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Case Reports
. 2017 Nov;42(11):e480-e481.
doi: 10.1097/RLU.0000000000001839.

Early and Delayed 99mTc-MDP SPECT/CT Findings in Rheumatoid Arthritis and Osteoarthritis

Yasser G Abdelhafez  1 , Rosalie J Hagge, Ramsey D Badawi, Siba P Raychaudhuri, Abhijit J Chaudhari
Affiliations
Case Reports

Early and Delayed 99mTc-MDP SPECT/CT Findings in Rheumatoid Arthritis and Osteoarthritis

Yasser G Abdelhafez et al. Clin Nucl Med. 2017 Nov.

Abstract

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-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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