F-18 FDG Pericardial Uptake Secondary to Recent Cardiac Surgery

Pandit, Neeta; Hw, Yeung

doi:10.1097/00003072-200111000-00039

Cited by 9 publications

(1 citation statement)

References 2 publications

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“…Diffuse pericardial FDG activity is rare. There has been at least one case report of diffuse pericardial uptake associated with inflammation and the postpericardiotomy syndrome (31).…”

Section: Pericardiummentioning

confidence: 99%

How to Differentiate Benign versus Malignant Cardiac and Paracardiac¹⁸F FDG Uptake at Oncologic PET/CT

Maurer

Burshteyn²,

Adler³

et al. 2011

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Patients undergoing 2-[fluorine 18]fluoro-2-deoxy-d-glucose (FDG) whole-body oncologic positron emission tomography (PET)/computed tomography (CT) are studied while fasting. Cardiac FDG uptake in fasted patients has been widely reported as variable. It is important to understand the normal patterns of cardiac FDG activity that can be seen in oncologic FDG PET/CT studies. These include focal and regional patterns of increased FDG myocardial activity. Focal activity can be observed in papillary muscles, the atria, the base, and the distal anteroapical region of the left ventricle. Regional increased cardiac FDG activity may be diffuse or localized in the posterolateral wall or the base of the left ventricle. Abnormal patterns of cardiac FDG activity not related to malignancy include those associated with lipomatous hypertrophy of the interatrial septum, epicardial and pericardial fat, increased atrial activity associated with atrial fibrillation or a prominent crista terminalis, cardiac sarcoidosis, endocarditis, myocarditis, and pericarditis. Knowledge of these patterns of cardiac FDG activity is important to be able to recognize malignant disease involving the paracardiac spaces, myocardium, and pericardium. With a better understanding of the range of normal and abnormal patterns of cardiac FDG activity, important benign and malignant diseases involving the heart and pericardium can be recognized and diagnosed.

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“…Diffuse pericardial FDG activity is rare. There has been at least one case report of diffuse pericardial uptake associated with inflammation and the postpericardiotomy syndrome (31).…”

Section: Pericardiummentioning

confidence: 99%

How to Differentiate Benign versus Malignant Cardiac and Paracardiac¹⁸F FDG Uptake at Oncologic PET/CT

Maurer

Burshteyn²,

Adler³

et al. 2011

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112

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Malignant Pericardial Disease

Chiles

Shroff

2012

Malignant Effusions

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18F-FDG Uptake at the Surgical Margin after Hepatic Resection: Patterns of Uptake and Differential Diagnosis

et al. 2015

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• Marginal uptake exposes patients to the risk of false positive diagnosis of recurrence. • Benign and malignant patterns of marginal uptake overlap. • Diffuse marginal uptake in our experience, has a high chance to be inflammatory. • Focal marginal uptake can be due to recurrent tumour or inflammation. • Contrast-enhanced CT or MR allows the differentiation between benign and malignant uptake.

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F-18 FDG Pericardial Uptake Secondary to Recent Cardiac Surgery

Cited by 9 publications

References 2 publications

How to Differentiate Benign versus Malignant Cardiac and Paracardiac¹⁸F FDG Uptake at Oncologic PET/CT

How to Differentiate Benign versus Malignant Cardiac and Paracardiac¹⁸F FDG Uptake at Oncologic PET/CT

Malignant Pericardial Disease

18F-FDG Uptake at the Surgical Margin after Hepatic Resection: Patterns of Uptake and Differential Diagnosis

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F-18 FDG Pericardial Uptake Secondary to Recent Cardiac Surgery

Cited by 9 publications

References 2 publications

How to Differentiate Benign versus Malignant Cardiac and Paracardiac18F FDG Uptake at Oncologic PET/CT

How to Differentiate Benign versus Malignant Cardiac and Paracardiac18F FDG Uptake at Oncologic PET/CT

Malignant Pericardial Disease

18F-FDG Uptake at the Surgical Margin after Hepatic Resection: Patterns of Uptake and Differential Diagnosis

Contact Info

Product

Resources

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How to Differentiate Benign versus Malignant Cardiac and Paracardiac¹⁸F FDG Uptake at Oncologic PET/CT

How to Differentiate Benign versus Malignant Cardiac and Paracardiac¹⁸F FDG Uptake at Oncologic PET/CT