Recurrent sinonasal meningioma: insights from somatostatin receptor imaging

Abdlkadir, Ahmed S.; Amarin, Rula; Estrada-Lobato, Enrique; Al-Ibraheem, Akram

doi:10.1016/j.remnie.2024.500014

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Los cortes axiales PET/TC de la región craneal (B, C) mostraron una masa nasal derecha moderadamente hipermetabólica con un SUVmáx de 4,9 (flechas). Las proyecciones MIP y los cortes axiales de la PET/TC con [68Ga]Ga-DOTA-TOC de la cabeza (D-F) mostraron claramente una intensa expresión del radiotrazador en el interior de la tumoración nasal derecha (SUVmáx de 22,8). Las imágenes axial y sagital de la RM craneal en T1 (G, H) mostraron una masa única nasosinusal derecha hiperintensa. Los cortes axial y sagital de fusión PET/RM craneal (I, J) mostraron la localización precisa y muy activa dentro del meningioma nasal recidivado, con un diámetro máximo aproximado de 3,6." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A.S. Abdlkadir, R. Amarin, E. Estrada-Lobato, A. Al-Ibraheem" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A.S." "apellidos" => "Abdlkadir" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Amarin" ] 2 => array:2 [ "nombre" => "E." 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Abdlkadir, Rula Amarin, Enrique Estrada-Lobato, Akram Al-Ibraheem" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ahmed S." "apellidos" => "Abdlkadir" "email" => array:1 [ 0 => "ahmedshukri92@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "Rula" "apellidos" => "Amarin" "email" => array:1 [ 0 => "ramarin@khcc.jo" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Enrique" "apellidos" => "Estrada-Lobato" "email" => array:1 [ 0 => "E.Estrada-Lobato@iaea.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 3 => array:4 [ "nombre" => "Akram" "apellidos" => "Al-Ibraheem" "email" => array:2 [ 0 => "aibraheem@khcc.jo" 1 => "akramalibrahim@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Department of Nuclear Medicine, King Hussein Cancer Center (KHCC), Amman, 11942, Jordan" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Medicine, King Hussein Cancer Center (KHCC), Amman, 11942, Jordan" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Nuclear Medicine and Diagnostic Section, Division of Human Health, International Atomic Energy Agency (IAEA), Vienna, Austria" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Division of Nuclear Medicine, Department of Radiology and Nuclear Medicine, University of Jordan, Amman, 11942, Jordan" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Meningioma sinusal recurrente: perspectivas de las imágenes con receptores de somatostatina" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1609 "Ancho" => 3333 "Tamanyo" => 583680 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "The MIP image (A) for [18F]FDG PET/CT was unremarkable. Axial PET/CT views of the (B, C) head region revealed a mildly hypermetabolic right nasal mass lesion with an SUVmax of 4.9 (arrows). [68Ga]Ga-DOTA-TOC MIP and axial PET/CT head views (D-F) clearly depicted intense expression within the right nasal mass (SUVmax of 22.8). Axial, and sagittal T1 brain MRI (G, H) images exposed a single hyperintense right sinonasal mass. Axial and sagittal views of fused PET/MR (I, J) head views denoted precise and intense localization within the recurrent nasal meningioma, measuring about 3.6 in maximum dimension." ] ] ] "textoCompleto" => "A 63-year-old female with a history of two metachronous tumors, comorbid hypertension, and long-standing type 2 diabetes mellitus presented with a new-onset frontal headache. Notably, she underwent successful surgical resection of a right sinonasal meningioma 15 years ago. Additionally, five years ago, she underwent a left hemicolectomy for T3N0 stage IIA moderately differentiated adenocarcinoma. Following surgery, she received adjuvant capecitabine and oxaliplatin (XELOX) chemotherapy, which has resulted in sustained remission of colonic adenocarcinoma over the past five years.Recent onset of frontal headache prompted a comprehensive clinical and biochemical evaluation with a full list of hematologic, renal, and hepatic profiles. All these findings were unremarkable, apart from an elevated creatinine level ranking at 1.8mg/dL, exceeding the upper normal limit of 1.1mg/dL. This prompted a broader investigative approach to elucidate potential underlying etiologies. As part of surveillance, [18F]fluorodeoxyglucose ([18F]FDG) positron emission tomography/computed tomography (PET/CT) was performed to exclude colonic adenocarcinoma recurrence (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The maximum intensity projection image (MIP) was unremarkable for colonic adenocarcinoma recurrence (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). However, axial PET/CT images of the head region revealed evidence of a mildly hypermetabolic right nasal mass lesion projecting along the right side of the nasal septum (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, C). Such evidence is alarming for meningioma recurrence and mandated imaging correlation. For better evaluation [68Ga]Ga-labeled 1,4,7,10-tetraazacyclododecane-N,N′,N″,N‴-tetraacetic acid-d-Phe1-Tyr3-octreotide ([68Ga]Ga-DOTA-TOC) PET/CT was conducted and revealed intense [68Ga]Ga-DOTA-TOC-avid right nasal mass suggesting nasal meningioma recurrence (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D–F), which was corroborated by concurrent magnetic resonance (MR) imaging (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>G, H). Retrospectively registered fused PET/MR images provided precise [68Ga]Ga-DOTA-TOC localization within the recurrent nasal meningioma (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>I, J). In a multidisciplinary clinical discussion, it was decided to postpone further intervention for recurrent nasal meningioma until the current active renal disease was controlled.