Positron Emission Tomography/Computed Tomography in Thyroid Cancer

PET Clin. 2022 Apr;17(2):265-283. doi: 10.1016/j.cpet.2021.12.004. Epub 2022 Mar 4.

Abstract

Fluorine-18-fluorodeoxyglucose-positron emission tomography/computed tomography (18F-FDG PET/CT) plays an important role in the management of thyroid malignancies. Incidentally found FDG avid nodule needs further workup to rule out its malignant potential. 18F-FDG PET/CT has a proven role in detecting recurrent disease or the metastatic workup of the thyroglobulin elevated negative radioiodine scan (TENIS) scenario. In managing histologically aggressive carcinoma of the thyroid, 18F-FDG PET/CT has a proven role. The theranostic potential has been explored with PET/CT using 68Ga-SSA, 68Ga-PSMA,68Ga-FAPI, and 68Ga-DOTA-RGD. The 124I PET/CT role is just being investigated for better spatial resolution and helps in dosimetry.

Keywords: 18F-FDG PET/CT; Differentiated thyroid cancer; Medullary thyroid cancer; TENIS; Thyroid cancer.

Publication types

  • Review

MeSH terms

  • Fluorodeoxyglucose F18
  • Gallium Isotopes
  • Gallium Radioisotopes
  • Humans
  • Iodine Radioisotopes*
  • Positron Emission Tomography Computed Tomography / methods
  • Positron-Emission Tomography
  • Thyroglobulin
  • Thyroid Neoplasms* / diagnostic imaging
  • Thyroid Neoplasms* / pathology

Substances

  • Gallium Isotopes
  • Gallium Radioisotopes
  • Iodine Radioisotopes
  • Iodine-124
  • gallium 68 PSMA-11
  • Fluorodeoxyglucose F18
  • Thyroglobulin