A Case of Myocardial Ischemia Detected in a Standard Oncological FDG PET/CT Study.
case_report · Level V
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- Record sourced from PubMed, PMID 42113569.
- Also identified by DOI 10.1097/RLU.0000000000006521.
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Abstract
Reporting incidental 18 F-FDG PET/CT findings that require further evaluation or urgent treatment is critical, as they can have a major impact on a patient's management. Among the possible alert findings, those related to the heart may be the most challenging due to the variety of physiological 18 F-FDG uptake in the myocardium in standard PET/CT imaging with 4-6 hours fasting. We report a case of an 84-year-old man with rectosigmoid adenocarcinoma, without known coronary artery disease, who underwent 18 F-FDG PET/CT for staging. An incidental striking focal uptake in the left ventricle accompanied by clinical symptoms, prompted further evaluation, which confirmed acute myocardial ischemia.
Medical subject headings
- Fluorodeoxyglucose F18
- Positron Emission Tomography Computed Tomography
- Myocardial Ischemia