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Review
. 2022;18(2):216-230.
doi: 10.2174/1573405617666210916121046.

Spine Infections: The Role of Fluorodeoxyglucose Positron Emission Tomography (FDG PET) in the Context of the Actual Diagnosis Guideline

Luca Boriani  1 , Eleonora Zamparini  2 , Mauro Albrizio  3 , Francesca Serani  4 , Giovanni Ciani  1 , Lorenzo Marconi  2 , Francesco Vommaro  1 , Tiziana Greggi  1 , Stefano Fanti  4 , Cristina Nanni  4
Affiliations
Review

Spine Infections: The Role of Fluorodeoxyglucose Positron Emission Tomography (FDG PET) in the Context of the Actual Diagnosis Guideline

Luca Boriani et al. Curr Med Imaging. 2022.

Abstract

Spondylodiscitis is an infectious process that requires numerous health care professionals to be clearly diagnosed and eventually successfully treated. It implies a variety of microbiological agents and conditions; during the diagnostic workup, it is difficult to correctly identify them, and the clinician has to rapidly choose the correct treatment to avoid permanent injuries to the patient. In this context, we conducted a review to better understand the most suitable use of Positron Emission Tomography with 18-Fluoro-deossi-glucose (FDG PET) in a patient suspected of spondylodiscitis, based on current guidelines and literature.. We wanted to review the role of FDG PET in the spondylodiscitis diagnosis and follow up in the context of the current guidelines.

Keywords: FDG PET; MR; Spondylodiscitis; diagnosis guideline; osteomyelitis; spine..

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Figures

Fig. (1)
Fig. (1)
Sagittal cut representation of the anatomical consequences of a thoracic spondylodiscitis. (A higher resolution / colour version of this figure is available in the electronic copy of the article).
Fig. (2)
Fig. (2)
FDG PET/CT scans of a patient with clearly elevated uptake above physiological bone marrow uptake of a linear or disciform pattern in the intervertebral space (Fig. 2 is a sagittal cut, Fig. 2 bis is an axial cut). (A higher resolution / colour version of this figure is available in the electronic copy of the article).
Fig. (3)
Fig. (3)
FDG PET/CT scans of a patient with clearly elevated uptake above physiological bone marrow uptake of a linear or disciform pattern in the intervertebral space and involvement of ground or cover plate or both plates of the adjacent vertebrae Fig. (3) is a sagittal cut, (Fig. 3) bis is an axial cut). (A higher resolution / colour version of this figure is available in the electronic copy of the article).
See this image and copyright information in PMC

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