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Incidental ovarian 18F-FDG accumulation on PET: correlation with the menstrual cycle

  • Seok-Ki Kim
  • Keon Wook KangEmail author
  • Ju Won Roh
  • Jung Suk Sim
  • Eun Sook Lee
  • Sang-Yoon Park
Original Article

Abstract

Purpose

The aim of this study was to determine the nature of incidental ovarian 18F-fluoro-2-deoxyglucose (FDG) accumulation on positron emission tomography (PET) and the correlation with the menstrual cycle and menopause.

Methods

We identified 19 incidental FDG accumulations in the ovary (FAOs). FDG PET images were compared with other anatomical imaging methods [magnetic resonance imaging (MRI), computed tomography (CT) or ultrasonography (US)]. Pathological findings, FDG PET scan during the next menstrual cycle and follow-up images (PET, CT and MRI) were reviewed. To establish the relation of FAOs to the menstrual cycle, we reviewed whole-body FDG PET acquired from 207 consecutive women and the pre-examination questionnaires, including data regarding the menstrual cycle.

Results

All spherical or discoid FAOs were attributed to normally developing ovarian follicles and corpora lutea on the basis of concurrent MRI, US or the follow-up PET scan. Three of the FAOs were proved pathologically to be either normal ovaries or a haemorrhagic corpus luteum. Fifteen FAOs spontaneously disappeared on the short-term follow-up PET scans. Of 207 women, 61 had active menstrual cycles. FAOs were found in 12 out of 61 premenopausal women (20%), appearing between the 10th and 25th days of the menstrual cycle. No FAOs were found in the women who did not have a menstrual cycle.

Conclusion

Physiological ovarian FDG accumulation could be found around the time of ovulation and during the early luteal phase of the menstrual cycle in premenopausal woman. Since FAO is dependent on the menstrual cycle, it can be avoided by scheduling PET just after menstruation.

Keywords

18F-FDG Ovary Physiological accumulations PET 

Notes

Acknowledgements

The authors thank Mr. Woo Jae Won, Mr. Yong Geun Kim, Mr. Young Seok Kim and Mr. Jong Woon Moon for their excellent technical assistance and generous support. This work was supported by a grant from the National Cancer Center (0410200).

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Seok-Ki Kim
    • 1
  • Keon Wook Kang
    • 1
    Email author
  • Ju Won Roh
    • 1
  • Jung Suk Sim
    • 1
  • Eun Sook Lee
    • 1
  • Sang-Yoon Park
    • 1
  1. 1.Research Institute and Hospital, National Cancer CenterGyeonggiKorea

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