The Valuation of Using FDG PET-CT in Detecting Osteoid Osteoma of the Cervical Spine

Kong, Jinhai; Xiao, Hui; Liu, Tielong; Yan, Wangjun; Qian, Ming; Song, Dian wen; Yang, Xinghai; Wang, Ting; Sun, Zhengwang; Xiao, Jianru

doi:10.1097/bsd.0000000000000146

Cited by 12 publications

(9 citation statements)

References 35 publications

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“…Positron-emission tomography (PET)/CT using F-18 and fluoro-deoxy-glucose may have a role in the diagnosis and posttreatment response evaluation. 11 The nidus exhibits avid glucose metabolism, whereas surrounding sclerosis does not. None of the patients had PET examination in our study group but five had bone scintigraphy.…”

Section: Discussionmentioning

confidence: 99%

Is radiofrequency ablation safe and effective in treating osteoid osteomas? A prospective single-center study with atypical cases

Yüce

Aytekin

Eren

et al. 2020

J Orthop Surg (Hong Kong)

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Purpose: Osteoid osteomas are benign and nonprogressive lesions. The clinical presentation of osteoid osteoma is typical with night pain responsive to nonsteroidal anti-inflammatory agents. The typical radiological appearance is lucent nidus and adjacent reactive sclerosis. The most traditional management of osteoid osteoma is surgical removal which is associated with significant morbidity. This article aims to demonstrate our single-center experience of 55 patients with osteoid osteoma treated with percutaneous radiofrequency ablation (RFA). Methods: Fifty-five symptomatic patients who were seen at our orthopedics outpatient clinics, diagnosed with osteoid osteoma, and referred to interventional radiology department between May 2015 and April 2019 were enrolled. The nidus size, pain numeric rating scale score, and intramedullary edema diameter before and after RFA were compared. Clinical and technical success, intervention-related complications, and need for subsequent ablation were recorded. Results: Of the 55 patients, including 12 pediatric cases, 6 had atypical locations such as metatarsal, vertebra, and scapula, while 1 case had osteoid osteoma with multiple nidus. The mean age was 18.5 ± 9.6 years. Preintervention maximum nidus diameter, pain score, and edema diameter were significantly lower in postintervention measurements ( p < 0.001). Technical success rate was 98.1%, and clinical success was 96.36%. Severe complication occurred in one patient with soft tissue burn and osteomyelitis. Conclusion: This is one of the largest series of osteoid osteoma treated with RFA done in a single center with atypical cases. In conclusion, RFA is safe and effective in both pediatric and adult patients with rare complications even in challenging cases with atypical locations.

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Section: Discussionmentioning

confidence: 99%

Is radiofrequency ablation safe and effective in treating osteoid osteomas? A prospective single-center study with atypical cases

Yüce

Aytekin

Eren

et al. 2020

J Orthop Surg (Hong Kong)

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“…Even in the cases whose initial CT scan is normal, the nidus can be seen by bone scanning, and a repeated thin sectioned (2 mm) CT can show the lesion (31). Although there are some cases who had false negative bone scanning in literature (32), bone scan has high sensibility in diagnosis of OO, but low specificity (22). Particularly, spondylolysis, another frequently seen lesion in young population, may cause misdiagnosis (33).…”

Section: Bone Scanningmentioning

confidence: 99%

Spinal Osteoid Osteoma Associated With Soft Tissue Changes as a Challenging Diagnosis: A Review of the Literature

et al. 2016

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Context: Spinal osteoid osteoma (OO) is an infrequent tumor and due to both its smallness and complex anatomy of the spine diagnosis is challenging. In addition, associated undefined soft tissue changes on magnetic resonance imaging (MRI) frequently cause misdiagnosis. Evidence Acquisition: PubMed database was searched for "spinal osteoid osteoma" and larger clinical series related to clinical pictures, diagnosis or treatment modalities, and also case reports with especially soft tissue changes and related to special treatment modalities were introduced to the study. It was aimed at to make conscious practitioners of clinical and diagnostic characteristics of spinal OOs. Results: Spinal OOs constitute about 10% of OOs and the most of the tumors are seen in adolescents or young adults. The most frequent clinical picture is painful scoliosis or torticollis according to the level of the tumor. On MRI that is the most frequently performed imaging modality in the patients with painful scoliosis, undefined extensive bone and soft tissue changes is quite frequent. Clinicians must be aware from these findings and they must suspect and investigate the patients with bone scintigraphy and thin sectioned computerized tomography that both of them together can show presence of the lesion and provide to determine exact location of the lesion. Despite the increasing number of the studies using percutaneous ablation techniques, standard treatment of spinal OOs is still intralesional excision. Surgical excision usually provides immediate pain relief, and recurrence is not frequent. Conclusions: Diffuse paravertebral muscle and soft tissue involvement having resemblance to myositis is not quite rare in the patients with spinal OO. This may be the sole finding on MRI and it must be alert for the clinicians to look for small OO nidus by bone scintigraphy or thin sectioned CT scan.

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“…3,5 However, primary angiosarcoma of bone with involvement of vertebral pedicle and transverse process is very rare. 6 This patient in our case had solitary osteolytic bone destruction in the vertebral pedicle and transverse process with intense FDG uptake. Similar image appearance should consider the possibility of osteoid osteoma, 6 osteoblastoma, 7 aneurysmal bone cysts, 8 giant cell tumor, 9 chondroblastoma, 10 and bone metastasis.…”

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confidence: 52%

Primary Angiosarcoma of Lumbar Pedicle and Transverse Process Revealed by FDG PET/CT

Yang,

Xiao,

2023

Clin Nucl Med

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The primary angiosarcoma of bone is rare. It typically occurs in tubular bones, pelvis, and trunk. However, its occurrence in the lumbar pedicle, and transverse process is infrequent. Thus, we present the imaging findings of FDG PET/CT in a rare case of primary angiosarcoma of lumbar pedicle and transverse process. It presented as solitary osteolytic bone destruction in the right pedicle and transverse process of L4 with intense FDG uptake. This case added knowledge of another rare occurrence site of primary angiosarcoma of bone, which should be considered as a differential diagnosis when we meet similar image appearance on FDG PET/CT.

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The Valuation of Using FDG PET-CT in Detecting Osteoid Osteoma of the Cervical Spine

Abstract: It is valuable of using of PET-CT to diagnose OOs of the cervical vertebra. Subsequently, it is a good way that helps us in efficient removal of the OOs completely.

Cited by 12 publications

References 35 publications

Is radiofrequency ablation safe and effective in treating osteoid osteomas? A prospective single-center study with atypical cases

Is radiofrequency ablation safe and effective in treating osteoid osteomas? A prospective single-center study with atypical cases

Spinal Osteoid Osteoma Associated With Soft Tissue Changes as a Challenging Diagnosis: A Review of the Literature

Primary Angiosarcoma of Lumbar Pedicle and Transverse Process Revealed by FDG PET/CT

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