PET/CT in giant cell arteritis: High 18F-FDG uptake in the temporal, occipital and vertebral arteries

Authors

ŘEHÁK Zdeněk VAŠINA Jiří PTACEK J. KAZDA Tomáš FOJTÍK Zdeněk NĚMEC Petr

Year of publication 2016
Type Article in Periodical
Magazine / Source Revista Espanola de Medicina Nuclear e Imagen Molecular
MU Faculty or unit

Faculty of Medicine

Citation
Doi http://dx.doi.org/10.1016/j.remn.2016.03.007
Field Oncology and hematology
Keywords 18F-FDG PET/CT; Giant cell arteritis; Large-vessel vasculitis; Positron emission tomography
Description 18F-FDG PET/CT imaging is useful in patients with fever of unknown origin and can detect giant cell arteritis in extracranial large arteries. However, it is usually assumed that temporal arteries cannot be visualized with a PET/CT scanner due to their small diameter. Three patients with clinical symptoms of temporal arteritis were examined using a standard whole body PET/CT protocol (skull base – mid thighs) followed by a head PET/CT scan using the brain protocol. High 18F-FDG uptake in the aorta and some arterial branches were detected in all 3 patients with the whole body protocol. Using the brain protocol, head imaging led to detection of high 18F-FDG uptake in temporal arteries as well as in their branches (3 patients), in occipital arteries (2 patients) and also in vertebral arteries (3 patients).

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