Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case Report

Major management decisions in patients with solid tumors and lymphomas are often based on 18F-fluorodeoxyglucose (18F-FDG) PET/CT. The misadministration of 18F-FDG outside the systemic circulation can have an adverse impact on this test's sensitivity (1) and is not uncommon (2–7). This report d...

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Main Authors: Jackson W. Kiser, James R. Crowley, David A. Wyatt, Ronald K. Lattanze
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-05-01
Series:Frontiers in Medicine
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fmed.2018.00143/full
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author Jackson W. Kiser
James R. Crowley
David A. Wyatt
Ronald K. Lattanze
author_facet Jackson W. Kiser
James R. Crowley
David A. Wyatt
Ronald K. Lattanze
author_sort Jackson W. Kiser
collection DOAJ
description Major management decisions in patients with solid tumors and lymphomas are often based on 18F-fluorodeoxyglucose (18F-FDG) PET/CT. The misadministration of 18F-FDG outside the systemic circulation can have an adverse impact on this test's sensitivity (1) and is not uncommon (2–7). This report describes how an 18F-FDG misadministration led to a repeat PET/CT study, resulting in the visualization of distant metastases that changed the original treatment plan. The findings suggest that routine injection monitoring is indicated whenever sensitivity is critical, and support claims that infiltrations can confound interpretation of semi-quantitative PET outcome measures in patients who are followed longitudinally (2).
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spelling doaj.art-4f483c3431e24f7e870c170592ce3e5f2022-12-21T19:57:00ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2018-05-01510.3389/fmed.2018.00143347074Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case ReportJackson W. Kiser0James R. Crowley1David A. Wyatt2Ronald K. Lattanze3Carilion Clinic, Roanoke, VA, United StatesCarilion Clinic, Roanoke, VA, United StatesCarilion Clinic, Roanoke, VA, United StatesLucerno Dynamics, Cary, NC, United StatesMajor management decisions in patients with solid tumors and lymphomas are often based on 18F-fluorodeoxyglucose (18F-FDG) PET/CT. The misadministration of 18F-FDG outside the systemic circulation can have an adverse impact on this test's sensitivity (1) and is not uncommon (2–7). This report describes how an 18F-FDG misadministration led to a repeat PET/CT study, resulting in the visualization of distant metastases that changed the original treatment plan. The findings suggest that routine injection monitoring is indicated whenever sensitivity is critical, and support claims that infiltrations can confound interpretation of semi-quantitative PET outcome measures in patients who are followed longitudinally (2).http://journal.frontiersin.org/article/10.3389/fmed.2018.00143/fullPET-CTextravasation of diagnostic and therapeutic materialsSUVFDGtime activity curve
spellingShingle Jackson W. Kiser
James R. Crowley
David A. Wyatt
Ronald K. Lattanze
Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case Report
Frontiers in Medicine
PET-CT
extravasation of diagnostic and therapeutic materials
SUV
FDG
time activity curve
title Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case Report
title_full Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case Report
title_fullStr Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case Report
title_full_unstemmed Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case Report
title_short Impact of an 18F-FDG PET/CT Radiotracer Injection Infiltration on Patient Management—A Case Report
title_sort impact of an 18f fdg pet ct radiotracer injection infiltration on patient management a case report
topic PET-CT
extravasation of diagnostic and therapeutic materials
SUV
FDG
time activity curve
url http://journal.frontiersin.org/article/10.3389/fmed.2018.00143/full
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