Discordant Findings on 18F-NaF and 99mTc-HDP Bone Scans in a Patient With ATTR Cardiac Amyloidosis.

TitleDiscordant Findings on 18F-NaF and 99mTc-HDP Bone Scans in a Patient With ATTR Cardiac Amyloidosis.
Publication TypeJournal Article
Year of Publication2018
AuthorsNg QKT, Sethi P, Saunders TA, Pampaloni MHernandez, Flavell RR
JournalClin Nucl Med
Volume43
Issue3
Paginatione89-e92
Date Published2018 Mar
ISSN1536-0229
KeywordsAged, Amyloidosis, Bone and Bones, Diphosphonates, Fluorine Radioisotopes, Humans, Male, Organotechnetium Compounds, Positron Emission Tomography Computed Tomography, Prealbumin, Sodium Fluoride
Abstract

Cardiac amyloidosis is an important cause of restrictive cardiomyopathy and congestive heart failure. Bone scintigraphy with [Tc]hydroxymethylene diphosphonate (Tc-HDP) and [F]sodium fluoride (F-NaF) have been investigated in the noninvasive diagnosis of transthyretin (ATTR)-related cardiac amyloidosis. We present a case of a 76-year-old man with metastatic prostate cancer who underwent Tc-HDP bone scintigraphy with an incidental finding of diffuse left ventricular abnormal uptake suggesting ATTR cardiac amyloidosis. Review of previous imaging showed a negative F-NaF PET/CT study. This example suggests that the mechanism of uptake of Tc-HDP and F-NaF may differ in patients with ATTR cardiac amyloidosis.

DOI10.1097/RLU.0000000000001933
Alternate JournalClin Nucl Med
PubMed ID29261619

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