Findings of the 18F-FDG PET-CT in a cardiac angiosarcoma complicated by a cardiac rupture

18F-FDG-PET/CT imaging in cardiac tumors: illustrative clinical cases and review of the literature

“…10 18 F-fluorodeoxyglucose positron emission tomography/computed tomography Scattered case reports in literature describe how integrated PET/CT with FDG imaging can incidentally show cardiac neoplasia, particularly metastatic involvement, [11][12][13][14][15][16][17] or may be used in case of suspected aggressive cardiac malignancy to strengthen the diagnosis and detect possible occult distant disease. [18][19][20][21][22][23][24][25][26] However, unlike many other solid tumors, FDG PET does not have an established role in the routine evaluation of cardiac tumors, which is probably due both to their low frequency and to the physiologically high uptake of FDG in the myocardium, although with interindividual and intraindividual variability. 27 In the normal myocardium, metabolism is primarily oxidative and uses various substrates, including glucose, free fatty acids and lactate.…”

“…Scattered case reports in literature describe how integrated PET/CT with FDG imaging can incidentally show cardiac neoplasia, particularly metastatic involvement, 11–17 or may be used in case of suspected aggressive cardiac malignancy to strengthen the diagnosis and detect possible occult distant disease. 18–26…”