Radiation-induced myositis mimicking chest wall tumor invasion in two patients with lung cancer: a PET/CT study

Clin Nucl Med. 2012 Feb;37(2):168-9. doi: 10.1097/RLU.0b013e3181d6249f.

Abstract

Two patients with lung cancer who had undergone stereotactic body radiation therapy (SBRT) exhibited increased F-18 FDG uptake in the chest wall after 6 months and 18 months, respectively, after SBRT. The prescribed dose of 50 Gy to the planning target volume was delivered on 4 consecutive days in each patient. It is important for nuclear medicine physicians to be familiar with F-18 FDG PET/CT findings ascribed to radiation-induced myositis in lung cancer patients treated with SBRT so that an appropriate differential diagnosis can be established.

MeSH terms

  • Diagnosis, Differential
  • Fluorodeoxyglucose F18
  • Humans
  • Lung Neoplasms / pathology*
  • Multimodal Imaging*
  • Myositis / diagnostic imaging*
  • Neoplasm Invasiveness
  • Positron-Emission Tomography*
  • Radiation Injuries / diagnostic imaging*
  • Thoracic Wall / diagnostic imaging
  • Thoracic Wall / pathology*
  • Tomography, X-Ray Computed*

Substances

  • Fluorodeoxyglucose F18