대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제78권6호
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  • Pages.408-411
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  • 2018
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

금속이 삽입된 수술 부위에 발생한 염증 부위에서 18F-Sodium Fluoride 뼈 양전자 방출 단층촬영 기법을 사용한 염증의 조기 발견 및 치료 평가: 증례 보고

Early Evaluation of Inflammatory Focus and Treatment Response Using 18F-Sodium Fluoride Bone Positron Emission Tomography/Computed Tomography in Patients with Metallic Implants: A Case Report

  • 문지혜 (순천향대학교 천안병원 영상의학과) ;
  • 이상미 (순천향대학교 천안병원 핵의학과) ;
  • 홍창화 (순천향대학교 천안병원 정형외과) ;
  • 이정원 (가톨릭관동대학교 국제성모병원 핵의학과)
  • Moon, Ji Hae (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Sang Mi (Department of Nuclear Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Hong, Chang-Hwa (Department of Orthopedic Surgery, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Jeong Won (Department of Nuclear Medicine, Catholic Kwandong University College of Medicine, International St. Mary's Hospital)
  • 투고 : 2017.07.03
  • 심사 : 2017.12.07
  • 발행 : 2018.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

금속을 삽입한 척추 수술을 받은 76세 여자 환자가 2주 이상 경과 후에도 지속적인 감염이 의심되었다. 염증 부위를 확인하기 위해 백혈구 스캔 및 $^{18}F$-Sodium Fluoride (이하 $^{18}F$-NaF) 뼈 양전자 방출 단층촬영을 시행하여 금속으로 인한 인공산물의 방해없이 연조직 염증임을 확인할 수 있었다. 항생제 치료 후 추적관찰로 시행한 $^{18}F$-NaF 뼈 양전자 방출 단층 촬영의 조기 영상에서 호전된 치료 경과를 판단할 수 있었다. 본 증례는 $^{18}F$-NaF 뼈 양전자 방출 단층촬영을 통해 염증 부위를 찾아낼 뿐 아니라 금속물질이 삽입된 환자에게 치료 후 반응 평가를 확인할 수 있었던 사례이다.

We report a case of a 76-year-old woman with elevated serum C-reactive protein levels for two weeks after spinal surgery. $^{99m}Tc$-labeled white blood cell scan and dual $^{18}F$-sodium-fluoride ($^{18}F$-NaF) bone positron emission tomography/computed tomography (PET/CT) were used to detect the site of inflammation. Using non-attenuation corrected images, soft tissue inflammation was detected without metal artifact. Antibiotic treatment attenuated inflammation as seen in an early-phase scan using follow-up $^{18}F$-NaF bone PET/CT. This case demonstrates the role of $^{18}F$-NaF bone PET/CT in the detection of inflammation sites, and can be used to evaluate treatment response in patients with metallic implants.

키워드

과제정보

연구 과제 주관 기관 : Soonchunhyang University

참고문헌

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피인용 문헌

  1. Clinical application of dual-phase F-18 sodium-fluoride bone PET/CT for diagnosing surgical site infection following orthopedic surgery vol.98, pp.11, 2018, https://doi.org/10.1097/md.0000000000014770