Document Detail


Orthopedic surgery-related benign uptake on FDG-PET: case examples and pitfalls.
MedLine Citation:
PMID:  19728016     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Orthopedic surgical procedures often create some special postoperative complications, which may demonstrate abnormally increased or focal uptake for an extended period of time on FDG PET-CT images. The distinction of normal from pathologic, benign from malignant uptake is very important to minimize the number of false positive results. To date, very little data have been published regarding surgical-related benign musculoskeletal uptake on PET-CT imaging. In this paper, we present to the readers some case examples of FDG PET-CT imaging for postoperative fracture, infection or osteomyelitis, metallic implants, aggressive bone edge, heterotopic ossification, granuloma and neuroma. We also discuss potential pitfalls to recognize these orthopedic surgery-related complications and identify benign nature of increased FDG uptake. In all cases, the patient's medical and surgical history would be of paramount importance to the radiologists/nuclear medicine physicians who interprets the scan. It is also crucial to carefully correlate FDG uptake with the anatomy on the co-registered CT images in all transaxial, coronal and sagittal views in order to identify the location and pattern of uptake.
Authors:
Yiyan Liu
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-08-29
Journal Detail:
Title:  Annals of nuclear medicine     Volume:  23     ISSN:  1864-6433     ISO Abbreviation:  Ann Nucl Med     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2010-01-29     Completed Date:  2010-05-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8913398     Medline TA:  Ann Nucl Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  701-8     Citation Subset:  IM    
Affiliation:
Nuclear Medicine Section, Department of Radiology, The University Hospital, UMDNJ, Newark, NJ 07103, USA. liuyl@umdnj.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Artifacts*
Biological Transport
Bone and Bones / metabolism,  pathology,  radionuclide imaging,  surgery
Female
Fluorodeoxyglucose F18 / diagnostic use*,  metabolism*
Humans
Male
Middle Aged
Orthopedics*
Positron-Emission Tomography*
Young Adult
Chemical
Reg. No./Substance:
63503-12-8/Fluorodeoxyglucose F18

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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