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18F-FDG Whole-body PET/MRI of a 30-Week Pregnant Woman With Breast Cancer Revealed Interesting Fetal Findings

Blanc-Durand, Paul MD, MSc*; Milliner, Milan MSc*; Huchet, Virginie MD; Luciani, Alain MD, PhD*; Itti, Emmanuel MD, PhD*

doi: 10.1097/RLU.0000000000002663
Interesting Images

A 35-year-old 30-week pregnant woman was referred to our institution for initial staging of a triple negative invasive ductal carcinoma of the left breast. To avoid fetal radiation exposure from CT, a whole-body 18F-FDG PET/MRI was performed. Simultaneous acquisition of PET, T1-, T2-, and diffusion-weighted sequences revealed left axillary node extension and no distant metastases. Fetal radiation dose was estimated at 1.9 mGy. Interestingly, low fetal brain uptake and high symmetrical myocardial metabolism in both ventricles were found. Delivery was induced at 37 weeks of amenorrhea, and the patient underwent 4 cycles of neoadjuvant chemotherapy.

From the *SyMPTOm PET/MRI Platform, Departments of Nuclear Medicine and Radiology, CHU Henri Mondor, AP-HP, U-PEC, Créteil

Department of Nuclear Medicine, Curie Institute, Paris, France.

Received for publication March 19, 2019; revision accepted May 1, 2019.

Conflicts of interest and sources of funding: SyMPTOm PET/MRI platform was funded by the Assistance Publique-Hôpitaux de Paris, the Agence Régionale de Santé, and the Cancéropôle Ile-de-France. None declared to all authors.

Correspondence to: Paul Blanc-Durand, MD, MSc, Department of Nuclear Medicine, CHU Henri Mondor, 51 avenue du Maréchal De-Lattre-De-Tassigny, Créteil, France. E-mail:

Online date: June 14, 2019

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