><name sortKey="Bubenheim, Michael" sort="Bubenheim, Michael" uniqKey="Bubenheim M" first="Michael" last="Bubenheim">Michael Bubenheim</name><name sortKey="Cardinael, Nathalie" sort="Cardinael, Nathalie" uniqKey="Cardinael N" first="Nathalie" last="Cardinael">Nathalie Cardinael</name><name sortKey="Contentin, Nathalie" sort="Contentin, Nathalie" uniqKey="Contentin N" first="Nathalie" last="Contentin">Nathalie Contentin</name><name sortKey="Edet Sanson, Agathe" sort="Edet Sanson, Agathe" uniqKey="Edet Sanson A" first="Agathe" last="Edet-Sanson">Agathe Edet-Sanson</name><name sortKey="Fontoura, Marie Laure" sort="Fontoura, Marie Laure" uniqKey="Fontoura M" first="Marie Laure" last="Fontoura">Marie Laure Fontoura</name><name sortKey="Hitzel, Anne" sort="Hitzel, Anne" uniqKey="Hitzel A" first="Anne" last="Hitzel">Anne Hitzel</name><name sortKey="Jardin, Fabrice" sort="Jardin, Fabrice" uniqKey="Jardin F" first="Fabrice" last="Jardin">Fabrice Jardin</name><name sortKey="Lenain, Pascal" sort="Lenain, Pascal" uniqKey="Lenain P" first="Pascal" last="Lenain">Pascal Lenain</name><name sortKey="Lepretre, Stephane" sort="Lepretre, Stephane" uniqKey="Lepretre S" first="Stéphane" last="Leprêtre">Stéphane Leprêtre</name><name sortKey="Stamatoullas, Aspasia" sort="Stamatoullas, Aspasia" uniqKey="Stamatoullas A" first="Aspasia" last="Stamatoullas">Aspasia Stamatoullas</name><name sortKey="Tilly, Herve" sort="Tilly, Herve" uniqKey="Tilly H" first="Hervé" last="Tilly">Hervé Tilly</name><name sortKey="Vaudaux, Sandrine" sort="Vaudaux, Sandrine" uniqKey="Vaudaux S" first="Sandrine" last="Vaudaux">Sandrine Vaudaux</name><name sortKey="Vera, Pierre" sort="Vera, Pierre" uniqKey="Vera P" first="Pierre" last="Vera">Pierre Vera</name></country><country name="Réunion"><noRegion><name sortKey="David, Marion" sort="David, Marion" uniqKey="David M" first="Marion" last="David">Marion David</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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