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1. 18F-Fluorodeoxyglucose Positron Emission Tomography (18F-FDG-PET) for Staging and Follow-Up of Marginal Zone B-Cell Lymphoma

Author

Kurt Kletter, Markus Raderer, M. Hoffmann, Ulrich Jäger, Andreas Chott, and Alexander Becherer

Subjects
Cancer Research, Pathology, medicine.medical_specialty, medicine.diagnostic_test, business.industry, MALT lymphoma, General Medicine, medicine.disease, 18f fdg pet, Lymphoma, Fluorodeoxyglucose positron emission tomography, medicine.anatomical_structure, Oncology, immune system diseases, Positron emission tomography, hemic and lymphatic diseases, medicine, Marginal zone B-cell lymphoma, Radiology, business, Mucosa-associated lymphoid tissue, B cell
Abstract

Objective: According to recent reports, nodal marginal zone lymphoma (MZL) appears to be a distinctive lymphoma entity rather than a more advanced stage of extranodal MZL of mucosa-associated lymphoid tissue (MALT). We have therefore retrospectively evaluated all patients diagnosed with nodal or extranodal MZL who have been referred to our unit for imaging using 18F-fluorodeoxyglucose positron emission tomography (18F-FDG-PET). Patients and Methods: A total of 21 patients with a diagnosis of MZL upon referral for imaging with 18F-FDG-PET were identified. Histological reassessment of biopsy specimens confirmed the diagnosis of extranodal MZL of MALT in 14 patients, while a diagnosis of nodal MZL was verified in 6 patients. Lymphoma cell proliferation was assessed immunohistochemically using a Ki-67 antibody. Whole-body 18F-FDG-PET scans were performed on a GE advanced PET scanner 40 min after intravenous injection of 300–380 MBq 18F-FDG. Results: None of the patients with extranodal MZL showed focal tracer uptake within verified tumor sites. In contrast, 5 of the 6 patients with nodal MZL showed significant FDG uptake within the affected lymph nodes. These results did not simply reflect the different growth fractions of the two lymphoma entities since the proliferation indices of the two groups did not differ significantly. Conclusion:18F-FDG-PET visualizes nodal MZL in a high proportion of patients whereas FDG uptake is undetectable in extranodal MZL. Although limited by the small number of patients, this study suggests that imaging with 18F-FDG-PET might play a potential role in the diagnostic workup of patients with nodal MZL involvement.

Published
2003
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2. Contents Vol. 64, 2003

