Meningeal Metastasis Relapse With Focal Involvement of Cranial Bone Flap: A Case Resolved by 18F-DOPA PET/MRI

Clin Nucl Med. 2019 Apr;44(4):e315-e317. doi: 10.1097/RLU.0000000000002492.

Abstract

A 63-year-old woman was referred to our PET/MRI platform to evaluate the possible relapse of a meningeal metastasis, complicating an invasive ductal carcinoma of the left breast. This metastasis was diagnosed on a left hemiparesis and treated by surgery and radiation therapy. One year later, the same symptoms led to another brain MRI examination that found a contrast-enhanced lesion in the operating site. We decided to perform a F-DOPA PET/MRI to document this lesion, which confirmed the diagnosis of a probable relapse and revealed a focal uptake on the bone flap.

MeSH terms

  • Breast Neoplasms / pathology
  • Dihydroxyphenylalanine*
  • Female
  • Fluorine Radioisotopes*
  • Humans
  • Magnetic Resonance Imaging*
  • Meningeal Neoplasms / diagnostic imaging*
  • Meningeal Neoplasms / secondary*
  • Middle Aged
  • Multimodal Imaging*
  • Positron-Emission Tomography*
  • Recurrence
  • Skull / diagnostic imaging
  • Skull / metabolism

Substances

  • Fluorine Radioisotopes
  • Dihydroxyphenylalanine
  • Fluorine-18