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100 1 _ |a Hutterer, Markus
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245 _ _ |a AIDS-Related Central Nervous System Toxoplasmosis With Increased 18F-Fluoroethyl-L-Tyrosine Amino Acid PET Uptake Due to LAT1/2 Expression of Inflammatory Cells
260 _ _ |a Philadelphia, Pa.
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520 _ _ |a We report the case of a 40-year-old woman with a progressive right-sided hemiparesis. Standard MRI revealed a contrast-enhancing brain lesion within the left basal ganglia. 18Ffluoroethyl-L-tyrosine (18F-FET) PET showed a distinct tracer uptake (lesion-to-brain ratio [LBR]: LBRmax = 2.03, LBRmean = 1.68) with a significant larger metabolic lesion volume than contrast-enhancement in MRI, indicating cerebral glioma. Surprisingly, histopathologic analysis demonstrated central nervous system toxoplasmosis with pronounced inflammatory reaction (reactive astrogliosis, microglia activation, macrophage, and T-lymphocyte infiltration), which was associated with strong LAT1/LAT2/CD98 expression. In conclusion, inflammatory brain lesions, such as cerebral toxoplasmosis, represent a potential pitfall of 18F-FET PET mimicking a brain tumor.
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700 1 _ |a Bumes, Elisabeth
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700 1 _ |a Riemenschneider, Markus J.
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700 1 _ |a Grosse, Jirka
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700 1 _ |a Hellwig, Dirk
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700 1 _ |a Galldiks, Norbert
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700 1 _ |a Langen, Karl-Josef
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700 1 _ |a Hau, Peter
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773 _ _ |a 10.1097/RLU.0000000000001873
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