由SVC阻塞引起的FDG PET/CT肝脏扇形高代谢假肿块

IF 9.6 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Clinical Nuclear Medicine Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI:10.1097/RLU.0000000000005467
Eunjung Kong, Sung Hoon Kim
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引用次数: 0

摘要

摘要:在造影剂增强 CT 或 MR 图像中,肝脏假性肿块比较常见,这归因于独特的肝内血流动力学。此外,放射性核素肝脏扫描中的异常侧支循环也可能导致局灶性肝摄取。本报告介绍了一例通过 FDG PET/CT 发现的肝脏扇形高代谢病例,该病例与造影剂增强胸部 CT 上观察到的肝脏衰减增加区域相关,该患者患有肺癌,且并发上腔静脉阻塞。值得注意的是,改变示踪剂注射途径后,2 天后进行的 FDG PET/CT 成像检查发现,非生理性高代谢活动已经消失。
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Sectorial Hypermetabolic Pseudolesion in the Liver on FDG PET/CT Caused by SVC Obstruction.

Abstract: Hepatic pseudolesions are relatively frequent in contrast-enhanced CT or MR images, attributable to the unique intrahepatic hemodynamics. It is also well documented that focal liver uptake can result from unusual collateral circulation on radionuclide liver scans. This report presents a case of sectorial hepatic hypermetabolism identified via FDG PET/CT, correlating with areas of increased attenuation in the liver observed on contrast-enhanced chest CT in a patient with lung cancer complicated by superior vena cava obstruction. Notably, the nonphysiological hypermetabolic activity was resolved on subsequent FDG PET/CT imaging conducted 2 days later, following alteration of the tracer injection route.

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来源期刊
Clinical Nuclear Medicine
Clinical Nuclear Medicine 医学-核医学
CiteScore
2.90
自引率
31.10%
发文量
1113
审稿时长
2 months
期刊介绍: Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.
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