68Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False Positive

In the detection and characterization of neuroendocrine tumors (NETs), the NETSPOT 68Ga-DOTATATE positron emission tomography/computed tomography (PET/CT) utilizes a somatostatin analog to capture whole body imaging of somatostatin receptors. Here, we report a rare case of incidental coronavirus dis...

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Main Authors: Joshua P. Weissman, Twyla Bartel
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-06-01
Series:World Journal of Nuclear Medicine
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750341
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author Joshua P. Weissman
Twyla Bartel
author_facet Joshua P. Weissman
Twyla Bartel
author_sort Joshua P. Weissman
collection DOAJ
description In the detection and characterization of neuroendocrine tumors (NETs), the NETSPOT 68Ga-DOTATATE positron emission tomography/computed tomography (PET/CT) utilizes a somatostatin analog to capture whole body imaging of somatostatin receptors. Here, we report a rare case of incidental coronavirus disease 2019 (COVID-19) detection using 68Ga-DOTATATE PET/CT for a 48-year-old patient with COVID-19 who presented to our nuclear medicine department for oncologic and neuroendocrine indications. Current maximal intensity project image from 68Ga-DOTATATE PET/CT demonstrated numerous hypermetabolic foci in the upper abdominal lymph nodes, consistent with somatostatin-avid pancreatic islet cell neoplasm. Radiotracer uptake corresponding to the anatomic infiltrates was also seen in the bilateral pneumonia. With the rise of worldwide COVID-19 cases, and the continued use of NETSPOT for somatostatin avid neoplasms, it is imperative that diagnostic measures of this disease are clearly understood. This case highlights the importance of including COVID-19 on the differential diagnosis when radiotracer uptake appears in 68Ga-DOTATATE PET/CT.
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spelling doaj-art-e15b70a7eb43492eaf296cfceb3f8afd2025-08-20T03:48:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122022-06-01210216316510.1055/s-0042-175034168Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False PositiveJoshua P. Weissman0Twyla Bartel1Northwestern University Feinberg School of Medicine, Chicago, Illinois, United StatesGlobal Advanced Imaging, PLLC, Little Rock, Arkansas, United StatesIn the detection and characterization of neuroendocrine tumors (NETs), the NETSPOT 68Ga-DOTATATE positron emission tomography/computed tomography (PET/CT) utilizes a somatostatin analog to capture whole body imaging of somatostatin receptors. Here, we report a rare case of incidental coronavirus disease 2019 (COVID-19) detection using 68Ga-DOTATATE PET/CT for a 48-year-old patient with COVID-19 who presented to our nuclear medicine department for oncologic and neuroendocrine indications. Current maximal intensity project image from 68Ga-DOTATATE PET/CT demonstrated numerous hypermetabolic foci in the upper abdominal lymph nodes, consistent with somatostatin-avid pancreatic islet cell neoplasm. Radiotracer uptake corresponding to the anatomic infiltrates was also seen in the bilateral pneumonia. With the rise of worldwide COVID-19 cases, and the continued use of NETSPOT for somatostatin avid neoplasms, it is imperative that diagnostic measures of this disease are clearly understood. This case highlights the importance of including COVID-19 on the differential diagnosis when radiotracer uptake appears in 68Ga-DOTATATE PET/CT.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750341netspotcoronaviruspet
spellingShingle Joshua P. Weissman
Twyla Bartel
68Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False Positive
World Journal of Nuclear Medicine
netspot
coronavirus
pet
title 68Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False Positive
title_full 68Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False Positive
title_fullStr 68Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False Positive
title_full_unstemmed 68Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False Positive
title_short 68Ga-DOTATATE Uptake in COVID-19 Pneumonia: A Non-Neoplastic False Positive
title_sort 68ga dotatate uptake in covid 19 pneumonia a non neoplastic false positive
topic netspot
coronavirus
pet
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750341
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AT twylabartel 68gadotatateuptakeincovid19pneumoniaanonneoplasticfalsepositive