Skip to main content

Main menu

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • JNM Supplement
    • SNMMI Annual Meeting Abstracts
    • Continuing Education
    • JNM Podcasts
  • Subscriptions
    • Subscribers
    • Institutional and Non-member
    • Rates
    • Journal Claims
    • Corporate & Special Sales
  • Authors
    • Submit to JNM
    • Information for Authors
    • Assignment of Copyright
    • AQARA requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • SNMMI
    • JNM
    • JNMT
    • SNMMI Journals
    • SNMMI

User menu

  • Subscribe
  • My alerts
  • Log in
  • Log out
  • My Cart

Search

  • Advanced search
Journal of Nuclear Medicine
  • SNMMI
    • JNM
    • JNMT
    • SNMMI Journals
    • SNMMI
  • Subscribe
  • My alerts
  • Log in
  • Log out
  • My Cart
Journal of Nuclear Medicine

Advanced Search

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • JNM Supplement
    • SNMMI Annual Meeting Abstracts
    • Continuing Education
    • JNM Podcasts
  • Subscriptions
    • Subscribers
    • Institutional and Non-member
    • Rates
    • Journal Claims
    • Corporate & Special Sales
  • Authors
    • Submit to JNM
    • Information for Authors
    • Assignment of Copyright
    • AQARA requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • View or Listen to JNM Podcast
  • Visit JNM on Facebook
  • Join JNM on LinkedIn
  • Follow JNM on Twitter
  • Subscribe to our RSS feeds
Meeting ReportOncology: Clinical Diagnosis

The incidence of pulmonary embolism and associated FDG-PET findings on IV contrast enhanced PET/CT

Robert Flavell, Spencer Behr, Ryan Brunsing, David Naeger and Miguel Hernandez Pampaloni
Journal of Nuclear Medicine May 2014, 55 (supplement 1) 1624;
Robert Flavell
1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Spencer Behr
1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ryan Brunsing
2MD/PhD Program, University of New Mexico School of Medicine, Albuquerque, NM
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Naeger
1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Miguel Hernandez Pampaloni
1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
Loading

Abstract

1624

Objectives The majority of FDG PET/CT studies are performed on cancer patients. These patients are at increased risk of pulmonary embolism (PE, Ref 1 & 2). In this retrospective review, we determined the rate of pulmonary embolism, and the prevalence of associated FDG PET findings on IV contract enhanced PET/CT.

Methods We identified all PET/CT studies performed at our institution with a reported finding of PE between January 2005 and October 2012. The medical record was reviewed for symptoms which were identified following the diagnosis of PE, and whether the patients received treatment. The prevalence of associated FDG PET findings was determined.

Results 65 total cases of pulmonary embolism (of 18272 total PET/CT examinations) were identified of which 59 were previously unknown. This gives an incidental pulmonary embolism rate of 0.32%. Of the patients where sufficient clinical information was available, 34/36 (94%) were treated, either with therapeutic anticoagulation or IVC filter, and 30/36 (83%) were asymptomatic in retrospect. Of the patients with incidental PE, we found 9 (15.2%) with associated focal pulmonary artery hypermetabolism, three (5.1%) with hypermetabolic pulmonary infarction, and one with increased isolated right ventricular FDG uptake (1.7%). One case of chronic pulmonary embolism demonstrated a focal hypometabolic filling defect in a pulmonary artery on PET.

Conclusions We found incidental pulmonary embolism in 0.32% of PET/CT scans. Focal pulmonary artery hypermetabolism or hypometabolism, and hypermetabolic pulmonary artery infarction with the “rim sign” were uncommonly associated with PE (Ref 3 & 4). These findings could raise the possibility of incidental PE in non IV-contrast enhanced PET/CT studies.

Previous
Back to top

In this issue

Journal of Nuclear Medicine
Vol. 55, Issue supplement 1
May 2014
  • Table of Contents
  • Index by author
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Journal of Nuclear Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The incidence of pulmonary embolism and associated FDG-PET findings on IV contrast enhanced PET/CT
(Your Name) has sent you a message from Journal of Nuclear Medicine
(Your Name) thought you would like to see the Journal of Nuclear Medicine web site.
Citation Tools
The incidence of pulmonary embolism and associated FDG-PET findings on IV contrast enhanced PET/CT
Robert Flavell, Spencer Behr, Ryan Brunsing, David Naeger, Miguel Hernandez Pampaloni
Journal of Nuclear Medicine May 2014, 55 (supplement 1) 1624;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
The incidence of pulmonary embolism and associated FDG-PET findings on IV contrast enhanced PET/CT
Robert Flavell, Spencer Behr, Ryan Brunsing, David Naeger, Miguel Hernandez Pampaloni
Journal of Nuclear Medicine May 2014, 55 (supplement 1) 1624;
Twitter logo Facebook logo LinkedIn logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
  • Info & Metrics

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

Oncology: Clinical Diagnosis

  • Application of 18F-FDG PET/CT in primary thyroid lymphoma
  • Effect of respiratory gated positron emission tomography on clinical staging and management of lung cancer
  • 18F-FDG PET/CT imaging features of pancreatic solid pseudopapillary tumor
Show more Oncology: Clinical Diagnosis

MTA I: Other Tumors Posters

  • 18F-FDG PET/CT predicts Fuhrman grade in renal clear cell carcinomas
  • Evaluation of neoplastic lesions using TOF and PSF in hybrid PET/MRI
  • FDG-PET/CT for the evaluation of non-osseous sites of Langerhans cell histiocytosis
Show more MTA I: Other Tumors Posters

Similar Articles

SNMMI

© 2025 SNMMI

Powered by HighWire