False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignancies

Aim 18-Fluorodeoxyglucose (FDG) positron emission tomography–computed tomography (PET/CT) is an imaging modality that is often used to help differentiate benign from malignant pulmonary lesions and it has been shown to be more efficacious than conventional chest computed tomography (CT). However, so...

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Main Authors: Zehra Yasar, Murat Acat, Hilal Onaran, Akif Ozgül, Erhan H. Dincer, Erdogan Cetinkaya, Nurdan A. Korkmaz
Format: Article
Language:English
Published: Medical Association of Zenica-Doboj Canton 2015-02-01
Series:Medicinski Glasnik
Subjects:
Online Access:http://www.ljkzedo.ba/sites/default/files/Glasnik/12-01-feb2015/06%20Yasar.pdf
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author Zehra Yasar
Murat Acat
Hilal Onaran
Akif Ozgül
Erhan H. Dincer
Erdogan Cetinkaya
Nurdan A. Korkmaz
author_facet Zehra Yasar
Murat Acat
Hilal Onaran
Akif Ozgül
Erhan H. Dincer
Erdogan Cetinkaya
Nurdan A. Korkmaz
author_sort Zehra Yasar
collection DOAJ
description Aim 18-Fluorodeoxyglucose (FDG) positron emission tomography–computed tomography (PET/CT) is an imaging modality that is often used to help differentiate benign from malignant pulmonary lesions and it has been shown to be more efficacious than conventional chest computed tomography (CT). However, some benign lesions may also show increased metabolic activity which can lead to false-positive PET findings. We aim to illustrate false positive findings of PET scan that simulate lung cancer in a variety of diseases. Methods Patients referred to Yedikule Chest Diseases and Surgery Teaching and Research Hospital with increased FDG uptake for which histological results were available over a 2-year period (2013-2014) were reviewed. Seven patients with false-positive PET/CT findings were reported in this study. Results The majority of lesions showing increased metabolic activity were due to malignant diseases. However, increased 18 F-FDG uptake was also seen in benign lesions such as active pulmonary inflammation or infection, granulomatous processes and fibrotic lesions. Conclusion. The integration of clinical history, morphologic findings of lesions on the CT component, and metabolic activities of PET/CT scan can help reduce false interpretations. Interventional procedures.
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spelling doaj.art-1f18c11f169d43ee9febb903cf7d8a402022-12-22T01:18:57ZengMedical Association of Zenica-Doboj CantonMedicinski Glasnik1840-01321840-24452015-02-011214046False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignanciesZehra Yasar0Murat Acat1Hilal Onaran2Akif Ozgül3Erhan H. Dincer4Erdogan Cetinkaya5Nurdan A. Korkmaz6Department of Chest Diseases, School of Medicine, Abant Izzet Baysal University, Bolu, TurkeyDepartment of Chest Diseases, School of Medicine, Karabuk University, Karabuk, TurkeyPulmonary Division, Yedikule Chest Diseases and Surgery Teaching and Research Hospital, Istanbul, TurkeyPulmonary Division, Yedikule Chest Diseases and Surgery Teaching and Research Hospital, Istanbul, TurkeyDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, University of Minnesota, MN, USAPulmonary Division, Yedikule Chest Diseases and Surgery Teaching and Research Hospital, Istanbul, TurkeyDepartment of Nuclear Medicine, School of Medicine, Abant Izzet Baysal University, Bolu, TurkeyAim 18-Fluorodeoxyglucose (FDG) positron emission tomography–computed tomography (PET/CT) is an imaging modality that is often used to help differentiate benign from malignant pulmonary lesions and it has been shown to be more efficacious than conventional chest computed tomography (CT). However, some benign lesions may also show increased metabolic activity which can lead to false-positive PET findings. We aim to illustrate false positive findings of PET scan that simulate lung cancer in a variety of diseases. Methods Patients referred to Yedikule Chest Diseases and Surgery Teaching and Research Hospital with increased FDG uptake for which histological results were available over a 2-year period (2013-2014) were reviewed. Seven patients with false-positive PET/CT findings were reported in this study. Results The majority of lesions showing increased metabolic activity were due to malignant diseases. However, increased 18 F-FDG uptake was also seen in benign lesions such as active pulmonary inflammation or infection, granulomatous processes and fibrotic lesions. Conclusion. The integration of clinical history, morphologic findings of lesions on the CT component, and metabolic activities of PET/CT scan can help reduce false interpretations. Interventional procedures.http://www.ljkzedo.ba/sites/default/files/Glasnik/12-01-feb2015/06%20Yasar.pdffalse –positiveFDGPET scanmimicking malignancies
spellingShingle Zehra Yasar
Murat Acat
Hilal Onaran
Akif Ozgül
Erhan H. Dincer
Erdogan Cetinkaya
Nurdan A. Korkmaz
False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignancies
Medicinski Glasnik
false –positive
FDG
PET scan
mimicking malignancies
title False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignancies
title_full False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignancies
title_fullStr False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignancies
title_full_unstemmed False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignancies
title_short False-positive 18-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) scans mimicking malignancies
title_sort false positive 18 fluorodeoxyglucose positron emission tomography computed tomography fdg pet ct scans mimicking malignancies
topic false –positive
FDG
PET scan
mimicking malignancies
url http://www.ljkzedo.ba/sites/default/files/Glasnik/12-01-feb2015/06%20Yasar.pdf
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