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Brief Report

Cutting-Edge Imaging of Cardiac Metastases from Neuroendocrine Tumors: Lesson from a Case Series

by
Soraya El Ghannudi
1,2,*,
Eric Ouvrard
1,
Nidaa Mikail
3,
Benjamin Leroy Freschini
1,
Thomas H. Schindler
4 and
Alessio Imperiale
1,5,*
1
Nuclear Medicine, Institut de Cancérologie de Strasbourg Europe (ICANS), University Hospitals of Strasbourg, 67093 Strasbourg, France
2
Department of Radiology, University Hospitals of Strasbourg, 67098 Strasbourg, France
3
Nuclear Medicine, ENETS Centre of Excellence, Beaujon Hospital (APHP), 92110 Clichy, France
4
Division of Nuclear Medicine, Mallinckrodt Institute of Radiology, Washington University, St. Louis, MO 63110, USA
5
Molecular Imaging—DRHIM, IPHC, UMR 7178, CNRS/Unistra, 67093 Strasbourg, France
*
Authors to whom correspondence should be addressed.
Diagnostics 2022, 12(5), 1182; https://doi.org/10.3390/diagnostics12051182
Submission received: 28 March 2022 / Revised: 5 May 2022 / Accepted: 7 May 2022 / Published: 9 May 2022
(This article belongs to the Special Issue Noninvasive Diagnosis of Cardiac Tumors)

Abstract

With the increasing availability of high-performance medical imaging for the management of patients with neuroendocrine tumors (NETs), a progressive growth of asymptomatic and incidentally detected cardiac metastases (CMs) has been observed in the recent years. In clinical practice, CMs of NENs are often incidentally detected by whole-body 68Ga-labeled somatostatin analogs or 18F-fluorodihydroxyphenylalanine positron emission tomography/computed tomography, and afterwards accurately characterized by cardiac magnetic resonance (CMR) and/or gated cardiac computed tomography when CMR is contraindicated or not available. The interpreting physician should familiarize with the main imaging features of CM, a finding that may be encountered in NETs patients more than previously thought. Herein, we present a case series of four patients with CMs from small-intestine NETs highlighting strengths and weaknesses of a multimodality imaging approach in clinical practice.
Keywords: neuroendocrine; cardiac metastasis; positron emission tomography; 68Ga-DOTATOC; 18F-DOPA; cardiac magnetic resonance; echocardiography; cardiac imaging neuroendocrine; cardiac metastasis; positron emission tomography; 68Ga-DOTATOC; 18F-DOPA; cardiac magnetic resonance; echocardiography; cardiac imaging

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MDPI and ACS Style

El Ghannudi, S.; Ouvrard, E.; Mikail, N.; Leroy Freschini, B.; Schindler, T.H.; Imperiale, A. Cutting-Edge Imaging of Cardiac Metastases from Neuroendocrine Tumors: Lesson from a Case Series. Diagnostics 2022, 12, 1182. https://doi.org/10.3390/diagnostics12051182

AMA Style

El Ghannudi S, Ouvrard E, Mikail N, Leroy Freschini B, Schindler TH, Imperiale A. Cutting-Edge Imaging of Cardiac Metastases from Neuroendocrine Tumors: Lesson from a Case Series. Diagnostics. 2022; 12(5):1182. https://doi.org/10.3390/diagnostics12051182

Chicago/Turabian Style

El Ghannudi, Soraya, Eric Ouvrard, Nidaa Mikail, Benjamin Leroy Freschini, Thomas H. Schindler, and Alessio Imperiale. 2022. "Cutting-Edge Imaging of Cardiac Metastases from Neuroendocrine Tumors: Lesson from a Case Series" Diagnostics 12, no. 5: 1182. https://doi.org/10.3390/diagnostics12051182

APA Style

El Ghannudi, S., Ouvrard, E., Mikail, N., Leroy Freschini, B., Schindler, T. H., & Imperiale, A. (2022). Cutting-Edge Imaging of Cardiac Metastases from Neuroendocrine Tumors: Lesson from a Case Series. Diagnostics, 12(5), 1182. https://doi.org/10.3390/diagnostics12051182

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