Incidental Detection of Dual Spinal Meningiomas on 68Ga-DOTATATE PET/CT Masquerading as Metastatic Disease in a Patient with Pulmonary Carcinoid Tumor

Nir Hod; Daniel Levin; Katerina Tiktinsky; Sophie Lantsberg

doi:10.1097/RLU.0000000000004681

Incidental Detection of Dual Spinal Meningiomas on ⁶⁸Ga-DOTATATE PET/CT Masquerading as Metastatic Disease in a Patient with Pulmonary Carcinoid Tumor

Nir Hod, Daniel Levin, Katerina Tiktinsky, Sophie Lantsberg

Faculty of Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Simultaneous occurrence of multiple meningiomas of the spine appearing at different neuroaxial levels is extremely rare event. We present the scintigraphic findings of incidentally detected multiple meningiomas of the spine on 68Ga-DOTATATE PET/CT during the evaluation of a patient with pulmonary carcinoid tumor. These scintigraphic findings could result in a "false-positive"interpretation by exhibiting highly increased uptake similar to that of metastases of neuroendocrine neoplasm. Nuclear medicine physicians should be aware of this potential pitfall in somatostatin receptor imaging to prevent misinterpretation.

Original language	English
Pages (from-to)	E334-E337
Journal	Clinical Nuclear Medicine
Volume	48
Issue number	7
DOIs	https://doi.org/10.1097/RLU.0000000000004681
State	Published - 1 Jul 2023

Keywords

Ga-DOTATATE
PET/CT
carcinoid tumor
false-positive
incidentaloma
multiple spinal meningiomas
somatostatin receptors
spinal canal

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1097/RLU.0000000000004681

Cite this

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abstract = "Simultaneous occurrence of multiple meningiomas of the spine appearing at different neuroaxial levels is extremely rare event. We present the scintigraphic findings of incidentally detected multiple meningiomas of the spine on 68Ga-DOTATATE PET/CT during the evaluation of a patient with pulmonary carcinoid tumor. These scintigraphic findings could result in a {"}false-positive{"}interpretation by exhibiting highly increased uptake similar to that of metastases of neuroendocrine neoplasm. Nuclear medicine physicians should be aware of this potential pitfall in somatostatin receptor imaging to prevent misinterpretation.",

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AB - Simultaneous occurrence of multiple meningiomas of the spine appearing at different neuroaxial levels is extremely rare event. We present the scintigraphic findings of incidentally detected multiple meningiomas of the spine on 68Ga-DOTATATE PET/CT during the evaluation of a patient with pulmonary carcinoid tumor. These scintigraphic findings could result in a "false-positive"interpretation by exhibiting highly increased uptake similar to that of metastases of neuroendocrine neoplasm. Nuclear medicine physicians should be aware of this potential pitfall in somatostatin receptor imaging to prevent misinterpretation.

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KW - incidentaloma

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