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Focal Increased Tc-99m MDP Uptake in the Nutrient Foramen of the Femoral Diaphysis on Bone SPECT/CT

Authors
Cha, HwajinPark, Soo BinKim, Hyun-joo
Issue Date
Apr-2018
Publisher
대한핵의학회
Keywords
Tc-99mMDP; Bone scan; SPECT; SPECT/CT; Nutrient foramen
Citation
Nuclear Medicine and Molecular Imaging, v.52, no.2, pp 162 - 165
Pages
4
Journal Title
Nuclear Medicine and Molecular Imaging
Volume
52
Number
2
Start Page
162
End Page
165
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/6093
DOI
10.1007/s13139-017-0489-2
ISSN
1869-3474
1869-3482
Abstract
We present images of an 83-year-old female with a history of osteoporosis and bilateral total knee replacement arthroplasty, referred for bone scintigraphy and single-photon emission computed tomography (SPECT)/computed tomography (CT), owing to left knee pain. No trauma to, or intense exercise of, the knee was reported. The bone scan and SPECT/CT revealed a focally increased Tc-99m methylene diphosphonate (MDP) uptake in the medial cortex of the left femoral diaphysis with matched linear radiolucency on CT images. This was misinterpreted as atypical femoral stress fracture; however, focal stress reaction injury to the nutrient foramen was confirmed on contrast-enhanced magnetic resonance imaging.
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