Author

Steven J. O’Day, Emilia Crisanti, Massimo Di Maio, Peter K. Vogt, Manuela Pacyna-Gengelbach, Marija Gamulin, Giulio C. Spagnoli, Simona Messinese, S. Pyrhönen, Kurt Kletter, D.M. Katschinski, Tomotaka Kawayama, K.E. Rosenblatt, Tetsuya Yamamoto, Takashi Sugimura, R. Bendardaf, Chang Ok Suh, Keisuke Matsusaki, Takuji Okusaka, Y. Kishimoto, Daniele Turci, N. Malamos, Faraj Terro, Regina Deck, J. Laine, E. Karyda, Bert Hildebrandt, Takashi Fujishita, Genichi Nishimura, Cesare Gridelli, J. Tímár, Yuichi Oshita, K. Drumea, Ross E. Turner, W. Longo, Tsuyoshi Kimura, Rafael M. Nagler, Wataru Yasui, Tatsuhiko Kashii, Ofer Ben-Itzhak, Martha Hoffmann, Shuichi Okada, Hitoshi Tsuda, N. Haim, H. Lamlum, Monika Jermann, Koichi Shimizu, Hirofumi Nakayama, H. Kujari, Markus Raderer, Giuseppe D'Aiuto, Z. Orosz, H. Bailey, Sachio Fushida, Hejing Wang, M. Ben-Shachar, Anna Cappellini, Takashi Fukutomi, Ira Minkov, Jacques Hugon, Sandrine Robert, Frank Trimoreau, Johanna Skoglund, Yasuhiko Kitadai, Francesco Salvestrini, Maria Grazia Cantù, Shoko Oishi, Lars Meyer, Francesco Perrone, A. Kuten, Emanuela Rossi, Z. Voulgaris, Gunnar Arbman, Anna Emterling, Francesco Nuzzo, Peter D. Boasberg, Bernhard C. Pestalozzi, J. Hasegawa, R. Epelbaum, G. Shiota, Catherine Yardin, Michiya Matunami, Kazuaki Miyamoto, Kuniko Wakazono, John Carstensen, Tomislav Oresic, A. Ardavanis, Shoshana Ben-Eliezer, Hiroshi Funaki, Gerardo Amabile, Hedviga Kerner, Robert Šeparović, Luigi Terracciano, Alexander Becherer, Eleni Petridou, Y. Maeda, J. Finet, Hong Zhang, N. Miura, Takashi Tani, Massimo Loda, Toshimitsu Saisho, Antonio Juretić, W. Gillis, R. Ristamäki, K. Kalbakis, J.D.P. van Dijk, Hee Chul Park, M.E. Stein, Pierpaolo Correale, M Sabatino, Agnieszka Pietas, Roberto Petrioli, A.M. Westermann, S. Agelaki, Delia Marina Alexe, Michael Heberer, Daniele Pozzessere, Chigusa Morizane, Hisamichi Aizawa, A. Marumoto, Toshikazu Ushijima, Maurizio Marangolo, K. Malas, Oscar S. Breathnach, C.L. Tiggelaar, Antonio Rossi, Rumi Gohara, Takashi Fujimura, Naohide Oue, Itsuro Terada, Koichi Miwa, Gerardo Rosati, A. Bakhshandeh, Hiroshi Fukui, Yukiko Yagi, M. Gergye, Kiyoshi Asada, E. Jager, Kiyomi Taniyama, Masao Ichiki, Elke Schultz-Thater, Ulrich Jäger, Shunji Matsumura, Beth Tamar, Evagelos Spanos, Kyoo Ho Shin, Masato Kayahara, V. Georgoulias, Luigi Manzione, N. Udvarhelyi, Marinshine Gentler, P.Z. Vörde sive Vörding, Andreas Chott, Zbigniew Petrovich, Hideki Ueno, T. Bánfalvi, Diodoro Colarusso, Eric P. Winer, A. Knuth, Sofia Evertsson, J. Zidan, G. Landi, Yukihiro Tatemoto, Takeharu Koga, Ch. Kouroussis, Bozena Sarcevic, Eisaku Ueta, Iver Petersen, Zdenko Krajina, Y. Collan, Andrea de Matteis, Hong Ryull Pyo, V. Labonia, Y. Murawaki, François Labrousse, Hanno Riess, E. Gez, Panagiotis Koukoulomatis, S.O. Peters, Dimitrios Trichopoulos, Virginie Bellet, Teresa Di Palma, Tokio Osaki, Barbara Petit, A. Alexopoulos, T. Nakagawa, Ugo De Giorgi, Tomoko Kamimura, Jose Schneider, K. Gilde, Tim S. Kristedja, Isabelle Pommepuy, A. Neumann, Pat Ames, Tetsuo Ohta, Itasu Ninomiya, Susana M. Campos, G.J. Wiedemann, Guido Francini, Stefania Marsili, E. Tselepatiotis, Antonio Manganelli, Yuan Chen, Toru Rikimaru, Maureen Martin, D. Jager, Kelly Shinn, A. Sano, Bruce E. Johnson, Simone Petersen, H.I. Robins, Xiao-Feng Sun, and Shin-ichi Harada

Subjects
Cancer Research, Oncology, General Medicine
Published
2003
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3. Subject Index Vol. 64, 2003

