Table of Contents
International Journal of Molecular Imaging
Volume 2011, Article ID 318051, 8 pages
http://dx.doi.org/10.1155/2011/318051
Review Article

FDG-PET or PET/CT in Fever of Unknown Origin: The Diagnostic Role of Underlying Primary Disease

Clinic of Nuclear Medicine, Istanbul Education and Research Hospital, Samatya, Kocamustafapaşa, Fatih, 34098 Istanbul, Turkey

Received 12 November 2010; Accepted 15 January 2011

Academic Editor: Hongming Zhuang

Copyright © 2011 Nurhan Ergül and Tevfik Fikret Çermik. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fever of unknown origin (FUO) is generally defined as a fever greater than 38.3°C on several occasions during a period longer than 3 weeks for which the etiology behind cannot be diagnosed at the end of at least 1 week hospital stay. Conventional diagnostic methods are still not adequate to reveal underlying reason in approximately 50% of patients with FUO. In patients with certain diagnosis, three major categories are infections, malignancies, and noninfectious inflammatory diseases. Fluoro-18-fluoro-2-deoxy-D:-glucose (FDG) is a structural analog of 2-deoxyglucose and accumulates in malignant tissues but also at sites of infection and inflammation. For this reason, FDG PET or PET/CT has great advantage in understanding of underlying pathology in assessment of FUO. However, till today, there are limited studies about the role of FDG PET or PET/CT in evaluation of FUO. In this paper, the impact of FDG PET or PET/CT in the diagnostic work-up of FUO is described by data obtained from literature review.