Comparison of 68Ga-DOTATOC and 18F-FDG Thoracic Lymph Node and Pulmonary Lesion Uptake Using PET/CT in Postprimary Tuberculosis

Paulo Henrique Rosado-de-Castro Department of Internal Medicine, D’Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil;
Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;
Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;

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Thiago Pereira-de-Carvalho Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;
Department of Internal Medicine, Petropolis School of Medicine/Arthur Sá Earp Neto Faculty, Petropolis, Brazil;

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Miriam Menna Barreto Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;

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Afrânio Lineu Kritski Academic Tuberculosis Program, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;

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Rebecca de Oliveira Souza Department of Statistical Methods, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;

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Sergio Altino de Almeida Department of Internal Medicine, D’Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil;

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Valéria Cavalcanti Rolla Clinical Research Laboratory on Mycobacteria, Evandro Chagas National Institute of Infectious Diseases, Fiocruz, Rio de Janeiro, Brazil;

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Walter Araujo Zin Laboratory of Respiration Physiology, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;

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Alysson Roncally Silva Carvalho Laboratory of Respiration Physiology, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;
Cardiovascular R&D Centre (UnIC), Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal;
Laboratory of Pulmonary Engineering, Biomedical Engineering Program, Alberto Luiz Coimbra Institute of Post-Graduation and Research in Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

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Rosana Souza Rodrigues Department of Internal Medicine, D’Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil;
Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;

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ABSTRACT.

Tuberculosis (TB) remains one of the world’s leading infectious cause of morbidity and mortality. Positron emission tomography (PET) associated with computed tomography (CT) allows a structural and metabolic evaluation of TB lesions, being an excellent noninvasive alternative for understanding its pathogenesis. DOTATOC labeled with gallium-68 (68Ga-DOTATOC) can bind to somatostatin receptors present in activated macrophages and lymphocytes, cells with a fundamental role in TB pathogenesis. We describe 68Ga-DOTATOC uptake distribution and patterns in thoracic lymph nodes (LN) and pulmonary lesions (PL) in immunocompetent patients with active postprimary TB, analyze the relative LN/PL uptake, and compare this two tracer’s uptake. High uptake of both radiotracers in PL and LN was demonstrated, with higher LN/PL ratio on 68Ga-DOTATOC (P < 0.05). Considering that LN in immunocompetent patients are poorly studied, 68Ga-DOTATOC can contribute to the understanding of the complex immunopathogenesis of TB.

Author Notes

Address correspondence to Paulo Henrique Rosado-de-Castro, Department of Radiology, Federal University of Rio de Janeiro, Avenida Carlos Chagas Filho 373, Ilha do Fundão, Rio de Janeiro, CEP: 21941-902, Brazil. E-mail: phrosado@hucff.ufrj.br

Financial support: This work was supported by the Carlos Chagas Filho Research Support Foundation of the State of Rio de Janeiro (FAPERJ) (Grant nos. E-26/202.751/2018, E-26/202.785/2017, E-26/203.001/2018, E-26/203.279/2017, and E-26/211.867/2016) and the Brazilian National Council for Scientific and Technological Development (CNPq) (Grant nos. 302839/2017-8 and 312410/2017-4).

Authors’ addresses: Paulo Henrique Rosado-de-Castro, D’Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil, Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, and Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, E-mail: paulo.rosado@idor.org. Thiago Pereira-de-Carvalho, Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, and Petrópolis School of Medicine/Arthur Sá Earp Neto Faculty, Petrópolis, Brazil, E-mail: thiago@carvalho.it. Miriam Menna Barreto, Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, E-mail: miriam.menna@gmail.com. Afrânio Lineu Kritski, Academic Tuberculosis Program, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, E-mail: kritskia@gmail.com. Rebecca de Oliveira Souza, Department of Statistical Methods, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, E-mail: rebecca@dme.ufrj.br. Sergio Altino de Almeida, D’Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil, E-mail: altino.sergio@gmail.com. Valeria Cavalcanti Rolla, Clinical Research Laboratory on Mycobacteria, Evandro Chagas National Institute of Infectious Diseases, Fiocruz, Rio de Janeiro, Brazil, E-mail: valeria.rolla@ini.fiocruz.br. Walter Araujo Zin, Laboratory of Respiration Physiology, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, E-mail: wazin@biof.ufrj.br. Alysson Roncally Silva Carvalho, Laboratory of Respiration Physiology, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, Cardiovascular R&D Centre (UnIC), Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal, and Laboratory of Pulmonary Engineering, Biomedical Engineering Program, Alberto Luiz Coimbra Institute of Post-Graduation and Research in Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, E-mail: acarvalho@biof.ufrj.br. Rosana Souza Rodrigues, D’Or Institute for Research and Education, Botafogo, Rio de Janeiro, Brazil, and Department of Radiology, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil, E-mail: rosana.rodrigues@idor.org.

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