Author

Tomoko Kamimura, Peter D. Boasberg, Johanna Skoglund, Ira Minkov, Isabelle Pommepuy, W. Gillis, Francesco Salvestrini, S. Agelaki, J. Tímár, Eleni Petridou, Agnieszka Pietas, A. Bakhshandeh, Y. Maeda, Hirofumi Nakayama, Hong Zhang, Sandrine Robert, Takeharu Koga, Shoshana Ben-Eliezer, K. Kalbakis, Manuela Pacyna-Gengelbach, Ofer Ben-Itzhak, Marinshine Gentler, Anna Emterling, Peter K. Vogt, Shunji Matsumura, Luigi Manzione, Anna Cappellini, Hitoshi Tsuda, Tomislav Oresic, Robert Šeparović, G. Shiota, Tomotaka Kawayama, H. Kujari, Gunnar Arbman, Rafael M. Nagler, Wataru Yasui, Bernhard C. Pestalozzi, Marija Gamulin, Rumi Gohara, N. Miura, Tsuyoshi Kimura, Daniele Turci, François Labrousse, Jacques Hugon, D.M. Katschinski, H. Lamlum, Koichi Shimizu, Tatsuhiko Kashii, Hanno Riess, Takashi Sugimura, Massimo Loda, Ch. Kouroussis, A. Ardavanis, K. Drumea, J. Hasegawa, W. Longo, Michael Heberer, Ross E. Turner, N. Udvarhelyi, Jose Schneider, Sachio Fushida, Emanuela Rossi, Z. Voulgaris, A. Marumoto, Panagiotis Koukoulomatis, John Carstensen, E. Gez, H. Bailey, Maureen Martin, M.E. Stein, S.O. Peters, Naohide Oue, R. Bendardaf, K. Gilde, Iver Petersen, Zdenko Krajina, Hong Ryull Pyo, V. Labonia, Giulio C. Spagnoli, Francesco Nuzzo, Kuniko Wakazono, Hideki Ueno, Keisuke Matsusaki, Takuji Okusaka, Takashi Fukutomi, Kelly Shinn, Yasuhiko Kitadai, Simona Messinese, Beth Tamar, Chang Ok Suh, C.L. Tiggelaar, R. Epelbaum, Itsuro Terada, Kazuaki Miyamoto, Gerardo Amabile, R. Ristamäki, Diodoro Colarusso, Hisamichi Aizawa, Frank Trimoreau, H.I. Robins, Koichi Miwa, Gerardo Rosati, J. Laine, Faraj Terro, Eric P. Winer, Maria Grazia Cantù, Shoko Oishi, E. Karyda, A. Kuten, Takashi Fujishita, A. Knuth, E. Jager, N. Malamos, Sofia Evertsson, J. Zidan, Xiao-Feng Sun, Hiroshi Fukui, S. Pyrhönen, Evagelos Spanos, Shin-ichi Harada, Dimitrios Trichopoulos, Hedviga Kerner, Martha Hoffmann, Bert Hildebrandt, Regina Deck, Kyoo Ho Shin, V. Georgoulias, Hee Chul Park, Hiroshi Funaki, J. Finet, Toshimitsu Saisho, Steven J. O'Day, N. Haim, Monika Jermann, Yukihiro Tatemoto, Shuichi Okada, Delia Marina Alexe, T. Bánfalvi, Daniele Pozzessere, A.M. Westermann, Takashi Tani, Ulrich Jäger, Roberto Petrioli, Genichi Nishimura, G.J. Wiedemann, M. Ben-Shachar, Zbigniew Petrovich, Francesco Perrone, Yukiko Yagi, Susana M. Campos, Simone Petersen, Bruce E. Johnson, Yuichi Oshita, Kiyoshi Asada, A. Alexopoulos, Giuseppe D'Aiuto, Emilia Crisanti, Z. Orosz, Masato Kayahara, Antonio Manganelli, A. Neumann, Toshikazu Ushijima, Oscar S. Breathnach, Massimo Di Maio, Virginie Bellet, Y. Kishimoto, Cesare Gridelli, Teresa Di Palma, Luigi Terracciano, Tim S. Kristedja, Ugo De Giorgi, Tetsuya Yamamoto, P.Z. Vörde sive Vörding, Markus Raderer, M. Gergye, Lars Meyer, Tokio Osaki, Toru Rikimaru, Catherine Yardin, Alexander Becherer, G. Landi, Bozena Sarcevic, Itasu Ninomiya, D. Jager, Eisaku Ueta, Andrea de Matteis, Guido Francini, Stefania Marsili, E. Tselepatiotis, Chigusa Morizane, K.E. Rosenblatt, Kurt Kletter, Pierpaolo Correale, Pat Ames, Yuan Chen, A. Sano, T. Nakagawa, Michiya Matunami, Tetsuo Ohta, Antonio Rossi, Maurizio Marangolo, K. Malas, Antonio Juretić, M Sabatino, Takashi Fujimura, Kiyomi Taniyama, Masao Ichiki, Barbara Petit, Elke Schultz-Thater, Andreas Chott, J. D. P. Van Dijk, Hejing Wang, Y. Collan, and Y. Murawaki

Subjects
Cancer Research, Index (economics), Oncology, Statistics, Subject (documents), General Medicine, Mathematics
Published
2003
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4. Contents Vol. 56, 2001

