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Nakahori R, Takahashi R, Akashi M, Tsutsui K, Harada S, Matsubayashi RN, Nakagawa S, Momosaki S, Akagi Y. Breast carcinoma originating from a silicone granuloma: a case report. World J Surg Oncol 2015; 13:72. [PMID: 25888835 PMCID: PMC4350903 DOI: 10.1186/s12957-015-0509-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2014] [Accepted: 02/09/2015] [Indexed: 11/17/2022] Open
Abstract
Breast carcinoma rarely occurs in cases of foreign body granulomas following liquid silicone injection. Although the Food and Drug Administration (FDA) banned the use of all silicone injection products in 1992, liquid silicone injection for breast augmentation continues to be performed illegally. We herein report a case of breast carcinoma following liquid silicone injection in a 67-year-old female. A total of 45 years after liquid silicone injection, the patient had felt a breast mass in the right breast. Mammography showed a smooth mass that retracted the right nipple. Due to the presence of a marked acoustic shadow caused by the granulomas, evaluating the mass on ultrasonography was difficult. However, magnetic resonance imaging (MRI) showed a lobulated mass under the right nipple. The mass exhibited low signal intensity (SI) on T1-weighted images and intermingled high and low SI on T2-weighted images. Heterogeneous early enhancement with central low intensity was noted on dynamic contrast-enhanced MRI. Several oval-shaped low SI structures in the adipose tissue and disruption of the pectoralis major muscle were also observed. We diagnosed the patient with invasive ductal carcinoma based on a stereotactic-guided Mammotome® (a vacuum-assisted biopsy system manufactured by DEVICOR MEDICAL JAPAN, Tokyo, Japan) biopsy and subsequently performed mastectomy and axillary lymph node dissection (with a positive result for the sentinel node biopsy). Histologically, invasive ductal carcinoma was observed in the silicone granuloma. The development of foreign body granulomas following breast augmentation usually makes it difficult to detect breast cancer; thus, various devices are required to confirm the histological diagnosis of breast lesions. The stereotactic-guided Mammotome® biopsy system may be an effective device for diagnosing breast cancer developing in the augmented breast.
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Affiliation(s)
- Ryoichi Nakahori
- Department of Breast Care Center, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuou-ku, Fukuoka, Japan. .,Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Ryuji Takahashi
- Department of Breast Care Center, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuou-ku, Fukuoka, Japan. .,Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Momoko Akashi
- Department of Breast Care Center, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuou-ku, Fukuoka, Japan. .,Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Kana Tsutsui
- Department of Breast Care Center, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuou-ku, Fukuoka, Japan. .,Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Shino Harada
- Department of Breast Care Center, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuou-ku, Fukuoka, Japan. .,Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Roka Namoto Matsubayashi
- Department of Breast Care Center, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuou-ku, Fukuoka, Japan. .,Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Shino Nakagawa
- Department of Breast Care Center, National Hospital Organization Kyushu Medical Center, 1-8-1 Jigyohama, Chuou-ku, Fukuoka, Japan. .,Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Seiya Momosaki
- Clinical Research Institute, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan. .,Department of Pathology, National Hospital Organization Kyushu Medical Center, 1-8-1 Chigyouhama, Chuou-ku, Fukuoka, Japan.
| | - Yoshito Akagi
- Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, 830-0011, Kurume, Japan.
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Benveniste AP, Yang W, Benveniste MF, Mawlawi OR, Marom EM. Benign breast lesions detected by positron emission tomography-computed tomography. Eur J Radiol 2014; 83:919-929. [PMID: 24657106 DOI: 10.1016/j.ejrad.2014.02.010] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2013] [Revised: 02/06/2014] [Accepted: 02/09/2014] [Indexed: 02/03/2023]
Abstract
(18)F-fluorodeoxyglucose positron emission computed tomography (FDG PET-CT) is widely used in the initial staging and response evaluation of patients with malignancy. This review describes a spectrum of benign breast findings incidentally detected by FDG PET-CT at staging that may be misinterpreted as malignancy. We describe the pattern of distribution and intensity of FDG uptake in a spectrum of benign breast diseases with their corresponding typical morphological imaging characteristics to help the nuclear medicine physician and/or general radiologist identify benign lesions, avoiding unnecessary breast imaging work-up and biopsies.
