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CHAPTER 6  Diagnostic Imaging in Oncology  119






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                            A                                   B
                           • Fig. 6.10  A transverse Short-T1 Inversion Recovery (STIR) image (A) and T1 postcontrast image with fat
                           suppression (B) shows the delineation of a peripheral nerve sheath tumor.












































                           • Fig. 6.11  Bone phase scintigraphy of the pelvic limbs (top images), thoracic limbs and head (middle
                           images), and thorax (bottom images) show multifocal areas of increased radiopharmaceutical uptake (hot
                           spots) in the ribs and scapula, consistent with bone metastasis (arrows). The primary bone tumor is in the
                           proximal tibia (arrowhead).

           However, F-18 FDG is the most commonly used PET radiophar-  ultrasound; and, because of the metabolic component, can detect
           maceutical in human and veterinary medicine for detecting and   metastatic lesions before they would be detected with routine
           staging cancer and evaluating response to treatment. Performing   imaging, including CT alone (Fig. 6.13).
           whole-body PET/CT provides additional information compared   Other PET agents have been investigated in veterinary medi-
           with traditional staging with thoracic radiographs and abdominal   cine. Labeling F-18 with sodium fluoride (NaF) results in a
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