TI-201 SPECT in Pseudotumoral Multiple Sclerosis

A patient with multiple sclerosis had a pseudotumoral plaque evident on a brain MRI that was indistinguishable from a malignant brain tumor. TI-201 SPECT showed uptake of TI-201 in the lesion with indices of 1.55 and 1.96 at 30 minutes and 3 hours, respectively. The retention index was 26.4%. The pa...

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Published in:Clinical nuclear medicine Vol. 24; no. 3; pp. 186 - 188
Main Authors: OBACH, VICTOR, GONZALEZ-MENACHO, JORDI, VIDAL, SERGI, LOMEÑA, FRANCESC, GRAUS, FRANCESC
Format: Journal Article
Language:English
Published: Philadelphia, PA Lippincott Williams & Wilkins, Inc 01-03-1999
Hagerstown, MD Lippincott
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Abstract A patient with multiple sclerosis had a pseudotumoral plaque evident on a brain MRI that was indistinguishable from a malignant brain tumor. TI-201 SPECT showed uptake of TI-201 in the lesion with indices of 1.55 and 1.96 at 30 minutes and 3 hours, respectively. The retention index was 26.4%. The patient had clinical and radiologic spontaneous improvement, and the results of TI-201 SPECT performed 3 months later were negative. TI-201 uptake in multiple sclerosis pseudotumoral plaques has not been described before. In this patient, TI-201 SPECT could not differentiate a large multiplesclerosis plaque from a malignant brain tumor.
AbstractList A patient with multiple sclerosis had a pseudotumoral plaque evident on a brain MRI that was indistinguishable from a malignant brain tumor. TI-201 SPECT showed uptake of TI-201 in the lesion with indices of 1.55 and 1.96 at 30 minutes and 3 hours, respectively. The retention index was 26.4%. The patient had clinical and radiologic spontaneous improvement, and the results of TI-201 SPECT performed 3 months later were negative. TI-201 uptake in multiple sclerosis pseudotumoral plaques has not been described before. In this patient, TI-201 SPECT could not differentiate a large multiplesclerosis plaque from a malignant brain tumor.
Author OBACH, VICTOR
GONZALEZ-MENACHO, JORDI
GRAUS, FRANCESC
VIDAL, SERGI
LOMEÑA, FRANCESC
AuthorAffiliation From the Service of Neurology and Nuclear Medicine,† Hospital Clinic, University of Barcelona, Barcelona, Spain
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10.1007/BF02261244
10.1007/BF00168874
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Keywords Radionuclide study
Pseudotumor
Thallium
Nervous system diseases
Multiple sclerosis
Central nervous system
Nuclear magnetic resonance imaging
Photon
Differential diagnostic
Inflammatory disease
Case study
Central nervous system disease
Distribution
Medical imagery
Tumor
Emission tomography
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References Yoshii (R1-11-20110409) 1993; 20
Dierckx (R2-11-20110409) 1994; 21
Ueda (R3-11-20110409) 1993; 20
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  publication-title: Eur J Nucl Med
  doi: 10.1007/BF00285584
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    fullname: Dierckx
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  year: 1993
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    fullname: Yoshii
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Snippet A patient with multiple sclerosis had a pseudotumoral plaque evident on a brain MRI that was indistinguishable from a malignant brain tumor. TI-201 SPECT...
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SubjectTerms Biological and medical sciences
Brain - diagnostic imaging
Brain Neoplasms - diagnostic imaging
Diagnosis, Differential
Humans
Male
Medical sciences
Middle Aged
Multiple Sclerosis - diagnostic imaging
Neurology
Thallium Radioisotopes
Tomography, Emission-Computed, Single-Photon
Tumors of the nervous system. Phacomatoses
Title TI-201 SPECT in Pseudotumoral Multiple Sclerosis
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