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Affiliation(s)
- Ana P Benveniste
- Department of Diagnostic Radiology,The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
| | - Wei Yang
- Department of Diagnostic Radiology,The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
| | - Marcelo F Benveniste
- Department of Diagnostic Radiology,The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
| | - Osama R Mawlawi
- Department of imaging physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
| | - Edith M Marom
- Department of Diagnostic Radiology,The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
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Billè A, Girelli L, Leo F, Pastorino U. A false positive fluorodeoxyglucose lymphadenopathy in a patient with pulmonary carcinoid tumor and previous breast reconstruction after bilateral mastectomy. Gen Thorac Cardiovasc Surg 2013; 62:195-7. [PMID: 23420332 DOI: 10.1007/s11748-013-0223-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2013] [Accepted: 02/07/2013] [Indexed: 11/29/2022]
Abstract
We present a case of a 60-year-old woman with a positive fluorodeoxyglucose integrated positron emission tomography and computed tomography (PET/TC) mammary chain lymphadenopathy and carcinoid tumor of the left lower lobe who had a previous bilateral mastectomy and breast reconstruction for breast cancer. She underwent a right muscle sparing mini-thoracotomy and mammary chain lymphadenectomy; the final histopathology showed granulomatous reaction to silicone.
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Affiliation(s)
- Andrea Billè
- Department of Thoracic Surgery, IRCCS Foundation National Institute of Cancer, Via Venezian, 120100, Milan, Italy,
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Abstract
Diagnostic imaging modalities utilized in the care of cancer patients must fulfill several requirements: they must diagnose and characterize tumors with high accuracy, must reliably stage and restage the disease, and should allow for monitoring the effects of therapeutic interventions on the course of the disease. They should impact management by guiding treating physicians to appropriate individualized treatment strategies. There is ample evidence that positron emission tomography (PET) and PET-computed tomography (CT) imaging can meet these requirements. This chapter discusses the role and contributions of PET and PET-CT imaging using (18)F-fluorodeoxyglucose in diagnosing, staging, restaging, and treatment monitoring of breast cancer. Novel molecular imaging probes and devices that have been developed and translated into early clinical research protocols are also introduced.
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Affiliation(s)
- Johannes Czernin
- Ahmanson Biological Imaging Division, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, CA, USA.
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Kobe K, Chin T, Aoki R, Hyakusoku H. A false-positive fluorodeoxyglucose positron emission tomography (FDG-PET) imaging result for a patient after augmentation mammaplasty. Aesthetic Plast Surg 2009; 33:611-5. [PMID: 19421809 DOI: 10.1007/s00266-009-9347-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2009] [Accepted: 03/21/2009] [Indexed: 11/26/2022]
Abstract
BACKGROUND Various materials and methods have been used for augmentation mammaplasty since it was first performed in Japan in the late 1940s. Although augmentation mammaplasty is not associated with an increased risk of breast cancer, a number of studies have reported that breast implants, or subsequent changes around these foreign substances, can affect images made by mammography, CT, or MRI during breast cancer screening. A method that is increasingly being used to detect cancer is positron emission tomography (PET). METHODS To determine the effect of augmentation mammaplasty on PET imaging, we subjected ten women who had previously undergone augmentation mammaplasty to PET imaging as well as other imaging methods. We also measured tumor markers and performed pathologic studies. RESULTS The histologic analyses failed to detect any cases of malignancy. We assess the efficacy of PET for detecting breast cancer in women who had undergone augmentation mammaplasty and describe the features of the PET images of these women. Finally, we discuss future research objectives in relation to PET-based screening for breast cancer. CONCLUSION It is important to identify an imaging methodology that improves the detection of breast cancer in patients with a previous mammaplasty. We show here that FDG-PET may improve breast cancer detection after mammaplasty.
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Affiliation(s)
- Kyoko Kobe
- Department of Plastic and Reconstructive Surgery, Nippon Medical School Hospital, 1-1-5, Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.
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Chen CJ, Lee BF, Yao WJ, Wu PS, Chen WC, Peng SL, Chiu NT. A false positive F-FDG PET/CT scan caused by breast silicone injection. Korean J Radiol 2009; 10:194-6. [PMID: 19270867 PMCID: PMC2651438 DOI: 10.3348/kjr.2009.10.2.194] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2008] [Accepted: 07/30/2008] [Indexed: 11/15/2022] Open
Abstract
We present here the case of a 40-year-old woman with a greater than 10 year prior history of bilateral breast silicone injection and saline bag implantation. Bilateral palpable breast nodules were observed, but the ultrasound scan was suboptimal and the magnetic resonance imaging showed no gadolinium-enhanced tumor. The (18)F-FDG PET/CT scan showed a hypermetabolic nodule in the left breast with a 30% increase of (18)F-FDG uptake on the delayed imaging, and this mimicked breast cancer. She underwent a left partial mastectomy and the pathology demonstrated a siliconoma.
