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Comparison of 68Ga-DOTATOC and 18F-FDG Thoracic Lymph Node and Pulmonary Lesion Uptake Using PET/CT in Postprimary Tuberculosis
Journal article   Open access   Peer reviewed

Comparison of 68Ga-DOTATOC and 18F-FDG Thoracic Lymph Node and Pulmonary Lesion Uptake Using PET/CT in Postprimary Tuberculosis

Paulo Henrique Rosado-de-Castro, Thiago Pereira-de-Carvalho, Miriam Menna Barreto, Afranio Lineu Kritski, Rebecca de Oliveira Souza, Sergio Altino de Almeida, Valeria Cavalcanti Rolla, Walter Araujo Zin, Alysson Roncally Silva Carvalho and Rosana Souza Rodrigues
The American journal of tropical medicine and hygiene, Vol.106(5), pp.1340-1344
04/04/2022
DOI: 10.4269/ajtmh.21-0416
PMID: 35378506
url
https://arca.fiocruz.br/handle/icict/59800View
Open Access

Abstract

Tuberculosis (TB) remains one of the world's leading infectious cause of morbidity and mortality. Positron emission tomography (PET) associated with computed tomography (CT) allows a structural and metabolic evaluation of TB lesions, being an excellent noninvasive alternative for understanding its pathogenesis. DOTATOC labeled with gallium-68 (Ga-68-DOTATOC) can bind to somatostatin receptors present in activated macrophages and lymphocytes, cells with a fundamental role in TB pathogenesis. We describe Ga-68-DOTATOC uptake distribution and patterns in thoracic lymph nodes (LN) and pulmonary lesions (PL) in immunocompetent patients with active postprimary TB, analyze the relative LN/PL uptake, and compare this two tracer's uptake. High uptake of both radiotracers in PL and LN was demonstrated, with higher LN/PL ratio on Ga-68-DOTATOC (P < 0.05). Considering that LN in immunocompetent patients are poorly studied, Ga-68-DOTATOC can contribute to the understanding of the complex immunopathogenesis of TB.
Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Tropical Medicine

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