"Cold" Spondylodiscitis on 18F-FDG PET/CT in a Patient With Myelofibrosis

被引：0
作者：
Rousseau, Etienne [1 ]
Keu, Khun Visith [1 ]
机构：
[1] CHU Sherbrooke, Sherbrooke, PQ J1H 5N4, Canada
来源：
CLINICAL NUCLEAR MEDICINE | 2016年 / 41卷 / 03期
关键词：
MRI; FDG; spondylodiscitis; myelofibrosis; CT; PET; F-18 FDG PET; BONE; OSTEOMYELITIS; DIAGNOSIS;
D O I：
10.1097/RLU.0000000000001066
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
A 74-year-old man was evaluated by bone scan for possible rib fractures, which revealed a diffuse skeletal uptake secondary to myelofibrosis and focal midthoracic uptake. Chest CT and F-18-FDG PET/CT demonstrated pathological vertebral fractures of the midthoracic spine, which appeared as a cold defect on PET comparing to intense marrow uptake related to myelofibrosis and a lung nodule with a low uptake, later biopsy-proven as non-small cell lung carcinoma (NSCLC). MRI confirmed CT findings for the spine noting also an enhanced epidural collection. Biopsies did not reveal malignant cells. Final diagnosis was spondylodiscitis and a stage I NSCLC.
引用
收藏
页码：E156 / E158
页数：3
相关论文
共 10 条
[1]   Unusual manifestations of myelofibrosis in a patient with congenital asplenia [J].
Almoznino-Sarafian, Dorit ;
Dotan, Eynat ;
Sandbank, Judith ;
Gorelik, Oleg ;
Chachashvily, Shulamit ;
Shteinshnaider, Miriam ;
Cohen, Natan .
ACTA HAEMATOLOGICA, 2007, 118 (04) :226-230
[2]   Myelofibrosis on F-18 FDG PET imaging [J].
Burrell, SC ;
Fischman, AJ .
CLINICAL NUCLEAR MEDICINE, 2005, 30 (10) :674-674
[3]   SPECT-CT with 67Ga-citrate in the management of spondylodiscitis [J].
Dominguez, M. L. ;
Lorente, R. ;
Rayo, J. I. ;
Serrano, J. ;
Sanchez, R. ;
Infante, J. R. ;
Garcia, L. ;
Duran, C. .
REVISTA ESPANOLA DE MEDICINA NUCLEAR, 2012, 31 (01) :34-39
[4]   Spondylodiscitis: update on diagnosis and management [J].
Gouliouris, Theodore ;
Aliyu, Sani H. ;
Brown, Nicholas M. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2010, 65 :iii11-iii24
[5]   18F-fluorodeoxyglucose uptake pattern in patients with suspected spondylodiscitis [J].
Hungenbach, Stefan ;
Delank, Karl-Stefan ;
Dietlein, Markus ;
Eysel, Peer ;
Drzezga, Alexander ;
Schmidt, Matthias C. .
NUCLEAR MEDICINE COMMUNICATIONS, 2013, 34 (11) :1068-1074
[6]   Diagnosing spinal osteomyelitis - A comparison of bone and Ga-67 scintigraphy and magnetic resonance imaging [J].
Love, C ;
Patel, M ;
Lonner, BS ;
Tomas, MB ;
Palestro, CJ .
CLINICAL NUCLEAR MEDICINE, 2000, 25 (12) :963-977
[7]   Diffuse increased uptake on bone scan: Super scan [J].
Pour, MC ;
Simon-Corat, Y ;
Horne, T .
SEMINARS IN NUCLEAR MEDICINE, 2004, 34 (02) :154-156
[8]   Contribution of 18fluoro-deoxyglucose PET/CT for the diagnosis of infectious diseases [J].
Revest, M. ;
Patrat-Delon, S. ;
Devillers, A. ;
Tattevin, P. ;
Michelet, C. .
MEDECINE ET MALADIES INFECTIEUSES, 2014, 44 (06) :251-260
[9]   Unusual bone scintigraphic findings of secondary myelofibrosis associated with disseminated tuberculosis before and after therapy [J].
Sohn, MH ;
Kim, MW ;
Lim, ST ;
Kwak, JY ;
Yim, CY .
CLINICAL NUCLEAR MEDICINE, 2004, 29 (11) :706-708
[10]   F-18 FDG PET in the diagnosis and monitoring of salmonella vertebral osteomyelitis: A comparison with MRI [J].
Win, Z ;
O'Flynn, E ;
O'Rourke, EJ ;
Singh, A ;
Cooke, GS ;
Friedland, JS ;
Al-Nahhas, A .
CLINICAL NUCLEAR MEDICINE, 2006, 31 (07) :437-440
1