[18F]FDG PET/CT for identifying the causes of fever of unknown origin (FUO)

Shashi B Singh, Niki Shrestha, Sadikshya Bhandari, Suprita Shrestha, Bijay Shrestha, Neharika Shrestha, Swarnima Rijal, Rajshree Singh, Soren Hess, Thomas J Werner, Abass Alavi, Mona-Elisabeth Revheim

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Abstract

Fever of unknown origin (FUO) continues to be a challenging diagnosis in clinical medicine. It has more than 200 known causes, including infections, autoimmune diseases, neoplasia, and other miscellaneous disorders. Despite the development of a wide range of diagnostic tools, a specific diagnostic algorithm for FUO is not yet available. However, [18F]FDG PET/CT, which yields information on cellular metabolism, in addition to details of organ anatomy, has been shown to be successful in the FUO investigation. This study highlights the uses of [18F]FDG PET/CT in diagnosing various causes of FUO. [18F]FDG PET/CT has been increasingly used to detect septic infections, sterile inflammatory processes, and malignancies, occupying a significant portion of the known causes of FUO. It has led to a more definitive identification of the etiology of FUO and accurate clinical management. However, more in-depth studies are crucial to understanding if [18F]FDG PET/CT can be used in the work-up of FUO.

Original languageEnglish
JournalAmerican Journal of Nuclear Medicine and Molecular Imaging
Volume14
Issue number2
Pages (from-to)87-96
ISSN2160-8407
DOIs
Publication statusPublished - 2024

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