Multiparametric 18F–FDG PET/MR follow-up in a patient with autoimmune pancreatitis

Isabel Rauscher; Matthias Eiber; Hana Algül; Jens T. Siveke; Gregor Weirich; Anna M. Schlitter; Ambros J. Beer

doi:10.1186/s41824-017-0016-9

Multiparametric 18F–FDG PET/MR follow-up in a patient with autoimmune pancreatitis

Isabel Rauscher, Matthias Eiber, Hana Algül, Jens T. Siveke, Gregor Weirich, Anna M. Schlitter, Ambros J. Beer

Technical University of Munich

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Background: Positron emission tomography/magnetic resonance imaging (PET/MR) is a new multimodal imaging technique, which might improve the diagnostic performance not only in oncological patients but also in patients with non-neoplastic inflammatory lesions as routinely used ¹⁸F-FDG is not a cancer specific agent. Case Presentation: Multiparametric ¹⁸F–FDG PET/MR in a woman with pain in the upper abdomen and inconclusive laboratory and clinical data presenting with moderately increased, diffuse ¹⁸F–FDG uptake with delayed contrast enhancement, diffusion-restriction and focal enlargement in the pancreatic body being suggestive for autoimmune pancreatitis (AIP). Follow-up ¹⁸F–FDG PET/MR after initiation of steroid therapy confirmed complete resolution of imaging abnormalities. Conclusion: ¹⁸F–FDG PET/MR might be valuable in the management of AIP providing complementary data regarding accurate diagnosis and monitoring therapy response to avoid unnecessary surgery.

Original language	English
Article number	11
Journal	European Journal of Hybrid Imaging
Volume	1
Issue number	1
DOIs	https://doi.org/10.1186/s41824-017-0016-9
State	Published - Dec 2017
Externally published	Yes

Keywords

Autoimmune Pancreatitis (AIP)
Cancer Specific Agent
Delayed Contrast Enhancement
Monitoring Therapy Response
Pancreatic Body

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10.1186/s41824-017-0016-9

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title = "Multiparametric 18F–FDG PET/MR follow-up in a patient with autoimmune pancreatitis",

abstract = "Background: Positron emission tomography/magnetic resonance imaging (PET/MR) is a new multimodal imaging technique, which might improve the diagnostic performance not only in oncological patients but also in patients with non-neoplastic inflammatory lesions as routinely used 18F-FDG is not a cancer specific agent. Case Presentation: Multiparametric 18F–FDG PET/MR in a woman with pain in the upper abdomen and inconclusive laboratory and clinical data presenting with moderately increased, diffuse 18F–FDG uptake with delayed contrast enhancement, diffusion-restriction and focal enlargement in the pancreatic body being suggestive for autoimmune pancreatitis (AIP). Follow-up 18F–FDG PET/MR after initiation of steroid therapy confirmed complete resolution of imaging abnormalities. Conclusion: 18F–FDG PET/MR might be valuable in the management of AIP providing complementary data regarding accurate diagnosis and monitoring therapy response to avoid unnecessary surgery.",

keywords = "Autoimmune Pancreatitis (AIP), Cancer Specific Agent, Delayed Contrast Enhancement, Monitoring Therapy Response, Pancreatic Body",

author = "Isabel Rauscher and Matthias Eiber and Hana Alg{\"u}l and Siveke, {Jens T.} and Gregor Weirich and Schlitter, {Anna M.} and Beer, {Ambros J.}",

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T1 - Multiparametric 18F–FDG PET/MR follow-up in a patient with autoimmune pancreatitis

AU - Rauscher, Isabel

AU - Eiber, Matthias

AU - Algül, Hana

AU - Siveke, Jens T.

AU - Weirich, Gregor

AU - Schlitter, Anna M.

AU - Beer, Ambros J.

PY - 2017/12

Y1 - 2017/12

N2 - Background: Positron emission tomography/magnetic resonance imaging (PET/MR) is a new multimodal imaging technique, which might improve the diagnostic performance not only in oncological patients but also in patients with non-neoplastic inflammatory lesions as routinely used 18F-FDG is not a cancer specific agent. Case Presentation: Multiparametric 18F–FDG PET/MR in a woman with pain in the upper abdomen and inconclusive laboratory and clinical data presenting with moderately increased, diffuse 18F–FDG uptake with delayed contrast enhancement, diffusion-restriction and focal enlargement in the pancreatic body being suggestive for autoimmune pancreatitis (AIP). Follow-up 18F–FDG PET/MR after initiation of steroid therapy confirmed complete resolution of imaging abnormalities. Conclusion: 18F–FDG PET/MR might be valuable in the management of AIP providing complementary data regarding accurate diagnosis and monitoring therapy response to avoid unnecessary surgery.

AB - Background: Positron emission tomography/magnetic resonance imaging (PET/MR) is a new multimodal imaging technique, which might improve the diagnostic performance not only in oncological patients but also in patients with non-neoplastic inflammatory lesions as routinely used 18F-FDG is not a cancer specific agent. Case Presentation: Multiparametric 18F–FDG PET/MR in a woman with pain in the upper abdomen and inconclusive laboratory and clinical data presenting with moderately increased, diffuse 18F–FDG uptake with delayed contrast enhancement, diffusion-restriction and focal enlargement in the pancreatic body being suggestive for autoimmune pancreatitis (AIP). Follow-up 18F–FDG PET/MR after initiation of steroid therapy confirmed complete resolution of imaging abnormalities. Conclusion: 18F–FDG PET/MR might be valuable in the management of AIP providing complementary data regarding accurate diagnosis and monitoring therapy response to avoid unnecessary surgery.

KW - Autoimmune Pancreatitis (AIP)

KW - Cancer Specific Agent

KW - Delayed Contrast Enhancement

KW - Monitoring Therapy Response

KW - Pancreatic Body

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SN - 2510-3636

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ER -

Multiparametric 18F–FDG PET/MR follow-up in a patient with autoimmune pancreatitis

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Keywords

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