The first experience of using 99MTc-1-Thio-D-glucose for single-photon emission computed tomography imaging of lymphomas

V. I. Chernov, E. A. Dudnikova, R. V. Zelchan, T. L. Kravchuk, A. V. Danilova, A. A. Medvedeva, I. G. Sinilkin, O. D. Bragina, V. E. Goldberg, A. V. Goldberg, I. G. Frolova

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Introduction. The purpose of this study was to evaluate the feasibility of using 99mTc-TG SPECT in the detection and staging of malignant lymphoma. Materials and methods. Fifteen patients with newly diagnosed malignant lymphoma underwent 99mTc-TG SPECT. Six patients had Hodgkin's lymphoma and 9 patients had aggressive forms of non-Hodgkin's lymphoma (NHL): diffuse large B-cell lymphoma (7 cases), B-cell follicular lymphoma (1 case), and lymphoma from B cells in the marginal zone (1 case). Stage IIA was diagnosed in 5 patients, stage IIB in 1, stage IIIA in 1, stage IVA in 4 and stage IVB in 4 patients. Results. Pathological 99mTc-TG uptake in lymph nodes was observed in 14 (93 %) of the 15 patients. In one patient, the enlarged submandibular lymph node (16 mm in size) detected by CT was not visualized by 99mTc-TG SPECT. This false-negative result was likely to be associated with increased accumulation of 99mTc-TG in the oropharyngeal region. There were difficulties in the visualization of paratracheal, para-aortic and paracardial lymph nodes. These difficulties were associated with a high blood background activity, which persisted even 4 hours after intravenous injection of 99mTc-TG. Software-based SPECT and CT image fusion allowed visualization of these lymph nodes. The pathological 99mTc-TG accumulation in axillary, supraclavicular, infraclavicular and cervical lymph nodes was observed most often. Extranodal involvement was seen in 9 patients. 99mTc-TG SPECT identified extranodal hypermetabolic lesions in 7 (78 %) of these patients. In one patient, hypermetabolic lesion in the lung detected by 99mTc-TG SPECT was not detected on CT image. CT identified bone marrow involvement in the pelvic and scapula in 1 patient. The use of 99mTc-TG SPECT allowed the visualization of hypermetabolic bone tissue lesions in this patient (Figure 4). In addition, in a patient with intact bone tissue on CT, 99mTc-TG SPECT detected hypermetabolic lesions in the iliac bone. Conclusion. 99mTc-1-Thio-D-glucose demonstrated increased uptake in nodal and extranodal sites of lymphoma. The results indicate that SPECT with 99mTc-1-Thio-D-glucose is a feasible and useful tool in the detection and staging malignant lymphoma.

Original languageEnglish
Pages (from-to)81-87
Number of pages7
JournalSiberian Journal of Oncology
Issue number4
Publication statusPublished - 2018


  • Tc-1-Thio-D-glucose
  • Hodgkin's lymphoma
  • Lymphomas
  • Non-Hodgkin's lymphomas
  • Single-photon emission computed tomography

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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