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KMID : 1148920190530020148
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Nuclear Medicine and Molecular Imaging
2019 Volume.53 No. 2 p.148 ~ p.151
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Tracer Accumulation in Relation to Venous Thrombus on 18F-DOPA PET/CT in a Case of Persistent Hyperinsulinemic Hypoglycemia of Infancy
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Arora Saurabh
Damle Nishikant Avinash
Passah Averilicia
Sharma Rajni
Goyal Harish
Arunraj Shreedharan Thankarajan
Gupta Priyanka
Jana Manisha
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Abstract
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18F-DOPA PET/CT is commonly done in patients with persistent hyperinsulinemic hypoglycemia of infancy (PHHI) to look for any focal lesion in the pancreas. We present the findings in a 20-day-old neonate with PHHI who underwent 18F-DOPA PET/CT. The scan showed diffuse uptake in the pancreas with no focal lesion, physiologic excretion into the genito-urinary system, and interestingly tracer accumulation was seen in the inferior vena cava and ilio-femoral veins which is a non-physiological site for tracer accumulation. The uptake corresponded to a large venous thrombus which was confirmed by a venous Doppler.
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KEYWORD
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Venous thrombus, 18F-DOPA PET/CT, Persistent hyperinsulinemic hypoglycemia of infancy (PHHI), Congenital hyperinsulinism
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