Glove Phenomenon Detected by Total-Body PET/CT With 68GA-DOTATATE

Accidental intra-arterial injections of radiotracers are rare events resulting in a specific imaging pattern, described as "hot-forearm," "hot-hand," "glove-phenomenon," or "glove-like pattern." We present a case 68 Ga-DOTATATE total-body PET/CT for restaging of a neuroendocrine tumor, where intra-arterial misinjection resulted in a glove phenomenon. Since patients may present with minimal symptoms, like in this case, and PET findings may only be seen at the distal upper extremity (placed above the head), these accidental injections may be more frequently detected with total-body PET/CT due to the longer field-of-view. Radiologists and technologists should be aware of this possibility to avoid accidental misinjections.

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Publication Details

Journal
Clinical Nuclear Medicine
Published
2024-10-14
DOI
https://doi.org/10.1097/rlu.0000000000005488
Primary Topic
Cardiac tumors and thrombi
Type
article
Field-Weighted Citation Impact
0.00

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article

Glove Phenomenon Detected by Total-Body PET/CT With 68GA-DOTATATE

Lorenzo Nardo, Hande Nalbant, Clemens Mingels, Jonathan Wesley Riess et al.
Clinical Nuclear Medicine
Cardiac tumors and thrombi
article

Glove Phenomenon Detected by Total-Body PET/CT With 68GA-DOTATATE

Lorenzo Nardo, Hande Nalbant, Clemens Mingels, Jonathan Wesley Riess, Fatma Şen, Benjamin A. Spencer
article en

Abstract

Accidental intra-arterial injections of radiotracers are rare events resulting in a specific imaging pattern, described as "hot-forearm," "hot-hand," "glove-phenomenon," or "glove-like pattern." We present a case 68 Ga-DOTATATE total-body PET/CT for restaging of a neuroendocrine tumor, where intra-arterial misinjection resulted in a glove phenomenon. Since patients may present with minimal symptoms, like in this case, and PET findings may only be seen at the distal upper extremity (placed above the head), these accidental injections may be more frequently detected with total-body PET/CT due to the longer field-of-view. Radiologists and technologists should be aware of this possibility to avoid accidental misinjections.

Clinical Nuclear MedicineVol. 49(12)
University of Bern (CH), University Hospital of Bern (CH), University of California, Davis (US)
Amgen, Eli Lilly and Company, AstraZeneca, Sanofi, Biogen, Lantheus Medical Imaging, Novartis Pharmaceuticals Corporation, Regeneron Pharmaceuticals, BeiGene, Revolution Medicines, University of California, Davis, Daiichi Sankyo Europe
Good health and well-being
Openalex Percentile: Top 69%
Cardiac tumors and thrombi
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