From the Departments of *Nuclear Medicine, and †Radiology, Carl Gustav Carus Medical School, University of Dresden, Dresden, Germany.
Clin Nucl Med. 2014 May;39(5):462-3. doi: 10.1097/RLU.0000000000000282.
Somatostatin receptor scintigraphy is an established modality for imaging well-differentiated neuroendocrine tumors. It is known that inflammatory diseases (eg, tuberculosis) may also accumulate somatostatin receptor analogs. Here, we present the case of a 69-year-old patient with a neuroendocrine tumor of the rectum showing uptake of Ga DOTATATE in 2 vertebrae that was caused by vertebral hemangiomas. This could be clearly demonstrated on the CT scan. Although studies outlining the normal distribution of Ga DOTATATE exist, uptake in vertebral hemangiomas has not been described yet. As the case shows, vertebral hemangiomas should be kept in mind as a benign differential diagnosis.
生长抑素受体闪烁显像术是一种成熟的技术,可用于成像分化良好的神经内分泌肿瘤。已知炎症性疾病(例如,结核病)也可能积累生长抑素受体类似物。在这里,我们报告了一例直肠神经内分泌肿瘤患者的病例,该患者在 2 个椎体中摄取 Ga DOTATATE,这是由椎体血管瘤引起的。这可以在 CT 扫描中清楚地显示出来。尽管已经有研究概述了 Ga DOTATATE 的正常分布,但尚未描述椎体血管瘤的摄取情况。正如该病例所示,椎体血管瘤应作为良性鉴别诊断牢记在心。