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Increased Arterial PET/CT 18F-Fluorodeoxyglucose Uptake in Obese and Overweight Patients
Authors:ŞA Tuzcu  FA Çetin  Z Pekkolay  A Gezici  AK Tuzcu
Institution:1. Dicle University Medical Faculty Department of Nuclear Medicine, Sur, Diyarbak?r, Turkey;2. Department of Radiology, Ba?lar Private Hospital, Ba?lar, Diyarbak?r, Turkey;3. Dicle University Medical Faculty Department of Endocrinology and Metabolism, Sur, Diyarbak?r, Turkey;1. Nuclear medicine department, university hospital of Martinique, CHU de Pierre-Zobda-Quitman, CS 90632, 97261 Fort-de-France, Martinique;2. Physiology department, university hospital of Martinique, Fort-de-France, Martinique;3. INSERM U942, Paris-Diderot university, Paris, France;1. Service de médecine nucléaire, Centre G.F. Leclerc, 1, rue Pr-Marion, BP 77980, 21079 Dijon cedex, France;2. Laboratoire Algade, avenue du Brugeaud, BP 46, 87250 Bessines-sur-Gartempe, France;1. Department of Medicinal Chemistry, School of Pharmacy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;2. Cellular and Molecular Research Center, Yasouj University of Medical Sciences, Yasouj, Iran;3. Department of Biology, Faculty of Basic Sciences, Yasouj University, Yasouj, Iran;1. Service de médecine nucléaire, hôpital militaire principal d’instruction de Tunis, Tunis, Tunisie;2. Service d’oto-rhino-laryngologie, hôpital militaire principal d’instruction de Tunis, Tunis, Tunisie;3. Faculté de médecine de Tunis, Tunis, Tunisie
Abstract:ObjectivesWe aimed to investigate the association between BMI and early atherosclerotic activity in cancer patients. We also compared the inflammatory and macroscopic calcification processes of atherosclerosis in the aortic segments and large arteries by 18F-FDG PET/CT of between normal and high BMI patients.MethodsWe conducted a retrospective review of cancer patients presented to our institution within the period between February and May 2018. Patients were classified according to their BMI into two groups: normal BMI group and high BMI group. Data of average SUVmax and SUVmean for four segments of the aorta, common iliac arteries, and femoral arteries were estimated and compared between both groups. Moreover, the macroscopic calcification on CT images for each vascular section was also reported.ResultsNinety-eight patients were classified into two groups: normal BMI group (n = 52; 53.1%), and high BMI group (n = 46; 46.9%). Average SUVmax was significantly higher in obese participants in all arterial segments (P < 0.05). However, the SUVmean was significantly higher in obese patients in only three arterial segments aortic arch, left femoral artery and descending thoracic aorta (P < 0.05).Moreover, the differences between the two study groups in terms of the frequency of macroscopic calcifications were not statistically significant for all vascular segments. BMI positively correlated with SUVmax and SUVmean of the vascular segments (r value from 0,219 to 0,575/p value between 0,023 and 0,0001).ConclusionsFluorine-18-FDG PET/CT imaging revealed that patients with high BMI have more accelerated atherosclerotic inflammatory process in their major vessels compared to their age-matched controls with normal BMI. Future studies should assess the associated between these findings and the cardiovascular events in the long term.
Keywords:Atherosclerosis  Body mass index  Inflammation  Calcification  Athérosclérose  TEP/TDM 18F-FDG  Indice de masse corporelle  Inflammation  Calcification
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