From the *Neuroradiology Unit, Istituto Giannina Gaslini, Genoa, Italy; †Nuclear Medicine Department, Ospedali Galliera, Genoa, Italy; and ‡Neuro-oncology Unit, Istituto Giannina Gaslini, Genoa, Italy.
Clin Nucl Med. 2016 Jul;41(7):e351-2. doi: 10.1097/RLU.0000000000001189.
We report the finding of increased F-3,4-dihydroxyphenylalanine uptake of the brain parenchyma adjacent to developmental venous anomalies, incidentally discovered in 3 pediatric patients with diffusely infiltrating gliomas. One patient presented 3 developmental venous anomalies located distant from the tumor, whereas in the remaining 2 patients, the vascular anomalies were inside the tumoral area mimicking a focal area of increased tumor metabolism. In the setting of brain tumor imaging, focal increased F-3,4-dihydroxyphenylalanine uptake should be carefully interpreted in light of MRI findings, and nuclear medicine physicians should be aware of any incidental minor vascular abnormality for proper interpretation of PET data.
我们报告了在 3 例弥漫性浸润性神经胶质瘤的儿童患者中偶然发现的邻近脑实质发育性静脉异常的 F-3,4-二羟苯丙氨酸摄取增加的发现。1 例患者有 3 处位于肿瘤远处的发育性静脉异常,而在其余 2 例患者中,血管异常位于肿瘤区域内,模拟了肿瘤代谢增加的局灶性区域。在脑肿瘤成像中,应根据 MRI 结果仔细解释局灶性 F-3,4-二羟苯丙氨酸摄取增加的情况,核医学医师应注意任何偶然的小血管异常,以便正确解释 PET 数据。