1. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! CHON BUK NATIO NAL UNIVE RSITY HOSPI TAL GIM BYUNG CHUL The Change on PET/CT Image of Patients with Gastric Cancer After Stomach Distention by Ingesting Vesicant with Water

2. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you!  Physiologic uptake  Benign inflammatory lesion ( Gastric ulcer, Gastritis )  Gastric cancer  Physiologic uptake  Benign inflammatory lesion ( Gastric ulcer, Gastritis )  Gastric cancer The type of FDG hypermetabolism in stomach

3. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you!  Diagnosis and Staging  Monitoring therapy response & Remission  Detection of recurrence  Grading malignancy  Diagnosis and Staging  Monitoring therapy response & Remission  Detection of recurrence  Grading malignancy Application of PET/CT in Gastric cancer

4. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! Stomach cancer detected on screening

5. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! MATERIALS + Vesicant Water : 180ml

6. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! Case 1 Physiologic uptake After ▷

7. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! Case 2 After ▷ Physiologic uptake

8. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! Case 3 After ▷

9. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! Case 4 Hypermetabolic gastric malignancy After ▷

10. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! 1.1cm Focal hypermetabolic lesion at stomach, antrum After ▷ Case 5

11. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! Case 6 Stomach op anastomosis site. After ▷

12. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you! Stomach with F-18 FDG uptake became clearly defined after distending stomach with vesicant and water ingestion As a result, It can easily distinguish focal pathological uptake from physiological uptake This method help us to observe stomach in detail Stomach with F-18 FDG uptake became clearly defined after distending stomach with vesicant and water ingestion As a result, It can easily distinguish focal pathological uptake from physiological uptake This method help us to observe stomach in detail Conclusion

13. CHONBUK NATIONAL UNIVERSITY HOSPITAL Great Day to you!