Characterization of cartilaginous tumors with 201Tl scintigraphy

Takahiro Higuchi, Junichi Taki, Hisashi Sumiya, Seigo Kinuya, Kenichi Nakajima, Masanobu Namura, Norihisa Tonami

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Abstract

Histological diagnosis and grading of cartilaginous tumors are closely correlated with patient prognosis; consequently, they are essential elements. We attempted to clarify the characteristics of 201Tl uptake in various histological types of cartilaginous tumors and to assess its clinical value. Methods: Twenty-two cases with histologically proven cartilaginous tumors (3 enchondromas, 15 conventional chondrosarcomas (grade I = 9, II = 5, III = 1), 3 mesenchymal chondrosarcomas, and 1 de-differentiated chondrosarcoma) were examined retrospectively. Planar 201Tl images were recorded 15 min following intravenous injection of 201Tl (111 MBq). 201Tl uptake in the tumor was evaluated visually employing a five-grade scoring system: 0 = no appreciable uptake, 1 = faint uptake above the background level, 2 = moderate uptake, 3 = intense uptake but lower than heart uptake and 4 = uptake higher than heart uptake. Results: 201Tl uptake scores were 0 in 3 of 3 enchondromas, 9 of 9 grade I, and 4 of 5 grade II conventional chondrosarcomas. 201Tl uptake scores were 1 among 1 of 5 grades II and a grade III conventional chondrosarcoma. Mesenchymal chondrosarcoma and de-differentiated chondrosarcoma displayed 201Tl uptake scores of 2 or 3. Conclusions: Absence of elevated 201Tl uptake in cartilaginous tumors was indicative of enchondroma or low-grade conventional chondrosarcoma. However, in instances in which 201Tl uptake is obvious, high-grade chondrosarcoma or variant types should be considered.

Original languageEnglish
Pages (from-to)95-99
Number of pages5
JournalAnnals of nuclear medicine
Volume19
Issue number2
DOIs
Publication statusPublished - Apr 2005

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Keywords

  • Bone and soft tissue sarcoma
  • Chondrosarcoma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Higuchi, T., Taki, J., Sumiya, H., Kinuya, S., Nakajima, K., Namura, M., & Tonami, N. (2005). Characterization of cartilaginous tumors with 201Tl scintigraphy. Annals of nuclear medicine, 19(2), 95-99. https://doi.org/10.1007/BF03027387