The Korean Journal of Nuclear Medicine (대한핵의학회지)

The Korean Society of Nuclear Medicine (대한핵의학회)
권호 표지

Incidental detection of myocardial ischemia during F-18 FDG CoDe PET for the evaluation of a solitary pulmonary nodule

  • Park, Chan-H. (Department of Nuclear Medicine, School of Medicine, Ajou University) ;
  • Park, Kwang-J. (Department of Pulmonary Medicine, School of Medicine, Ajou University) ;
  • Lee, Myoung-Hoon (Department of Nuclear Medicine, School of Medicine, Ajou University)
  • Published : 2001.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

The authors report a case of unsuspected myocardial ischemia detected during CoDe FDG PET (coincidence detection fluorodeoxyglucose positron emission tomogram) which was performed for the evaluation of a solitary pulmonary nodule. Camera-based FDG PET without attenuation correction often reveals false defect in the inferior wall of the left ventricle in normals due to excessive attenuation. However, this asymptomatic patient had increased uptake in the inferior wall suggesting ischemic myocardium. The scan finding was confirmed by Tl-201 myocardial SPECT and coronary angiogram. The patient then underwent successful PTCA of mild RCA and right ventricular branch followed by right upper lobectomy for small cell lung cancer.

Keywords