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Affiliation(s)
- Chao-Jung Chen
- Department of Nuclear Medicine, National Cheng Kung University Medical College and Hospital, Tainan, Taiwan
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Abstract
Positron emission tomography combined with computed tomography (PET/CT) has been receiving increasing attention during the recent years for making the diagnosis, for determining the staging and for the follow-up of various malignancies. The PET/CT findings of 58 breast cancer patients (age range: 34-79 years old, mean age: 50 years) were retrospectively compared with the PET or CT scans alone. PET/CT was found to be better than PET or CT alone for detecting small tumors or multiple metastases, for accurately localizing lymph node metastasis and for monitoring the response to chemotherapy in breast cancer patients.
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MESH Headings
- Adult
- Aged
- Bone Neoplasms/diagnosis
- Bone Neoplasms/pathology
- Bone Neoplasms/secondary
- Breast/diagnostic imaging
- Breast/pathology
- Breast Neoplasms/diagnosis
- Breast Neoplasms/diagnostic imaging
- Breast Neoplasms/pathology
- Carcinoma, Ductal, Breast/diagnosis
- Carcinoma, Ductal, Breast/pathology
- Carcinoma, Intraductal, Noninfiltrating/diagnosis
- Carcinoma, Intraductal, Noninfiltrating/diagnostic imaging
- Carcinoma, Intraductal, Noninfiltrating/pathology
- Contrast Media/administration & dosage
- Female
- Humans
- Lymphatic Metastasis
- Mammography/methods
- Middle Aged
- Neoplasm Recurrence, Local/diagnosis
- Neoplasm Recurrence, Local/pathology
- Neoplasm Staging/methods
- Positron-Emission Tomography/methods
- Radiographic Image Enhancement/methods
- Reproducibility of Results
- Retrospective Studies
- Sensitivity and Specificity
- Tomography, X-Ray Computed/methods
- Ultrasonography, Mammary
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Affiliation(s)
- Sang Kyu Yang
- Department of Radiology, College of Medicine Seoul National University and The Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea
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Abstract
We present the FDG PET images of a 60-year-old woman with a history of breast cancer, bilateral mastectomy, and reconstruction 4 years ago who presented for a whole-body scan to evaluate for recurrent and metastatic disease. The images showed inflammatory FDG activity around the ruptured left breast prosthesis likely in response to the leaking prosthesis. The patient underwent surgery for the replacement of the prosthesis, which did not show any evidence of neoplastic disease.
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Affiliation(s)
- Peeyush Bhargava
- Division of Nuclear Medicine, St. Luke's Roosevelt Hospital Center, New York, NY 07073, USA.
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Domínguez ML, Suárez JP, Maldonado A, García-Bernardo L, García-Rico E, Cornide M, de las Heras PM, Serna JA, Ortega F. [Contribution of positron emission tomography to the detection and staging of breast cancer]. Cir Esp 2006; 77:271-9. [PMID: 16420933 DOI: 10.1016/s0009-739x(05)70853-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
INTRODUCTION 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) is a diagnostic imaging tool with multiple applications in oncology. One of the more promising applications in breast cancer is noninvasive lymph node staging and detection of distant metastases, which may provide useful information about prognosis and treatment response. MATERIAL AND METHOD Published studies on FDG-PET applications in breast cancer detection and staging were reviewed. We also present our own experience in patients referred for preoperative staging of breast cancer. RESULTS FDG-PET is very useful in evaluating dense breasts, multicentric disease and breast prostheses. The sensitivity of FDG-PET for nodal staging is low, and consequently it cannot replace either sentinel lymph node biopsy or histologic examination. However, it is more accurate than another noninvasive techniques and is very useful in internal mammary node chain evaluation. FDG-PET can improve and maybe replace conventional imaging in detecting metastatic disease, especially in high risk patients with locoregionally advanced recurrent breast cancer or increased serum tumor markers, and helps to characterize unclear findings of anatomic imaging techniques or scintigraphy. CONCLUSIONS FDG-PET is useful in breast cancer staging. It complements and even improves information from other diagnostic techniques and changes therapeutic management in a high proportion of patients.
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Affiliation(s)
- M Luz Domínguez
- Servicio de Medicina Nuclear, Hospital Universitario Infanta Cristina, Badajoz, Spain.
