Suggestions for safety and protection control in Department of Nuclear Medicine during the outbreak of COVID-19

Zhang, Xiao; Shao, Fuqiang; Lan, Xiaoli

doi:10.1007/s00259-020-04779-x

Cited by 19 publications

(24 citation statements)

References 4 publications

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“…In accordance with previous retrospective observations [3,4], we confirmed the characteristic pattern of SARS-CoV-2 viral infection on 18 F-FDG PET/CT with intense 18 F-FDG uptake of pulmonary lesions, nodal involvement, and absence of other hypermetabolic lesions [3]. To the best of our knowledge, this is the first prospective case showing the feasibility of 18 F-FDG PET/CT in patients with confirmed SARS-CoV-2 infection when taking adequate protective measures [5].…”

supporting

confidence: 87%

Added value of 18F-FDG PET/CT in a SARS-CoV-2-infected complex case with persistent fever

Kamani

Jreige

Pappon

et al. 2020

Eur J Nucl Med Mol Imaging

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A 75-year-old diabetic man with a cardiac history of pacemaker implantation and mechanical prosthetic valve (PV) replacement, also known for chronic osteitis of the first left metatarsophalangeal joint (MTP I), was treated with oral antibiotic on an outpatient basis with poor compliance when he developed intermittent fever (39.8°C) and left foot pain. Laboratory testing revealed a slight elevation of the white blood cell count (10.7 G/L) and a significant elevation of the C-reactive protein (235 mg/L). Hemocultures turned positive for multi-sensitive Staphylococcus aureus and Proteus mirabilis. A left foot CT showed MTP I osteoarthritis without collection. Transoesophageal echocardiography (TOE) showed no evidence of endocarditis. A double antibiotic regimen was started, but the patient developed persistent fever. Repeated TOE raised endocarditis suspicion. Because of a newly developed cough, a search for respiratory pathogens was performed and turned positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. An 18 F-FDG PET/CT was requested for investigating the suspicion of PV infection with a 72-h low-carbohydrate diet preparation.The 18 F-FDG PET maximum-intensity projection image shows (a) bilateral metabolic lung lesions, the foot infection (*), and one metabolically active draining sentinel lymph node (arrowhead). (b) Free-breathing lung CT and 18 F-FDG with hypermetabolic (SUV max 7.6 g/mL) focal ground-glass opacities with partial consolidation and mild bronchial dilatation with a peripheral distribution in the subpleural and periscissural regions of the apical and posterior segments of both upper lobes and right middle lobe, as previously described on CT [1]. (c) Hypermetabolic lymphadenopathies in the right lower paratracheal, subcarinal, and bilateral hilar stations (SUV max 6.

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supporting

confidence: 87%

Added value of 18F-FDG PET/CT in a SARS-CoV-2-infected complex case with persistent fever

Kamani

Jreige

Pappon

et al. 2020

Eur J Nucl Med Mol Imaging

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“…Conversely, 18 F-FDG PET/CT is more complex than chest CT leading a possible increased risk of disease spreading due to the longer time of 18 F-FDG PET/CT procedure compared to chest CT. Most importantly, specific safety and prevention protocols should be followed in the Nuclear Medicine departments during the outbreak of COVID-19 to allow for safe nuclear medicine diagnosis and treatment procedures [4,5].…”

mentioning

confidence: 99%

The role of 18F-FDG PET for COVID-19 infection: myth versus reality

Treglia

2020

Clin Transl Imaging

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“…The figure (Fig. 1) shows the measurements we are taking during the radionuclide imaging, except for the detailed infection prevention which we and others have mentioned before [3][4][5]. Fig.…”

mentioning

confidence: 99%