Ischemic Complications After High-Grade Glioma Resection Could Interfere With Residual Tumor Detection With 18F-Fluorocholine PET/CT

Clin Nucl Med. 2019 Feb;44(2):e76-e84. doi: 10.1097/RLU.0000000000002392.

Abstract

Ischemic complications after resection of high-grade glioma are frequent and may constitute potential cause of false-positive results in postsurgical evaluation using F-fluorocholine PET/CT. On the other hand, hypoxia caused by ischemia promotes invasive glioma growth. We present 3 cases of patients with different grades of ischemic injury after resection of high-grade glioma. The combined interpretation of diffusion-weighted imaging and apparent diffusion coefficient map on MRI, in this clinical setting, is mandatory to avoid PET/CT misinterpretations.

MeSH terms

  • Adult
  • Brain Ischemia / complications
  • Brain Ischemia / diagnostic imaging*
  • Brain Neoplasms / complications
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / surgery*
  • Choline / analogs & derivatives*
  • Diagnosis, Differential
  • Female
  • Glioma / complications
  • Glioma / pathology*
  • Glioma / surgery*
  • Humans
  • Male
  • Neoplasm Grading
  • Neoplasm, Residual
  • Positron Emission Tomography Computed Tomography*

Substances

  • fluorocholine
  • Choline