Indian Journal of Nuclear Medicine

CASE REPORT
Year
: 2021  |  Volume : 36  |  Issue : 1  |  Page : 53--55

Incremental utility of Tc-99m glucohepatonate single-photon emission computed tomography over 18F-flourodeoxyglucose positron emission tomography in diagnosis of brain tumor recurrence – Old is gold


Sameer Peer, Sandhya Mangalore, Jitendra Saini, Chandana Nagaraj 
 Department of Neuro Imaging and Interventional Radiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Chandana Nagaraj
Department of Neuro Imaging and Interventional Radiology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka
India

Detection of recurrence of a brain tumor after treatment is one of the most important and challenging diagnostic problems in neuro-oncological practice. In spite of technical advances in imaging modalities, sometimes, certain clinical presentations and manifestations can lead to a diagnostic dilemma even with the best of the technical know-how. We present a case of recurrence of anaplastic oligoastrocytoma (World Health Organization Grade III), where the patient's initial clinical presentation and the F-18 flourodeoxyglucose positron emission tomography (PET) magnetic resonance imaging findings were suggestive of stroke-like migraine attacks after radiation therapy syndrome. Due to a seizure episode before PET image acquisition, intense gyral uptake was noted in the left parietal lobe which made it difficult to ascertain the presence of a tumor recurrence. However, Tc-99m glucohepatonate single-photon emission computed tomography done after 1 week revealed radiotracer uptake within the site corresponding to the primary tumor, and a diagnosis of recurrence was made.


How to cite this article:
Peer S, Mangalore S, Saini J, Nagaraj C. Incremental utility of Tc-99m glucohepatonate single-photon emission computed tomography over 18F-flourodeoxyglucose positron emission tomography in diagnosis of brain tumor recurrence – Old is gold.Indian J Nucl Med 2021;36:53-55


How to cite this URL:
Peer S, Mangalore S, Saini J, Nagaraj C. Incremental utility of Tc-99m glucohepatonate single-photon emission computed tomography over 18F-flourodeoxyglucose positron emission tomography in diagnosis of brain tumor recurrence – Old is gold. Indian J Nucl Med [serial online] 2021 [cited 2023 Jan 27 ];36:53-55
Available from: https://www.ijnm.in/article.asp?issn=0972-3919;year=2021;volume=36;issue=1;spage=53;epage=55;aulast=Peer;type=0