F-18 fluorodeoxyglucose: its potential in differentiating between stress fracture and neoplasia

Clin Nucl Med. 1989 Dec;14(12):906-8. doi: 10.1097/00003072-198912000-00010.

Abstract

F-18 fluorodeoxyglucose (FDG) accumulates into regions of enhanced glucose uptake and metabolism such as the brain, heart, and malignant tumors. The clinical usefulness of this positron-emitting radiopharmaceutical is illustrated in a case where the clinical picture and CT indicated a malignant bone lesion in the clavicle. Histologically a stress fracture was found secondary to chronic strain on the clavicle. On follow-up the lesion's course was benign. Planar imaging with F-18 FDG was performed twice during follow-up, and on both occasions there was no accumulation of radioactivity over the suspicious area, indicating normal glucose consumption. This case demonstrates the differential diagnostic potential of F-18 FDG and shows that clinically useful information may be obtained without a position emission tomograph.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Neoplasms / diagnostic imaging*
  • Clavicle / injuries*
  • Deoxy Sugars*
  • Deoxyglucose* / analogs & derivatives
  • Diagnosis, Differential
  • Female
  • Fluorine Radioisotopes*
  • Fluorodeoxyglucose F18
  • Fractures, Stress / diagnostic imaging*
  • Humans
  • Radionuclide Imaging

Substances

  • Deoxy Sugars
  • Fluorine Radioisotopes
  • Fluorodeoxyglucose F18
  • Deoxyglucose