[67Ga SPECT/low-dose CT. A case report of spondylodiscitis and Schmorl's node].
A 61-year-old male patient with microbiological diagnosis of L3-L4 spondylodiscitis and persist pain underwent a (67)Ga scintigraphic study to assess the antibiotic treatment response. Pathological uptake foci in vertebral bodies of L2 and L4 were observed in the (67)Ga planar scintigraphy. A SPECT low-dose CT of the lumbar spine was performed as part of anatomical correlated protocol, detecting an active spondylodiscitis in L3-L4 and a second uptake foci in L2 that was identify as a Schmorl's node. In this case the SPECT-CT hybrid image allowed us to avoid a false positive diagnosis to by locate and characterize an image with abnormal uptake of (67)Ga, improving the test specificity and avoiding a wrong diagnosis.
Liévano
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P
Servicios de Medicina Nuclear, Hospital Universitario Miguel Servet, Zaragoza, España. paolalievano@hotmail.com
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D003951:Diagnostic Errors / Q000517:prevention & control; D015299:Discitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000382:microbiology; D024901:Drug Resistance, Multiple, Bacterial; D005710:Gallium Radioisotopes; D006801:Humans; D033162:Incidental Findings; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000000981:diagnostic imaging*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D013203:Staphylococcal Infections / Q000150:complications / Q000000981:diagnostic imaging* / Q000382:microbiology; D013212:Staphylococcus epidermidis / Q000187:drug effects / Q000302:isolation & purification*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
D005710:Gallium Radioisotopes