18F-FET PET Pitfall in Pituitary Imaging: False-positive Uptake Due to Neurosarcoidosis

We report a rare pituitary imaging pitfall on 18F-FET PET/CT in a 38-year-old man with a history of treated pulmonary sarcoidosis. MRIs demonstrated a left-sided pituitary neuroendocrine tumor (PitNET)/pituitary adenoma. 18F-FET PET/CT showed discordant bilateral uptake with higher activity on the right side. Histopathological analysis demonstrated a PitNET of corticotroph type on the left side and noncaseating granulomas consistent with sarcoidosis on the right side. Neurosarcoidosis should be considered a potential cause of false-positive 18F-FET uptake.

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Journal
Clinical Nuclear Medicine
Published
2026-09-24
DOI
https://doi.org/10.1097/rlu.0000000000006651
Primary Topic
Sarcoidosis and Beryllium Toxicity Research
Type
article
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article

18F-FET PET Pitfall in Pituitary Imaging: False-positive Uptake Due to Neurosarcoidosis

Anthime Flaus, Alexandre Vasiljevic, Camille Sergeant, Emmanuel Jouanneau et al.
Clinical Nuclear Medicine
Sarcoidosis and Beryllium Toxicity Research
article

18F-FET PET Pitfall in Pituitary Imaging: False-positive Uptake Due to Neurosarcoidosis

Anthime Flaus, Alexandre Vasiljevic, Camille Sergeant, Emmanuel Jouanneau, Gérald Raverot, Chloé Merino
article en

Abstract

We report a rare pituitary imaging pitfall on 18F-FET PET/CT in a 38-year-old man with a history of treated pulmonary sarcoidosis. MRIs demonstrated a left-sided pituitary neuroendocrine tumor (PitNET)/pituitary adenoma. 18F-FET PET/CT showed discordant bilateral uptake with higher activity on the right side. Histopathological analysis demonstrated a PitNET of corticotroph type on the left side and noncaseating granulomas consistent with sarcoidosis on the right side. Neurosarcoidosis should be considered a potential cause of false-positive 18F-FET uptake.

Clinical Nuclear Medicine
Université Claude Bernard Lyon 1 (FR), Centre National de la Recherche Scientifique (FR), Inserm (FR), Hospices Civils de Lyon (FR), Centre de Recherche en Cancérologie de Lyon (FR)
Openalex Percentile: Top 11%
Sarcoidosis and Beryllium Toxicity Research
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18F-FET PET Pitfall in Pituitary Imaging: False-positive Uptake Due to Neurosarcoidosis — Anthime Flaus, Alexandre Vasiljevic, et al. · Clinical Nuclear Medicine (2026) | TGRS Research Map | TGRS