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严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)疫苗接种部位可能是生长抑素受体显像的陷阱。

SARS-CoV-2 vaccination site as possible pitfall on somatostatin receptor imaging.

作者信息

Kolade Olumayowa U, Ayeni Akinwale O, Brink Anita, Steyn Rachelle, More Stuart, Prasad Vikas

机构信息

Division of Nuclear Medicine, Department of Radiation Medicine, University of Cape Town, Cape Town, South Africa.

Division of Nuclear Medicine, Department of Radiation Medicine, Groote Schuur Hospital, University of Cape Town, C3/4 New Main Building, Cape Town, South Africa.

出版信息

Clin Transl Imaging. 2022;10(6):579-585. doi: 10.1007/s40336-022-00519-3. Epub 2022 Aug 5.

Abstract

SARS-CoV-2 (COVID-19) vaccination numbers are globally increasing. Therefore, an increased chance exists that patients undergoing Peptide Receptor Radionuclide Therapy (PRRT) or diagnostic radionuclide imaging for Neuroendocrine Tumours (NETs) may have recently received vaccination. We report the imaging findings of two NETs patients, A-following [Lu] Lu-DOTATATE PRRT post therapy planar scintigraphy and single photon emission computed tomography with computed tomography (SPECT/CT), and B-following [ Ga]Ga-DOTA-NOC positron emission tomography with computed tomography (PET/CT) respectively. Both studies were done few days after COVID-19 vaccination. Patient A showed a new focus of uptake in the left deltoid muscle; and Patient B showed uptake in the left deltoid and a left axillary lymph node. Nuclear Physicians need to be aware of pitfalls with somatostatin receptor radionuclide imaging post-vaccination to ensure accurate interpretation, as well as dosimetric considerations with vaccine-related post-therapy uptake.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新冠病毒)疫苗的全球接种数量正在增加。因此,接受肽受体放射性核素治疗(PRRT)或进行神经内分泌肿瘤(NETs)诊断性放射性核素成像的患者近期接种疫苗的可能性增加。我们报告了两名NETs患者的成像结果,患者A在[镥]镥-奥曲肽PRRT治疗后进行了平面闪烁扫描和单光子发射计算机断层扫描与计算机断层扫描(SPECT/CT),患者B分别在[镓]镓-多他胺基烟酰胺正电子发射断层扫描与计算机断层扫描(PET/CT)后进行了检查。两项研究均在新冠病毒疫苗接种后几天进行。患者A在左三角肌出现了一个新的摄取灶;患者B在左三角肌和左腋窝淋巴结出现了摄取。核医学医师需要注意接种疫苗后生长抑素受体放射性核素成像的陷阱,以确保准确解读,同时也要考虑与疫苗相关的治疗后摄取的剂量学问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/945d/9362710/7e2a455bec96/40336_2022_519_Fig1_HTML.jpg

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