title: Spinal cord compression by tophaceous gout with fluorodeoxyglucose-positron-emission tomographic/MR fusion imaging.
abstract: A 36-year-old woman presented with lower extremity paralysis. Her past medical history included gout. Conventional radiography and MR imaging revealed bone erosion and soft tissue lesions of the thoracic spine. Fluorodeoxyglucose-positron-emission tomographic (FDG-PET) images revealed hypermetabolic lesions of the thoracic spine. A CT-guided biopsy was diagnostic for inflammatory tophaceous gout. This case describes the CT, MR, and FDG-PET imaging characteristics of acute inflammatory gout. FDG-PET imaging characteristics of this disorder have not been previously described.
authors.affiliation: Department of Radiology, West Virginia University School of Medicine, Morgantown, WV, USA.
authors.forename: T
authors.initials: T
authors.lastname: Popovich
authors.forename: J S
authors.initials: JS
authors.lastname: Carpenter
authors.forename: A T
authors.initials: AT
authors.lastname: Rai
authors.forename: L V
authors.initials: LV
authors.lastname: Carson
authors.forename: H J
authors.initials: HJ
authors.lastname: Williams
authors.forename: G D
authors.initials: GD
authors.lastname: Marano
mesh_terms: D000328:Adult; D005260:Female; D019788:Fluorodeoxyglucose F18; D006073:Gout / Q000150:complications*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D019275:Radiopharmaceuticals; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013130:Spinal Stenosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18