By Cristina Nanni, Stefano Fanti
PET-CT is more and more being hired within the analysis of either oncological and non-oncological sufferers, but nuclear medication physicians could have purely restricted useful adventure of infrequent ailments and will adventure hassle in spotting and analyzing infrequent findings. This detailed atlas files loads of scientific situations that might support practitioners to spot findings and ailments that, although infrequent, are sufficiently widespread to be encountered in regimen perform. varieties of circumstances are provided: sufferers evaluated for infrequent ailments and sufferers evaluated for normal ailments in whom ordinary puppy findings have been detected. every one stated case contains a short description of the scientific heritage, consultant colour PET-CT photographs received utilizing FDG or different tracers, and a brief rationalization of the ailment and findings. This atlas will allow practitioners to make conclusive reviews of PET-CT scans that may differently were inconclusive.
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Additional info for PET-CT: Rare Findings and Diseases
The scan highlighted signs of knee infection (Fig. 1) associated with a diﬀuse increased tracer uptake in the subcutaneous tissues of the left lower limb consistent with erysipelas. 35 1 Case 17 Clinical Diagnosis: Initial Stage Discitis a b c 36 ⊡ Fig. 1 FDG PET/CT (a: MIP image) demonstrated increased tracer uptake (SUV max 5) involving L5 and S1 (white arrows on c), without any increased uptake in the corresponding disk. This is consistent with an initial inﬂammatory process. Corresponding CT images (b) are still no Case 17 Clinical Diagnosis: Initial Stage Discitis 1 ⊡ Discitis Clinical Case Discitis, or disc space infection, is an inﬂammatory lesion of the intervertebral disc that occurs in adults, but more commonly in children.
49 1 Case 24 Clinical Diagnosis: Rheumatoid Arthritis a b ⊡ Fig. 6) involving the major joints (b: CT scan; 50 c c: fused images), consistent with an inﬂammatory process. Left basal lung cancer was also evident (arrow) Case 24 Clinical Diagnosis: Rheumatoid Arthritis 1 ⊡ Rheumatoid Arthritis Clinical Case Rheumatoid arthritis (RA) is a chronic, systemic inﬂammatory disorder that can aﬀect many tissues and organs, but principally attacks synovial joints. The process produces an inﬂammatory response of the synovium (synovitis) secondary to hyperplasia of synovial cells, excess synovial ﬂuid and the development of pannus in the synovium.
A 5-year-old male patient presented with fever and an increase in serum inﬂammatory marker levels. Results of imaging procedures such as whole body CT and abdominal US were negative. The patient was referred for an FDG PET/CT demonstrating two areas of increased tracer uptake in the liver hilum (Fig. 1). This was consistent with an inﬂammatory process or with a malignancy. The patient underwent surgery, conﬁrming the presence of a hepatic hilar abscess. 29 1 Case 14 Clinical Diagnosis: Basal-Cell Carcinoma a b c 30 ⊡ Fig.
PET-CT: Rare Findings and Diseases by Cristina Nanni, Stefano Fanti