Value of [18F]FDG PET/CT in diagnosis and management of spondylodiscitis

Constantin Lapa; Christoph Rischpler; Ralph Alexander Bundschuh; Alexander Dierks; Sigmund Lang; Georgi Wassilew; Volker Alt

doi:10.1055/a-2042-9458

Nuklearmedizin - NuclearMedicine, Inhaltsverzeichnis

Nuklearmedizin 2023; 62(03): 192-199
DOI: 10.1055/a-2042-9458

Review

Value of [¹⁸F]FDG PET/CT in diagnosis and management of spondylodiscitis

Stellenwert der [¹⁸F]FDG-PET/CT bei der Diagnose und dem Management der Spondylodiszitis

Constantin Lapa

¹Nuclear Medicine, Faculty of Medicine, University Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)

²Deutsche Gesellschaft für Nuklearmedizin (DGN), Berlin, Germany

,

Christoph Rischpler

³Department of Nuclear Medicine, University Hospital Essen, Essen, Germany

⁴Department of Nuclear Medicine, Klinikum Stuttgart, Stuttgart, Germany

,

Ralph Alexander Bundschuh

¹Nuclear Medicine, Faculty of Medicine, University Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)

,

Alexander Dierks

¹Nuclear Medicine, Faculty of Medicine, University Augsburg, Augsburg, Germany (Ringgold ID: RIN26522)

,

Sigmund Lang

⁵Department of Trauma Surgery, University Medical Centre Regensburg, Regensburg, Germany

,

Georgi Wassilew

⁶Clinic for Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany (Ringgold ID: RIN60634)

,

Volker Alt

⁵Department of Trauma Surgery, University Medical Centre Regensburg, Regensburg, Germany

⁷Sektion Muskuloskelettale Infektionen der Deutschen Gesellschaft für Orthopädie und Unfallchirurgie (DGOU), Berlin, Germany

› Institutsangaben

Abstract

Vertebral osteomyelitis is the third most common form of osteomyelitis in patients over 50 years of age.

Whereas prompt (pathogen-directed) therapy is crucially associated with better outcomes, the heterogeneous clinical presentation of disease with unspecific symptoms often delays adequate treatment initiation. Diagnosis requires a careful investigation of medical history, clinical findings and diagnostic imaging, including magnetic resonance imaging and nuclear medicine techniques.

Due to its high sensitivity, [¹⁸F]FDG PET/CT is becoming increasingly important in diagnosis and management of spondylodiscitis, especially in the postoperative setting with presence of spinal hardware or other implantable devices in which MRI is limited.

Keywords

spondylodiscitis - FDG-PET/CT - molecular imaging - osteomyelitis - spine

Volltext

Referenzen

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