Author

Kentaro Fujiwara, G. Gandolfo, Peter C. Hindmarsh, F.S. Celi, Taiya Kato, Leslie A. Perry, P.C. Hindmarsh, R. Sibilla, N. Viceconti, Fernando Bandrés, Steven Karger, Charles G. D. Brook, Michael Roden, Enric Vicens-Calvet, Yasutoshi Itoh, Evangelia Charmandari, Mehul T. Dattani, Susanna Riqué, Carmen Sanchez Ufarte, Elisabeth Bernroider, Neus Potau, M. Centanni, José L. Chicharro, Mutsuko Nagata, Akio Nagasaka, Antonio Carrascosa, Teruo Sugawara, M. Gussinyé, Naohisa Oda, Mitsuyasu Itoh, Kurt Kletter, Takako Kobayashi, L. Conti, Hiroaki Kakizawa, Claudia Ludwig, Yuko Fujimoto, D. Mentuccia, Milo Zachmann, Alejandro Lucia, Masaki Makino, Seiichiro Fujimoto, A. Nakai, Thomas Karger, Werner Waldhäusl, Susanne Kurzemann, D. Danese, Nicolás Terrados, Jesús Hoyos, Hideki Katsumata, Benjamín Fernández, L. Gargano, and Martin Bischof

Subjects
Endocrinology, business.industry, Endocrinology, Diabetes and Metabolism, Pediatrics, Perinatology and Child Health, Medicine, business
Published
2001
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5. Subject Index Vol. 56, 2001

Author

P.C. Hindmarsh, Leslie A. Perry, A. Nakai, Werner Waldhäusl, D. Mentuccia, Nicolás Terrados, Milo Zachmann, R. Sibilla, Charles G. D. Brook, Masaki Makino, Michael Roden, Takako Kobayashi, Mitsuyasu Itoh, Yuko Fujimoto, Elisabeth Bernroider, Akio Nagasaka, M. Gussinyé, G. Gandolfo, Peter C. Hindmarsh, Teruo Sugawara, L. Conti, Enric Vicens-Calvet, Benjamín Fernández, Carmen Sanchez Ufarte, F.S. Celi, Claudia Ludwig, Seiichiro Fujimoto, Jesús Hoyos, Susanne Kurzemann, Fernando Bandrés, Evangelia Charmandari, Thomas Karger, Alejandro Lucia, Martin Bischof, Susanna Riqué, D. Danese, L. Gargano, Hideki Katsumata, Hiroaki Kakizawa, Mehul T. Dattani, Steven Karger, M. Centanni, José L. Chicharro, Antonio Carrascosa, Naohisa Oda, Neus Potau, Kurt Kletter, Kentaro Fujiwara, Taiya Kato, N. Viceconti, Yasutoshi Itoh, and Mutsuko Nagata

Subjects
Endocrinology, Index (economics), business.industry, Endocrinology, Diabetes and Metabolism, Pediatrics, Perinatology and Child Health, Statistics, Medicine, Subject (documents), business
Published
2001
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6. Small Bowel Function after Surgery for Chronic Radiation Enteritis

Author

Tibor Szepesi, Harald Vogelsang, Otto Schlappack, Kurt Kletter, J Miholic, and Peter Moeschl

Subjects
Diarrhea, Male, Taurocholic Acid, medicine.medical_specialty, Selenium Radioisotopes, Gastroenterology, Ileal resection, Enteritis, chemistry.chemical_compound, Ileum, Internal medicine, medicine, Radiation Enteritis, Humans, Intestinal Mucosa, Gastrointestinal Transit, Radiation Injuries, Radiation injury, Breath test, Xylose, medicine.diagnostic_test, business.industry, Body Weight, Small bowel function, Ileitis, Middle Aged, medicine.disease, Intestinal motility, Surgery, Breath Tests, chemistry, Female, Gastrointestinal Motility, business, SeHCAT, Follow-Up Studies
Abstract

The retention of the gamma-emitting 75Se-homotaurocholic acid (SeHCAT) after 72 and 168 h was assessed in 10 patients after ileal resection for radiation injury (group I). 6 patients suffering from chronic postirradiation diarrhea (group II) and 6 patients in whom the ileum had been resected for other indications (group III) were also examined. The retention of SeHCAT was abnormally low (less than 50%) in all cases after 72 h and below 20% in 19 out of 21 cases after 168 h. The length of resected small bowel (groups I and III) was inversely related with SeHCAT retention after 72 h (r = 0.63; p = 0.015), but not after 168 h. There was no correlation between the diarrhea score and the extent of bowel resection, SeHCAT retention or xylose absorption. Hydrogen breath test with lactulose revealed a significantly shortened orocecal transit time in group I, compared to groups II and III. Xylose absorption was significantly reduced in patients with positive 5 g xylose-H2 breath test. In groups I and III, however, xylose absorption tended to improve with increasing time interval following resection (r = 0.79; p = 0.003). It is concluded that radiation injury in addition to small-bowel resection contributes significantly to malabsorption and diarrhea in patients after ileal resection for radiation sequelae. The chronic radiation damage seems to act mainly through impaired motility.

Published
1989
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