Incidental Uptake in a Subacute Stroke on 18 F-Piflufolastat PSMA PET/CT.


Journal

Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109

Informations de publication

Date de publication:
01 Nov 2023
Historique:
medline: 10 10 2023
pubmed: 13 9 2023
entrez: 13 9 2023
Statut: ppublish

Résumé

Prostate-specific membrane antigen (PSMA) PET/CT has proven to be effective in the evaluation of prostate cancer and has become increasingly used clinically as multiple radiopharmaceuticals have become commercially available. With increasing use, incidental uptake from a variety of nononcologic processes will be encountered and considered interpretive pitfalls. We outline a case of a 71-year-old man who underwent imaging with PSMA PET/CT, which demonstrated uptake in the left parietal-temporal junction that was shown to be a subacute stroke. This case demonstrates a reported cause of uptake on PSMA PET for which the underlying mechanism is not yet well understood.

Identifiants

pubmed: 37703479
doi: 10.1097/RLU.0000000000004798
pii: 00003072-202311000-00011
doi:

Substances chimiques

Radiopharmaceuticals 0
Oligopeptides 0
Gallium Radioisotopes 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

963-964

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

Noto B, Vrachimis A, Schäfers M, et al. Subacute stroke mimicking cerebral metastasis in 68 Ga-PSMA-HBED-CC PET/CT. Clin Nucl Med . 2016;41:e449–e451.
Hofman MS, Hicks RJ, Maurer T, et al. Prostate-specific membrane antigen PET: clinical utility in prostate cancer, normal patterns, pearls, and pitfalls. Radiographics . 2018;38:200–217.
Calais J, Ceci F, Eiber M, et al. 18 F-fluciclovine PET-CT and 68 Ga-PSMA-11 PET-CT in patients with early biochemical recurrence after prostatectomy: a prospective, single-centre, single-arm, comparative imaging trial. Lancet Oncol . 2019;20:1286–1294.
Chan M, Hsiao E. Subacute cortical infarct showing uptake on 68 Ga-PSMA PET/CT. Clin Nucl Med . 2017;42:110–111.
Oh G, Miles K. Subacute cerebellar infarction with uptake on 68 Ga-prostate-specific membrane antigen PET/CT. Clin Nucl Med . 2018;43:134–135.
Ross MI, Bird N, Mendichovszky IA, et al. Neurologically asymptomatic cerebral oligometastatic prostate carcinoma metastasis identified on [Ga]Ga-THP-PSMA PET/CT. EJNMMI Res . 2020;10:108.
Pilati E, Nicolotti DG, Ceci F, et al. 68 Ga-prostate-specific membrane antigen 11 PET/CT detects residual glioblastoma after radical surgery in a patient with synchronous recurrent prostate cancer: a case report. Clin Nucl Med . 2020;45:e151–e153.
Hod N, Lantsberg S, Benkovich E, et al. Incidental detection of malignant melanoma brain recurrence on 68 Ga-prostate-specific membrane antigen PET/CT. Clin Nucl Med . 2020;45:896–899.

Auteurs

Miles C Lewis (MC)

From the University of Michigan Medical School.

Benjamin L Viglianti (BL)

Department of Radiology, University of Michigan.

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