FUNCTIONAL IMAGING OF HODGKINS-DISEASE WITH FDG-PET AND GA-67

We report a case of Hodgkin's lymphoma (Stage I B) which was studied u sing Ga-67-scintigraphy as well as whole body FDG-PET. Ga-67-scintigra phy detected a slightly increased uptake in the paraaortic and pelvic lymph nodes. However, FDG-PET was able to localize a much larger numbe r of affected foci with a high glucose utilization rate in the right a nd left paraaortal regions, in the middle of the epigastrium, in the r ight and left parailiacal regions and one focus in the left upper medi astinum. Our experiences give rise to the assumption that FDG-PET ist significantly superior to gallium scintigraphy in Hodgkin's disease. W hole body FDG-PET can result in an upstaging of the patient and has th erefore a major impact on the therapeutic management.