{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T08:05:02Z","timestamp":1779696302267,"version":"3.53.1"},"reference-count":9,"publisher":"Scientific Scholar","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Detection of recurrence of a brain tumor after treatment is one of the most important and challenging diagnostic problems in neuro-oncological practice. In spite of technical advances in imaging modalities, sometimes, certain clinical presentations and manifestations can lead to a diagnostic dilemma even with the best of the technical know-how. We present a case of recurrence of anaplastic oligoastrocytoma (World Health Organization Grade III), where the patient's initial clinical presentation and the F-18 flourodeoxyglucose positron emission tomography (PET) magnetic resonance imaging findings were suggestive of stroke-like migraine attacks after radiation therapy syndrome. Due to a seizure episode before PET image acquisition, intense gyral uptake was noted in the left parietal lobe which made it difficult to ascertain the presence of a tumor recurrence. However, Tc-99m glucohepatonate single-photon emission computed tomography done after 1 week revealed radiotracer uptake within the site corresponding to the primary tumor, and a diagnosis of recurrence was made.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijnm.ijnm_125_20","type":"journal-article","created":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T04:31:38Z","timestamp":1614832298000},"page":"53-55","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Incremental Utility of Tc-99m Glucohepatonate Single-Photon Emission Computed Tomography over 18F-Flourodeoxyglucose Positron Emission Tomography in Diagnosis of Brain Tumor Recurrence \u2013 Old is Gold"],"prefix":"10.25259","volume":"36","author":[{"given":"Sameer","family":"Peer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Mangalore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jitendra","family":"Saini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandana","family":"Nagaraj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"key":"R1-11-20240902","doi-asserted-by":"crossref","first-page":"e5982","DOI":"10.7717\/peerj.5982","article-title":"Classification of the glioma grading using radiomics analysis","volume":"6","author":"Cho","year":"2018","journal-title":"PeerJ"},{"key":"R2-11-20240902","doi-asserted-by":"crossref","first-page":"102","DOI":"10.4103\/0971-3026.155829","article-title":"Post-treatment imaging of high-grade gliomas","volume":"25","author":"Sanghvi","year":"2015","journal-title":"Indian J Radiol Imaging"},{"key":"R3-11-20240902","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1016\/j.radcr.2017.05.007","article-title":"Stroke-like migraine attacks after radiation therapy syndrome: A case report and literature review","volume":"12","author":"Goldfinch","year":"2017","journal-title":"Radiol Case Rep"},{"key":"R4-11-20240902","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ensci.2018.05.003","article-title":"SMART (stroke-like migraine attacks after radiation therapy) syndrome responded to steroid pulse therapy: Report of a case and review of the literature","volume":"12","author":"Jia","year":"2018","journal-title":"eNeurologicalSci"},{"key":"R5-11-20240902","doi-asserted-by":"crossref","first-page":"399","DOI":"10.4103\/0972-2327.168634","article-title":"Unusual case of recurrent SMART (stroke-like migraine attacks after radiation therapy) syndrome","volume":"19","author":"Ramanathan","year":"2016","journal-title":"Ann Indian Acad Neurol"},{"key":"R6-11-20240902","doi-asserted-by":"crossref","first-page":"165","DOI":"10.4103\/0972-3919.106678","article-title":"Tc-99m glucoheptonate is poor man's fluorodeoxyglucose","volume":"26","author":"Lele","year":"2011","journal-title":"Indian J Nucl Med"},{"key":"R7-11-20240902","first-page":"957","article-title":"Technetium-99m glucoheptonate in brain-tumor detection: An important advance in radiotracer techniques","volume":"18","author":"L\u00e9veill\u00e9","year":"1977","journal-title":"J Nucl Med"},{"key":"R8-11-20240902","doi-asserted-by":"crossref","first-page":"107","DOI":"10.4103\/ijnm.IJNM_164_18","article-title":"Tc-99m glucoheptonate single photon emission computed tomography-computed tomography for detection of recurrent glioma: A prospective comparison with N-13 ammonia positron emission tomography-computed tomography","volume":"34","author":"Khangembam","year":"2019","journal-title":"Indian J Nucl Med"},{"key":"R10-11-20240902","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1097\/RLU.0b013e318217aee0","article-title":"Detection of recurrence in glioma: A comparative prospective study between Tc-99m GHA SPECT and F-18 FDG PET\/CT","volume":"36","author":"Santra","year":"2011","journal-title":"Clin Nucl Med"}],"container-title":["Indian Journal of Nuclear Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ijnm.IJNM_125_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T07:36:24Z","timestamp":1779694584000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijnm.co.in\/incremental-utility-of-tc-99m-glucohepatonate-single-photon-emission-computed-tomography-over-18f-flourodeoxyglucose-positron-emission-tomography-in-diagnosis-of-brain-tumor-recurrence-old-is\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ijnm.ijnm_125_20","relation":{},"ISSN":["0972-3919"],"issn-type":[{"value":"0972-3919","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}