Brain [18F]FDG PET in Encephalitis and Postinfectious Neurocognitive Syndromes.

Publication date: Jun 17, 2026

Brain [18F]FDG PET can reveal metabolic abnormalities that precede, exceed, or clarify structural MR imaging findings. Among inflammatory brain diseases, the strongest clinical rationale is currently in autoimmune encephalitis, where fluorodeoxyglucose (FDG) PET increases diagnostic sensitivity, supports syndrome-oriented metabolic pattern recognition, and may contribute to selected follow-up. In viral encephalitis, use is selective rather than routine. In post-coronavirus infectious disease (COVID) condition and related postinfectious syndromes, FDG PET may support biological stratification and differential diagnosis in a subset of patients. Interpretation remains highly dependent on clinical context and methods. Translocator protein (TSPO) PET adds mechanistic information on neuroimmune activation but belongs mainly to the research domain.

Concepts Keywords
Fluorodeoxyglucose Autoimmune encephalitis
Neuroimmune Brain metabolism
Postinfectious FDG PET
Strongest Long COVID
Viral Neuroinflammation
Post-COVID condition
Postinfectious syndromes
Viral encephalitis

Semantics

Type Source Name
disease MESH Encephalitis
disease MESH Syndromes
disease MESH brain diseases
disease MESH autoimmune encephalitis
disease MESH viral encephalitis
disease MESH infectious disease
pathway REACTOME Infectious disease
pathway REACTOME Metabolism
disease MESH Long COVID
disease MESH Neuroinflammation

Original Article

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