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10
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Abstract
Since the 1960s, bone scanning has played a major role in the management of breast cancer. In the last decade, however, the role of radionuclide molecular imaging has expanded significantly in the clinical management of breast cancer because of fluorodeoxyglucose positron emission tomography, mammoscintigraphy, and sentinel lymph node techniques. Molecular imaging also is instrumental in drug development,gene therapy, and in basic science research of breast cancer. This article provides a comprehensive review of the role of molecular imaging of breast cancer in clinical practice and reports on the current state of research in this field.
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Affiliation(s)
- David M Schuster
- Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Emory University Hospital, 1364 Clifton Road, NE, Atlanta, GA 30322, USA.
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11
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Abstract
F-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) has proved clinically useful for both malignant and inflammatory lesions. The author describes a 54-year-old woman with previously treated carcinoma of the breast. There was spontaneous rupture of a breast implant placed previously as part of a reconstruction. While being evaluated clinically, prominent axillary lymph nodes were palpated on the ipsilateral side of the recent implant rupture. An F-18 FDG PET scan demonstrated intense uptake in these nodes. Lymph node biopsy demonstrated benign inflammatory reaction and no recurrence of malignancy.
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Affiliation(s)
- Robert Hurwitz
- Department of Radiology and Nuclear Medicine, Hoag Memorial Hospital Presbyterian, Newport Beach, California 92658-6100, USA.
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12
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Abstract
Positron emission tomography together with F-18-deoxyglucose (FDG) has emerged as a valuable clinical tool in the field of oncology. FDG-PET diagnoses, stages and restages most cancers with a high diagnostic accuracy. The effects of chemotherapy on tumour metabolism can be monitored with this whole-body technique. Recent studies have established a high prognostic accuracy of PET for predicting the clinical outcome of cancer patients. The current review addresses the role of FDG-PET for diagnosing, staging and restaging of lung cancer, colorectal cancer, lymphoma, melanoma and breast cancer staging and provides a brief outlook for future applications of clinical PET imaging.
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Affiliation(s)
- J Czernin
- Department of Molecular and Medical Pharmacology, Ahmanson Biological Imaging Clinic, UCLA School of Medicine, Los Angeles, California, USA.
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Affiliation(s)
- Barbara Resnick
- University of Maryland, School of Nursing, Baltimore 21201, USA.
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Talbot JN, Grahek D, Kerrou K, Younsi N, de Beco V, Colombet-Lamau C, Petegnief Y, Cailleux N, Montravers F. [(18F)-fluoro-2-deoxyglucose PET in imaging of gynecologic cancers]. Gynecol Obstet Fertil 2001; 29:775-98. [PMID: 11770272 DOI: 10.1016/s1297-9589(01)00197-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Although gynaecological cancers are not currently part of the clinical indications in the French registration for [18F]-fluoro-2-deoxyglucose (FDG), various studies indicate in this context a potential clinical benefit of imaging with this radiopharmaceutical and PET, a new imaging modality that can be performed either with a dedicated machine or with a "hybrid" gamma-camera (CDET). The potential indications of FDG-PET in mammary, ovarian or cervical cancers are reviewed according to the diagnostic phase: screening, tumour characterisation, staging, therapeutic follow-up and search for recurrence. By pooling the published results, the accuracy of FDG-PET could be estimated with a reasonable precision in various clinical settings: characterisation of a breast tumour (598/696 = 86%), lymph node invasion in breast cancer (525/602 = 87%), recurrence of breast cancer (114/127 = 90%), characterisation of adnexal masses (130/176 = 78%), recurrence of ovarian cancer (152/172 = 88%), lymph node invasion in cervical cancer (98/103 = 95%). Authors also present original data concerning their experience of recurrence detection with CDET in breast or ovarian cancers. In 44 patients suspicious of recurrence of breast cancer, FDG-CDET sensitivity was 94%, specificity 82% and accuracy 91%; in 18 patients suspicious of recurrence of ovarian cancer, specificity, sensitivity and accuracy were 100%. The impact of dedicated PET and CDET examinations performed by our team during year 2000, led, according to 63 forms returned to us, to a modification of stage in 48% of breast cancers, 36% of ovarian cancers, 43% of cervical cancers and above all induced a modification in patients' management in respectively 69%, 64% and 60% of cases, more than the average rate in cancer patients which was 50%. No significant difference was observed between clinical impact of dedicated PET and CDET examinations.
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Affiliation(s)
- J N Talbot
- Service de médecine nucléaire, hôpital Tenon, AP-HP, Paris, France
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