Evaluation of thymic tumors with 18F-FDG PET-CT: A pictorial review

Author:

Sharma Punit1,Singhal Abhinav1,Kumar Arvind2,Bal Chandrasekhar1,Malhotra Arun1,Kumar Rakesh1

Affiliation:

1. Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi

2. Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India

Abstract

Thymic tumors represent a broad spectrum of neoplastic disorders and pose considerable diagnostic difficulties. A non-invasive imaging study to determine the nature of thymic lesions can have significant impact on management of such tumors. 18F-flurorodeoxyglucose (18F-FDG) positron emission tomography-computed tomography (PET-CT) has shown promising results in characterization of thymic tumors. The objective of this article is to provide an illustrative tutorial highlighting the clinical utility of 18F-FDG PET-CT imaging in patients with thymic tumors. We have pictorially depicted the 18F-FDG PET-CT salient imaging characteristics of various thymic tumors, both epithelial and non-epithelial. Also discussed is the dynamic physiology of thymus gland which is to be kept in mind when evaluating thymic pathology on 18F-FDG PET-CT, as it can lead to interpretative pitfalls.

Publisher

SAGE Publications

Subject

Radiology Nuclear Medicine and imaging,General Medicine,Radiological and Ultrasound Technology

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