Purpose: The purpose of this work was to compare the use of MRL and [F-18]f
luorodeoxyglucose (FDG) positron emission tomography (PET) in the diagnosis
of focal cortical dysplasia (FCD).
Method: Nineteen patients with surgically proven FCD were analyzed retrospe
ctively. MRI was performed in all patients, and FDG-PET was performed in 17
patients. We compared the MR and FDG-PET finding's of FCD according to the
histologic findings that were classified into three grades.
Results: Four cases were classified as Grade I, 4 cases as Grade II, and ii
cases as Grade III FCD. The lesions were detected on MRI in 9 (82%) of the
11 patients with Grade III FCD and in only 1 (13%) of the 8 patients with
Grade I and II FCD. Cortical hypometabolism of the lesion was revealed on F
DG-PET in 6 (86%) of the 7 patients with Grade I and Il FCD and in 9 (90%)
of the 10 patients with Grade III FCD. The extent of the cortical abnormali
ty was larger on FDC-PET than on MRI in 11 (65%) of the 17 patients.
Conclusion: FDG-PET is more useful in delineating the cortical abnormality
in patients with mild degrees of FCD. The extent of the lesion was larger o
r similar on FDG-PET compared with that of the MRI.