Role of 18F-flurodeoxyglucose in orthopaedic implant-related infection: review of literature and experience.
医学
植入
外科
骨科手术
作者
Amit Bhoil,Hendrick Caw,Sobhan Vinjamuri
出处
期刊:Nuclear Medicine Communications [Ovid Technologies (Wolters Kluwer)] 日期:2019-09-01卷期号:40 (9): 875-887被引量:3
标识
DOI:10.1097/mnm.0000000000001063
摘要
Infection and inflammation are a common occurrence with orthopaedic procedures. Anatomical modalities can show the transformation in the disease process; however, these may occur later when compared with functional imaging modalities that are more likely to identify early disease patterns. Various molecular imaging modalities such as three-phase bone scintigraphy, labelled leucocyte scintigraphy, as well as radiolabelled antibiotics and immunoglobulins have been considered and have played key roles in assisting clinical decision-making. While 18F-flurodeoxyglucose (FDG) PET/computed tomography (CT) has been relatively well established in cancer pathways, it has the potential to contribute to surgical decision making for possible osteomyelitis post-metal implant surgery. In this article, we present a review of recently used tracers, and share our experience with using 18F-FDG PET/CT studies in a few diverse clinical settings related to post-metal implant osteomyelitis.