Abstract
Nuclear medicine plays an important role in the evaluation of inflammatory processes for many years. The tools used, starting from the gamma camera, passing through the SPECT, up to the latest PET scan, have increased diagnostic accuracy in this difficult field. Even the more specific radiotracers that are being used are a goal in further improving the appropriateness of nuclear medicine in this area. Many studies have shown that positron emission tomography with 2-deoxy- 2-[fluorine-18]fluoro-D-glucose integrated with computed tomography (18F-FDG-PET/CT), commonly used in the oncology field, has also the features to study some diseases with inflammatory origin which are usually difficult to identify using traditional diagnostic techniques. Indeed the activated inflammatory cells accumulate FDG with high concentration depending upon the degree of stimulation that is a function of inflammatory activity. In particular some recent papers have suggested that FDG-PET is a very promising tool in the diagnosis of the infected kidney and liver cysts in autosomal dominant polycystic kidney disease (ADPKD). Basing on our large personal experience, we report images of some suggestive clinical cases and the major works written in the literature about this specific clinical setting. At last limits, advantages and potential of this diagnostic examination, together with some new future development, are reported in this chapter.
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Penna, D., Militano, V., Arena, V., Cistaro, A., Pelosi, E. (2018). Nuclear Medicine in the Management of Patient with Kidneys Intracystic Infection. In: Tonolini, M. (eds) Imaging and Intervention in Urinary Tract Infections and Urosepsis. Springer, Cham. https://doi.org/10.1007/978-3-319-68276-1_13
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DOI: https://doi.org/10.1007/978-3-319-68276-1_13
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