Metabolic 99mTc-1-Thio-D-Glucose SPECT/CT in the Diagnosis of Brain Metastasis of Genital Diffuse-B-Large Cell Lymphoma (Clinical Case)

Cover Page

Cite item

Full Text

Abstract

Purpose: To demonstrate a rare clinical case of early recurrence of verified primary genital lymphoma and the possibility of 99mTc-1-Thio-D-glucose (99mTc-TG) SPECT/CT using to brain metastasis diagnosis.

Material and methods: A patient with a diagnosis of primary diffuse large B-cell genital lymphoma underwent magnetic resonance imaging (MRI) to assess the extent of the disease. Post-treatment follow-up included 18F-FDG PET/CT. To diagnose brain metastasis, 99mTc-TG SPECT/CT and MRI were performed.

Results: A rare case of early recurrence of diffuse large B-cell lymphoma with a primary local lesion in the genital organs is described. The possibility of modern methods of nuclear medicine in the diagnosis of early recurrence of malignant lymphoma has been demonstrated. 99mTc-TG SPECT/CT and MRI, were useful for visualization of a high metabolic brain tumor at the outpatient stage and recommendation of high-dose therapy according to the scheme MT-R was done.

Conclusion: The article presents a rare clinical case of early recurrence of diffuse large B-cell genital lymphoma. Possibilities of SPECT/CT with 99mTc-TG for visualization of lymphoma metastasis to the brain were demonstrated.

About the authors

A. V. Muravleva

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

V. E. Goldberg

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

E. A. Dudnikova

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

T. L. Kravchuk

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

R. V. Zelchan

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

A. A. Medvedeva

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

O. D. Bragina

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

E. I. Simolina

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

N. O. Popova

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

V. V. Vysockaja

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

V. A. Shatalova

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

A. N. Rybina

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

A. V. Goldberg

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

S. A. Tabakaev

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

V. I. Chernov

Cancer Research Institute, Tomsk National Research Medical Center

Email: albina_danilova7487@mail.ru
Tomsk

References

  1. Chernov V.I., Dudnikova E.A., Goldberg V.E., Kravchuk T.L., Danilova A.V., Zelchan R.V., Medvedeva A.A., Sinilkin I.G., Bragina O.D., Popova N.O., Goldberg A.V. Positron Emission Tomography in the Diagnosis and Monitoring of Lymphomas. Meditsinskaya Radiologiya i Radiatsionnaya Bezopasnost = Medical Radiology and Radiation Safety. 2018;63;6:41-50 (In Russ.).
  2. Rossiyskiye Klinicheskiye Rekomendatsii po Diagnostike i Lecheniyu Zlokachestvennykh Limfoproliferativnykh Zabolevaniy = Russian Clinical Guidelines for the Diagnosis and Treatment OF Malignant Lymphoproliferative Diseases. Ed. Poddubnaya I.V., Savchenko V.G. 2018. 470 p. (In Russ.).
  3. Barrington S.F., Mikhaeel N.G., Kostakoglu L., et al. Role of Imaging in the Staging and Response Assessment of Lymphoma: Consensus of the International Conference on Malignant Lymphomas Imaging Working Group. J. Clin. Oncol. 2014;32:3048–3058. doi: 10.1200/JCO.2013.53.5229.
  4. Cheson B.D., Fisher R.I., Barrington S.F., et al. Recommendations for Initial Evaluation, Staging, and Response Assessment of Hodgkin and non-Hodgkin Lymphoma: the Lugano Classification // J. Clin. Oncol. 2014. No. 32. P. 3059–3068. doi: 10.1200/JCO.2013.54.8800.
  5. Dreyling M., Thieblemont C., Gallamini A., et al. ESMO Consensus Conferences: Guidelines on Malignant Lymphoma. Part 2: Marginal Zone Lymphoma, Mantle Cell Lymphoma, Peripheral T-Cell Lymphoma. Ann. Oncol. 2013;24:857–877. DOI:- 10.1093/annonc/mds643.
  6. Boellaard R., Delgado-Bolton R., Oyen W.J.G., et al. FDG PET/CT: EANM Procedure Guidelines for Tumour Imaging: Version 2.0. Eur. J. Nucl. Med. Mol. Imaging. 2015;42:328–354. https://doi.org/10.1007/s00259-014-2961-x.
  7. Zeltchan R., Medvedeva A., Sinilkin I., et al. Experimental Study of Radiopharmaceuticals Based on Technetium-99m Labeled Derivative of Glucose for Tumor Diagnosis. IOP Conference Series. Materials Science and Engineering. 2016. 012054. DOI. 10.1088/1757-899X/135/1/012054.
  8. Zelchan R.V., Medvedeva A.A., Sinilkin I.G. Study of the Functional Suitability of the Tumorotropic Radiopharmaceutical 99mTc-1-thio-D-Glucose in the Experiment. Molekulyarnaya Meditsina = Molecular Medicine. 2018;16;2:54–57. DOI: https://doi.org/10.29296/24999490-2018-03-11 (In Russ.).
  9. Chernov V.I., Dudnikova E.A., Medvedeva A.A., Sinilkin I.G. Development Radiopharmaceuticals for Nuclear Medicine in Oncology. Meditsinskaya Vizualizatsiya = Medical Visualization. 2016;2:63–66 (In Russ.).
  10. Chernov V.I., Dudnikova E.A., Zelchan R.V., et al. The First Experience of Using99mTc-1-thio-d-Glucose for Single-Photon Emission Computed Tomography Imaging of Lymphomas. Sibirskiy Onkologicheskiy Zhurnal = Siberian Journal of Oncology. 2018;17;4:81–87. doi: 10.21294/1814-4861-2018-17-4-81-87 (In Russ.).
  11. Dudnikova E.A., Chernov V.I., Muravleva A.V., et al. Metabolic Single-Photon Emission Computed Tomography with the New Radiopharmaceutical99mTc-1-Thio-D-Glucose in the Diagnosis and Monitoring of the Primary Breast Lymphoma (Case Report). Sibirskiy Onkologicheskiy Zhurnal = Siberian Journal of Oncology. 2020;19;5:145–153. https://doi.org/10.21294/1814-4861-2018-17-4-81-87 (In Russ.).
  12. Muravleva A.V., Chernov V.I., Dudnikova E.A., et al. Metabolic Single-Photon Emission Computed Tomography with “99mtc-1-Thio-D-Glucose” ‒ New Possibilities for Hodgkin’s Lymphoma Staging. Rossiyskiy Elektronnyy Zhurnal Luchevoy Diagnostiki = Russian Electronic Journal of Radiology. 2021;11;3:171–177. doi: 10.21569/2222-7415-2021-11-3-171-177 (In Russ.).
  13. Chernov V., Dudnikova E., Zelchan R., Medvedeva A., Rybina A., Bragina O., Goldberg V., Muravleva A., Sörensen J., Tolmachev V. Phase I Clinical Trial Using [99mTc]Tc-1-thio-D-glucose for Diagnosis of Lymphoma Patients. Pharmaceutics. 2022;14:1274.

Supplementary files

Supplementary Files
Action
1. JATS XML

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).