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Sinonasal meningioma represents an extremely rare subgroup of extracranial meningeal tumors.<a class="elsevierStyleCrossRef" href="#bib0005">1</a> To date, little is known regarding the clinicopathologic aspects of meningioma at these anatomic sites. <a class="elsevierStyleCrossRef" href="#bib0005">1</a> Incidental finding of extracranial meningioma have been reported previously during the evaluation of unrelated entities. <a class="elsevierStyleCrossRef" href="#bib0010">2</a> In such cases, PET using [68Ga]Ga-labeled somatostatin receptor (SSTR) ligands can provide valuable information due to the strong SSTR expression in these tumors. <a class="elsevierStyleCrossRef" href="#bib0015">3</a> To our knowledge, this case is the first molecular imaging depiction of recurrent sinonasal meningioma recurrence, revealing the promising complementary role of SSTR imaging in this context.FundingNo funding source was used to support this work.Conflicts of interestNone declared." "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:2 [ "identificador" => "xack764515" "titulo" => "Acknowledgments" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2024-03-18" "fechaAceptado" => "2024-04-23" "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1609 "Ancho" => 3333 "Tamanyo" => 583680 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "The MIP image (A) for [18F]FDG PET/CT was unremarkable. Axial PET/CT views of the (B, C) head region revealed a mildly hypermetabolic right nasal mass lesion with an SUVmax of 4.9 (arrows). [68Ga]Ga-DOTA-TOC MIP and axial PET/CT head views (D-F) clearly depicted intense expression within the right nasal mass (SUVmax of 22.8). Axial, and sagittal T1 brain MRI (G, H) images exposed a single hyperintense right sinonasal mass. Axial and sagittal views of fused PET/MR (I, J) head views denoted precise and intense localization within the recurrent nasal meningioma, measuring about 3.6 in maximum dimension." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary extracranial meningiomas of the sinonasal tract: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "X.L. Goh" 1 => "J.R.T. Chee" 2 => "A.C. Tham" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Neurol Surg B Skull Base." "fecha" => "2024" "volumen" => "86" "paginaInicial" => "109" "paginaFinal" => "118" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A patient with a benign and a malignant primary pulmonary meningioma: an evaluation with 18F fluorodeoxyglucose positron emission tomography/computed tomography and computed tomography with iodinated contrast" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Cimini" 1 => "F. Ricci" 2 => "L. Pugliese" 3 => "A. Chiaravalloti" 4 => "O. Schillaci" 5 => "R. Floris" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/ijnm.IJNM_101_18" "Revista" => array:6 [ "tituloSerie" => "Indian J Nucl Med" "fecha" => "2019" "volumen" => "34" "paginaInicial" => "45" "paginaFinal" => "47" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30713380" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of [68Ga] Ga-DOTA-SSTR PET radiotracers in brain tumors: a systematic review of the literature and ongoing clinical trials" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Palmisciano" 1 => "G. Watanabe" 2 => "A. Conching" 3 => "C. Ogasawara" 4 => "G. Ferini" 5 => "O. Bin-Alamer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3390/cancers14122925" "Revista" => array:5 [ "tituloSerie" => "Cancers." "fecha" => "2022" "volumen" => "14" "paginaInicial" => "2925" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35740591" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack764515" "titulo" => "Acknowledgments" "texto" => "None to mention." "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000004300000004/v3_202408070927/S2253808924000314/v3_202408070927/en/main.assets" "Apartado" => array:4 [ "identificador" => "7927" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Interesting images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22538089/0000004300000004/v3_202408070927/S2253808924000314/v3_202408070927/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808924000314?idApp=UINPBA00004N"]

ISSN: 2253-8089

The Revista Española de Medicina Nuclear e Imagen Molecular (Spanish Journal of Nuclear Medicine and Molecular Imaging), was founded in 1982, and is the official journal of the Spanish Society of Nuclear Medicine and Molecular Imaging, which has more than 700 members.
The Journal, which publishes 6 regular issues per year, has the promotion of research and continuing education in all fields of Nuclear Medicine as its main aim. For this, its principal sections are Originals, Clinical Notes, Images of Interest, and Special Collaboration articles. The works may be submitted in Spanish or English and are subjected to a peer review process.
In 2009, it became the leading Spanish journal in the field of Medical Imaging on having an Impact Factor , awarded by the Journal Citation Reports.

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Imaging of desmoplastic small round-cell tumor on

Rev Esp Med Nucl Imagen Mol. 2024;43:

Assessment of incidental cardiac uptake in bone...

Rev Esp Med Nucl Imagen Mol. 2024;43:

Diagnostic performance of a novel deep learning attenuation...

Rev Esp Med Nucl Imagen Mol. 2024;43:23-30

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