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Fractures on FDG PET/CT

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Fractures are very common and sometimes they can be tricky

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because will be difficult to

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establish sometimes is the fracture is pathological

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or is due to a trauma or osteoporosis.

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For that, the clinical information

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and clinical context will be very important.

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Access to prior imaging will also be crucial if you have it.

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Ultimately, sometimes it will be hard to determine

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and just, uh, time will maybe, um,

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help us in this image.

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I am showing a spine, a thoracic spine,

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and as you can see I have leveled a few

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of the vertebral bodies.

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And what I wanted to show you in this case is that

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there are several fractures in these patients', uh, spine

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and they all have different degrees of tracer uptake.

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Uh, it is sometimes possible to age

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the fracture

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because acute fractures will show higher uptake like the T

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five as they have from the fracture itself.

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You have inflammation related to the fracture bone healing,

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and so that will be shown as higher tracer uptake.

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Whereas if we compare to the fracture at T seven, we see

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that it's compressed,

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but the level of uptake is very similar

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to the other non compressed fractures.

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So these would be a chronic fracture.

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T eight kind of falls in between the degree of uptake.

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And I would probably say that this is at least a subacute

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fracture.

Report

Faculty

Elisa Franquet Elia, MD

Assistant Professor of Radiology

UMass Chan Medical School

Tags

Trauma

Response and assessment

PET/CT FDG

PET

Oncologic Imaging

Nuclear Medicine

General Oncologic Imaging Concepts