Dundar Ayca, Bold Michael S, Agac Busranur, Kendi Ayse Tuba, Friedman Saul N
Department of Radiology, Mayo Clinic, 150 3rd Street SW, Rochester, MN 55905, USA.
Department of Neurology, Mayo Clinic, Rochester, MN.
Radiol Case Rep. 2019 Oct 1;14(11):1447-1451. doi: 10.1016/j.radcr.2019.09.005. eCollection 2019 Nov.
Stroke is a common cause of patient morbidity and mortality, being the fifth leading cause of death in the United States. Positron emission tomography (PET) is a proven tool for oncology patients, and may have utility in patients with stroke. We demonstrate findings of stroke incidentally detected on oncologic PET/CTs using F-FDG, C-Choline, and Ga-DOTATATE radiotracers. Specifically, focal C-Choline or Ga-DOTATATE uptakes localized in areas of MRI confirmed ischemia, and paradoxically increased F-FDG activity was visualized surrounding a region of hemorrhage, in different patients. These cases demonstrate that PET may have utility in evaluating patients with stroke based on flow dynamics, metabolic activity, and receptor expression.
中风是导致患者发病和死亡的常见原因,在美国是第五大死因。正电子发射断层扫描(PET)是一种已被证实对肿瘤患者有用的工具,对中风患者可能也有帮助。我们展示了在使用F-FDG、C-胆碱和Ga-DOTATATE放射性示踪剂的肿瘤PET/CT检查中偶然发现的中风结果。具体而言,在不同患者中,局灶性C-胆碱或Ga-DOTATATE摄取定位于MRI证实的缺血区域,并且在出血区域周围出现了反常增加的F-FDG活性。这些病例表明,PET可能有助于基于血流动力学、代谢活性和受体表达来评估中风患者。