Functional Renal Assessment via Dynamic LAFOV 18F-FDG PET/CT in a Patient with Recurrent Extranodal Marginal-Zone

Jonathan Kuten1, Bradley J Beattie2, Stephanie Chahwan3

  • 1Department of Radiology, Molecular Imaging and Therapy Service, Memorial Sloan Kettering Cancer Center, New York, New York; and kutenj@mskcc.org.

We report the case of a 72-y-old man with recurrent extranodal marginal-zone B-cell lymphoma who underwent dynamic long-axial-field-of-view 18F-FDG PET/CT. In addition to detecting extensive recurrent disease, a review of a maximum-intensity-projection cine derived from the dynamic acquisition demonstrated delayed uptake and excretion from the left kidney, consistent with impaired function. This incidental functional renal assessment supplemented standard anatomic imaging and influenced treatment management. This case highlights the emerging capability of dynamic long-axial-field-of-view 18F-FDG PET/CT to provide renal functional information in oncologic imaging.