PMID- 22825654 OWN - NLM STAT- MEDLINE DCOM- 20130219 LR - 20211021 IS - 1436-2813 (Electronic) IS - 0941-1291 (Linking) VI - 42 IP - 10 DP - 2012 Oct TI - Effects of a proton pump inhibitor on the physiological accumulation of fluoro-2-deoxy-D-glucose (FDG) in FDG-positron emission tomography. PG - 927-33 LID - 10.1007/s00595-012-0265-y [doi] AB - PURPOSES: The physiological accumulation of fluoro-2-deoxy-D-glucose (FDG) is common in medical examinations of the digestive tract conducted using FDG-positron emission tomography (PET). The aim of this study was to determine the effects of a proton pump inhibitor (PPI) on the physiological FDG accumulation in the digestive tract. METHODS: A total of 130 patients examined from July 2007 to October 2008 were included in the final analysis. A PPI was administered orally prior to FDG-PET in 65 patients. The remaining 65 patients underwent FDG-PET without administration of the PPI. The assessments used visual and quantitative evaluations. RESULTS: Visual evaluation showed that physiological FDG accumulation in the stomach was significantly reduced (p = 0.037) in the PPI group compared with the control group. The quantitative evaluation also revealed a significant reduction in the maximum standardized uptake values (SUV(max)) in the stomach in the PPI group compared with the control group (p < 0.0001). Physiological FDG accumulation in the colon showed a decreasing trend on visual evaluation in the PPI group compared with the control group, and the quantitative evaluation found a significant reduction in the physiological FDG accumulation in the colon in the PPI group (p = 0.045). CONCLUSIONS: The oral administration of a PPI was effective for reducing the physiological accumulation of the FDG in the alimentary tract. However, based on the error associated with SUV(max) measurement, a quantitative evaluation should therefore be combined with the visual evaluation. FAU - Domeki, Yasushi AU - Domeki Y AD - Department of Surgical Oncology (Surgery I), Dokkyo Medical University, 880 Kitakobayashi, Mibu-machi, Tochigi 321-0293, Japan. y-domeki@dokkyomed.ac.jp FAU - Yamazaki, Erena AU - Yamazaki E FAU - Matsuura, Akira AU - Matsuura A FAU - Kitajima, Kazuhiro AU - Kitajima K FAU - Murakami, Koji AU - Murakami K FAU - Kato, Hiroyuki AU - Kato H LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20120724 PL - Japan TA - Surg Today JT - Surgery today JID - 9204360 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Proton Pump Inhibitors) RN - 0 (Radiopharmaceuticals) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) RN - 32828355LL (Rabeprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles/administration & dosage/*pharmacology MH - Adult MH - Aged MH - Aged, 80 and over MH - Colon/drug effects/*metabolism MH - Drug Administration Schedule MH - Female MH - Fluorodeoxyglucose F18/*pharmacokinetics MH - Gastric Mucosa/*metabolism MH - Humans MH - Male MH - Middle Aged MH - *Multimodal Imaging MH - Neoplasms/diagnostic imaging MH - *Positron-Emission Tomography MH - Proton Pump Inhibitors/administration & dosage/*pharmacology MH - Rabeprazole MH - Radiopharmaceuticals/*pharmacokinetics MH - Stomach/drug effects MH - Tissue Distribution/drug effects MH - *Tomography, X-Ray Computed EDAT- 2012/07/25 06:00 MHDA- 2013/02/21 06:00 CRDT- 2012/07/25 06:00 PHST- 2011/04/13 00:00 [received] PHST- 2011/06/27 00:00 [accepted] PHST- 2012/07/25 06:00 [entrez] PHST- 2012/07/25 06:00 [pubmed] PHST- 2013/02/21 06:00 [medline] AID - 10.1007/s00595-012-0265-y [doi] PST - ppublish SO - Surg Today. 2012 Oct;42(10):927-33. doi: 10.1007/s00595-012-0265-y. Epub 2012 Jul 24.