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Calcified Lymph Nodes Causing Clinically Relevant Attenuation Correction Artifacts on PET/CT Imaging
Amar Mehta1, Ajeet Mehta, Charles Laymon
1Department of Radiology, University of Pittsburgh, Pittsburgh, PA, USA.
Calcified lymph nodes can cause attenuation correction (AC) artifacts in PET/CT imaging, potentially leading to misinterpretation. Recognizing this artifact is crucial to avoid incorrect patient staging and management.
Area of Science:
- Medical Imaging
- Radiology
- Nuclear Medicine
Background:
- Positron Emission Tomography/Computed Tomography (PET/CT) imaging is susceptible to artifacts.
- CT-based attenuation correction (AC) artifacts are common in PET/CT.
- Artifacts from calcified lymph nodes are clinically significant but underreported.
Purpose of the Study:
- To report cases of AC artifacts caused by calcified lymph nodes in PET/CT.
- To highlight the potential for misinterpretation and mismanagement due to this artifact.
Main Methods:
- Case series reporting on patients with calcified lymph nodes on PET/CT.
- Analysis of three cases with AC artifacts and one without.
Main Results:
- Three out of four cases demonstrated AC artifacts due to calcified lymph nodes.
- These artifacts could have led to altered patient staging and management if misinterpreted as malignant.
Conclusions:
- Calcified lymph nodes can cause significant AC artifacts in PET/CT.
- Awareness of this artifact is essential to prevent misinterpretation and ensure appropriate patient care.
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