131I 肾上腺明显良性吸收。

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2025-01-01 Epub Date: 2024-08-02 DOI:10.1097/RLU.0000000000005398

Daniela Travaglio Morales, Michael C Kreissl, Florian Fischer, Alexander Heinzel

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引用次数: 0

摘要

摘要：一名患有甲状腺乳头状癌（pT2 pN0(0/21) cM0）的 60 岁男性在接受甲状腺切除术和 4.2 GBq 131I 辅助治疗后，接受了使用重组促甲状腺激素的 131I 全身闪烁扫描诊断性随访。在右侧肾上腺发现了放射性碘的灶性摄取，而在最初的治疗后图像中并未发现，因此怀疑是肾上腺转移。然而，包括造影剂增强核磁共振成像和内分泌实验室检查在内的诊断结果表明，患者的病因是良性的，这是一个非常罕见的肾上腺放射性碘摄取假阳性病例。1 年后的影像学随访结果显示没有明显变化。

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Apparently Benign 131 I Adrenal Uptake.

Abstract: A 60-year-old man suffering from papillary thyroid cancer (pT2 pN0 (0/21) cM0) underwent diagnostic 131 I whole-body scintigraphy with recombinant thyroid-stimulating hormone for follow-up after thyroidectomy and adjuvant 131 I therapy with 4.2 GBq. A focal uptake of radioiodine was found in the right adrenal gland, which had not been seen on the initial posttherapeutic images; therefore, an adrenal metastasis was suspected. However, the diagnostic workup including contrast-enhanced MRI as well as endocrine laboratory tests indicated a benign etiology showcasing a very rare case of false-positive radioiodine uptake in the adrenal gland. The imaging follow-up after 1 year showed no significant changes.

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.