A Proposed Dedicated Breast PET Lexicon: Standardization of Description and Reporting of Radiotracer Uptake in the Breast
Kanae K. Miyake,
Masako Kataoka,
Takayoshi Ishimori,
Yoshiaki Matsumoto,
Masae Torii,
Masahiro Takada,
Yoko Satoh,
Kazunori Kubota,
Hiroko Satake,
Masahiro Yakami,
Hiroyoshi Isoda,
Debra M. Ikeda,
Masakazu Toi,
Yuji Nakamoto
Affiliations
Kanae K. Miyake
Department of Advanced Medical Imaging Research, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Masako Kataoka
Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Takayoshi Ishimori
Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Yoshiaki Matsumoto
Department of Breast Surgery, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Masae Torii
Department of Breast Surgery, Japanese Red Cross Wakayama Medical Center, 4-20 Komatsubara-dori, Wakayama-City 640-8558, Wakayama, Japan
Masahiro Takada
Department of Breast Surgery, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Yoko Satoh
Yamanashi PET Imaging Clinic, 3046-2 Shimokato, Chuo-City 409-3821, Yamanashi, Japan
Kazunori Kubota
Department of Radiology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minamikoshigaya, Koshigaya-City 343-8555, Saitama, Japan
Hiroko Satake
Department of Radiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya-City 466-8550, Aichi, Japan
Masahiro Yakami
Preemptive Medicine and Lifestyle Related Disease Research Center, Kyoto University Hospital, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Hiroyoshi Isoda
Preemptive Medicine and Lifestyle Related Disease Research Center, Kyoto University Hospital, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Debra M. Ikeda
Department of Radiology, Stanford University School of Medicine, Breast Imaging, 875 Blake Wilbur Drive, Stanford, CA 94305-5826, USA
Masakazu Toi
Department of Breast Surgery, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Yuji Nakamoto
Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-City 606-8507, Kyoto, Japan
Dedicated breast positron emission tomography (dbPET) is a new diagnostic imaging modality recently used in clinical practice for the detection of breast cancer and the assessment of tumor biology. dbPET has higher spatial resolution than that of conventional whole body PET systems, allowing recognition of detailed morphological attributes of radiotracer accumulation within the breast. 18F-fluorodeoxyglucose (18F-FDG) accumulation in the breast may be due to benign or malignant entities, and recent studies suggest that morphology characterization of 18F-FDG uptake could aid in estimating the probability of malignancy. However, across the world, there are many descriptors of breast 18F-FDG uptake, limiting comparisons between studies. In this article, we propose a lexicon for breast radiotracer uptake to standardize description and reporting of image findings on dbPET, consisting of terms for image quality, radiotracer fibroglandular uptake, breast lesion uptake.