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Updated: Jun 4, 2025

High-Resolution Cardiac Positron Emission Tomography/Computed Tomography for Small Animals
Published on: December 16, 2022
Breast incidentaloma: Cardiac PET readers beware
Nirali Munshi1, Julio Perez-Downes2, Amie Leon3
1Edward Via College of Osteopathic Medicine, 2265 Kraft Dr, Blacksburg, VA, 24060, USA.
Breast cancer can be incidentally found on heart imaging scans. This case highlights ductal carcinoma in situ discovered during a cardiac PET-CT scan for chest pain evaluation.
Area of Science:
- Oncology
- Radiology
- Nuclear Medicine
Background:
- Breast cancer is a leading cause of cancer death in women.
- Increased use of medical imaging leads to more incidental findings.
- Cancerous tumors can be detected on scans intended for other conditions.
Observation:
- Breast cancer's high metabolic activity can lead to incidental detection.
- Tumors may be within the field of view during cardiac imaging.
- A case of ductal carcinoma in situ was found on a cardiac PET-CT scan.
Findings:
- Nitrogen-13 ammonia myocardial perfusion positron emission tomography-computed tomography (PET-CT) identified ductal carcinoma in situ.
- The patient was undergoing evaluation for chest pain.
Implications:
- Nuclear cardiac imaging may reveal unexpected breast cancers.
- This highlights the importance of reviewing incidental findings on all imaging modalities.
- Early detection of breast cancer, even incidentally, can improve outcomes.
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