대한핵의학회지 (The Korean Journal of Nuclear Medicine)

대한핵의학회 (The Korean Society of Nuclear Medicine)
권호 표지

좌측 대퇴골에 발생한 만성골수염의 PET와 MDP scan 영상

FDG-PET and MDP scan findings in chronic osteomyelitis of the left femur

  • 박찬희 (아주대학교 의과대학 핵의학과) ;
  • 이명훈 (아주대학교 의과대학 핵의학과)
  • Park, Chan-H. (Department of Nuclear Medicine School of Medicine, Ajou University) ;
  • Lee, Myoung-Hoon (Department of Nuclear Medicine School of Medicine, Ajou University)
  • 발행 : 2002.04.30
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초록

A 49-year-old male patient with a carcinoma of the right pyriform sinus had a whole-body bone scan and gamma camera based F-18 FDG-PET for staging. Tc-99m MDP bone scan depicted diffuse increased uptake in the left femur due to chronic osteomyelitis but no skeletal metastasis. F-18-FDG-PET revealed increased focal bone uptake and uptake in the draining sinus due to chronic osteomyelitis in addition to visualization of the right pyriform sinus carcinoma and right neck nodal uptake. Fluorine-18 fluorodeoxyglucose-positron emission tomography is significantly more accurate than the bone scan in pinpointing chronic osteomyelitis focus and draining soft tissue infection.

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참고문헌

  1. Guhlmarm A, Brecht-Frauss D, Suger G, et al.:Chronic osteomyelitis: detection with FDG PETand correction with histopathologic findings.Radiology 1998, 206(3):749-54.
  2. de Winter F, van de Wiele C, Vogelaers D, et al.:Fluorine-IS fluorodeoxyglucose-positron emissiontomography: a highly accurate imaging modalityfor the diagnosis of chronic musculoskeletalinfections. J Bone Joint Surg Am 2001,83-A(5):65l-60.