FDG PET/CT findings in a clinically diagnosed case of childhood autism

Ashmi S Manglunia1, Ameya D Puranik1

  • 1Department of Nuclear Medicine and PET/CT, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Insights

Positron emission tomography (PET) revealed reduced brain metabolism in a child with autism. While not standard, PET imaging may support autism diagnosis by showing characteristic brain patterns.

Area of Science:

  • Neuroscience
  • Medical Imaging

Background:

  • Autism spectrum disorder (ASD) is a complex neurodevelopmental condition requiring early diagnosis for effective intervention.
  • Diagnostic confidence in autism can be enhanced by ancillary investigations.

Observation:

  • A 6-year-old child with a clinical diagnosis of autism and normal MRI underwent 18F-fluorodeoxyglucose brain positron emission tomography (PET).

Findings:

  • The PET scan demonstrated diffuse bilateral temporal hypometabolism, indicating reduced metabolic activity in these brain regions.
  • This specific pattern of hypometabolism was observed despite a normal magnetic resonance imaging (MRI) result.

Implications:

  • While PET imaging is not currently a routine diagnostic tool for autism, these findings suggest its potential role.
  • Characteristic neuroimaging patterns on PET scans could offer corroborative evidence, potentially increasing diagnostic certainty in complex cases.

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