Document Detail


Role for positron emission tomography in skeletal diseases.
MedLine Citation:
PMID:  17224294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Imaging plays a prominent role in the diagnosis and management of rheumatic diseases. Conventional imaging methods provide high-resolution structural information but usually fail to distinguish between active lesions and residual changes. Positron emission tomography (PET) with the tracer 18F-fluorodeoxyglucose (18F-FDG) was recently introduced into clinical practice as a means of obtaining information on both structure and metabolic activity. 18F-FDG-PET is widely used in oncology and may be valuable in patients with infections or inflammatory diseases, most notably vasculitis. Although encouraging results have been published, the number of studies remains small, as 18F-FDG-PET is an expensive investigation that is not available everywhere. Further work is needed to determine the cost-effectiveness ratio of 18F-FDG-PET in patients with infections or inflammatory diseases. Imaging plays a prominent role in the diagnosis and management of many musculoskeletal diseases. Although considerable progress has been made recently, the structural information supplied by conventional imaging methods is inadequate in some patients. Positron emission tomography (PET) after injection of 18fluorodeoxyglucose (18F-FDG) provides information on tissue metabolism. The usefulness of 18F-FDG-PET in oncology is now widely recognized. Other uses are emerging, in part thanks to the development of new cameras that combine dedicated detectors and an X-scanner in order to ensure accurate three-dimensional localization of metabolically active lesions. However, the exact role for 18F-FDG-PET needs to be studied in larger populations of patients.
Authors:
Michèle Duet; Jacques Pouchot; Frédéric Lioté; Marc Faraggi
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Publication Detail:
Type:  Journal Article; Review     Date:  2006-11-30
Journal Detail:
Title:  Joint, bone, spine : revue du rhumatisme     Volume:  74     ISSN:  1778-7254     ISO Abbreviation:  Joint Bone Spine     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-19     Completed Date:  2007-04-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100938016     Medline TA:  Joint Bone Spine     Country:  France    
Other Details:
Languages:  eng     Pagination:  14-23     Citation Subset:  IM    
Affiliation:
Nuclear Medicine Unit, European Georges Pompidou Teaching Hospital, Paris, France. michele.duet@lrb.aphp.fr
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MeSH Terms
Descriptor/Qualifier:
Arthritis / radionuclide imaging
Bone Diseases / radionuclide imaging*
Bone Diseases, Infectious / radionuclide imaging
Bone Neoplasms / radionuclide imaging
Fluorodeoxyglucose F18 / diagnostic use*,  metabolism
Humans
Positron-Emission Tomography / methods*
Radiopharmaceuticals / diagnostic use*,  metabolism
Rheumatic Diseases / radionuclide imaging
Sensitivity and Specificity
Vasculitis / radionuclide imaging
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18

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


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