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FDG Case: Osteoarthritis

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This is an FDG PET CT done on a patient

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for the evaluation of a lung nodule.

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And I want you to draw your attention to the findings

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that we see on the lower lumbar spine.

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Another fairly common finding on PET is

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areas of focal uptake associated with areas

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of degenerative changes or osteoarthritis such.

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In this case here, the CT

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and location of the uptake will be how we're gonna

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distinguish if the uptake is related

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to benign osteoarthritis,

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or it may represent an osseous lesion.

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In this case, we have symmetric

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and focal uptake in the lumbar spine at several levels,

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but also the uptake localizes to the joint.

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You can see here and here it's at the facet.

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And, uh, aside from the uptake, you have, uh,

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osteophyte formation and subc chondral sclerosis.

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So this is easily recognized as osteoarthritis.

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Another area where osteoarthritis is common

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will be the hips and the shoulders.

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Here you see that the uptake is surrounding the head

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of the left humerus,

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and also on the CT portion

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we have a thickening synovium and even loose bodies.

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So all these things put together will make you think

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of osteoarthritis, or at least in some cases just arthritis.

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All these things will allow you to make the diagnosis

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of osteoarthritis.

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Notice that you might have osteoarthritis on the other

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joints and not necessarily have tracer uptake,

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like in this case where we see aral cyst,

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but the degree

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of uptake is really mild compared to the left.

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So this indicates that there is a higher degree

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of inflammation in these locations,

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and this is common with patients.

Report

Faculty

Elisa Franquet Elia, MD

Assistant Professor of Radiology

UMass Chan Medical School

Tags

Response and assessment

PET/CT FDG

PET

Oncologic Imaging

Nuclear Medicine

General Oncologic Imaging Concepts

Acquired/Developmental