Autoinflammatory & rare systemic diseases

Imaging features and clinical value of 18F-FDG PET/CT for predicting airway involvement in patients with relapsing polychondritis

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

PET/CT is a valuable tool for RP with airway involvement, particularly in assessing peripheral airway lesions, and PET/CT related parameters are significantly associated with disease patterns, severity, and long-term outcomes.

Study context

Population
Relapsing polychondritis (RP) patients with airway involvement who underwent 18F-FDG PET/CT, January 2010 to July 2022
Participants
52 patients
Outcome
FDG-avid airway lesions with increased FDG uptake on 18F-FDG PET
Methodological detailsretrospective review, long-term follow-up by questionnaire
  • Retrospective review
  • Long-term follow-up by questionnaire

Main finding

As reported in the abstract

Patients with FDG-avid airway lesions

94.2%

Patterns of airway involvement identified: focal, multifocal and diffuse

3

Observational data: associations, not effects.

Further findings

Long-term follow-up outcomes

Deaths during follow-up
5
Deaths related to airway problems
2
Higher FDG uptake predicted worse subjective feeling, but not symptom control or pulmonary function

Original publication

Imaging features and clinical value of 18F-FDG PET/CT for predicting airway involvement in patients with relapsing polychondritis. Arthritis Res Ther. Published 14 October 2023. doi:10.1186/s13075-023-03156-x

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