131I Uptake in a Left Cerebral Infarct on Posttherapy Whole-Body Scan

Author:

Ng Cherie Wei Qi1,Cheng Lenith Tai Jit2,Chua Wei Ming3,Tang Charlene Yu Lin3

Affiliation:

1. Department of Diagnostic Imaging, National University Health System

2. RadLink (Paragon), Paragon Medical

3. Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, Singapore.

Abstract

Abstract A 75-year-old woman with papillary thyroid carcinoma who underwent 131I radioiodine treatment was incidentally found to have an established left cerebral infarct demonstrating 131I uptake on posttherapy whole-body scan. False-positive iodine accumulation can occur in benign processes and other malignancies, necessitating awareness among nuclear medicine physicians to avoid misdiagnosing metastatic disease. SPECT/CT can be utilized to enhance diagnostic accuracy when needed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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3. Reappraising the diagnostic accuracy of post-treatment whole-body scans for differentiated thyroid carcinoma;Horm Metab Res,2020

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5. False-positive uptake on radioiodine whole-body scintigraphy: physiologic and pathologic variants unrelated to thyroid cancer;Am J Nucl Med Mol Imaging,2012

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