E-learning

Generalized increased muscle uptake facilitated by both insulin and corticosteroid.

18 F-FDG PET/CT

M 61 Brain metastasis with unknown primary. Diabetes type I: Long acting insulin injected 1 hr before 18F-FDG. On corticosteroid therapy (Decadron) because of brain metastasis.

Marked myocardial and generalized muscle uptake.

Teaching points:
T1: Muscle uptake will be facilitated by both insulin and corticosteroid.
T2: Non-fasting patients with high blood glucose / insulin may show high, generalized muscle uptake 
T3:After exercise, the specific muscles used will show physiologic increased uptake. Strenious excersise should be avoided for 24 hours before a FDG PET study.


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Brain metastasis

Generalized increased muscle uptake facilitated by both insulin and corticosteroid.,
Generalized increased muscle uptake facilitated by both insulin and corticosteroid.,
Generalized increased muscle uptake facilitated by both insulin and corticosteroid.,
Generalized increased muscle uptake facilitated by both insulin and corticosteroid.,
Generalized increased muscle uptake facilitated by both insulin and corticosteroid.,