期刊
CLINICAL NUCLEAR MEDICINE
卷 42, 期 11, 页码 E480-E481出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/RLU.0000000000001839
关键词
blood pool; bone scan; osteoarthritis; rheumatoid arthritis; SPECT/CT; synovitis
资金
- Philips Healthcare (Andover, Mass)
- National Institutes of Health [2K12 HD051958, R03 EB015099]
We report the case of a 74-year-old man with seropositive rheumatoid arthritis (RA) and radiographic osteoarthritis (OA) who underwent dual-phase high-resolution Tc-99m-MDP SPECT/CT. Early radiotracer enhancement was noted in 2 RA joints of the right hand, both presenting with a ring-like uptake pattern around the joint, consistent with synovitis. Insignificant early enhancement was noted at the first carpometacarpal joint, despite presentation of CT features of OA. The delayed-phase enhancement patterns were distinct, showing asymmetry in RA joints, but a symmetric, joint-centered pattern for the OA joint.
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