Bone SPECT/CT Localizes Increased Bone Metabolism and Subsequent Bone Resorption in Reflex Sympathetic Dystrophy

Hidetoshi Narimatsu; Tadaki Nakahara; Sayuri Kodama; Hiromi Hisazumi; Shinichi Tominaga; Kiyoshi Ohkuma; Masahiro Jinzaki

doi:10.1097/RLU.0000000000001795

Bone SPECT/CT Localizes Increased Bone Metabolism and Subsequent Bone Resorption in Reflex Sympathetic Dystrophy

Hidetoshi Narimatsu, Tadaki Nakahara, Sayuri Kodama, Hiromi Hisazumi, Shinichi Tominaga, Kiyoshi Ohkuma, Masahiro Jinzaki

Department of Radiology (Diagnostic Radiology)

Research output: Contribution to journal › Article

1 Citation (Scopus)

Abstract

A 64-year-old man with lung cancer with a history of revascularization of the occluded right femoral artery underwent bone scintigraphy, which showed intense uptake in the distal side of the right leg. The additional SPECT/CT clarified that the uptake was predominantly increased in the epiphyses of the right ankle and foot with possible osteopenia. One month later, follow-up SPECT/CT showed the manifestation of periosteal resorption in the hypermetabolic sites with slight decrease in bone metabolism. Radiological correlation between bone metabolism and subsequent bone resorption in addition to clinical symptoms in this patient suggested the diagnosis of reflex sympathetic dystrophy.

Original language	English
Pages (from-to)	784-786
Number of pages	3
Journal	Clinical Nuclear Medicine
Volume	42
Issue number	10
DOIs	https://doi.org/10.1097/RLU.0000000000001795
Publication status	Published - 2017 Oct 1

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ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

Cite this

Narimatsu, H., Nakahara, T., Kodama, S., Hisazumi, H., Tominaga, S., Ohkuma, K., & Jinzaki, M. (2017). Bone SPECT/CT Localizes Increased Bone Metabolism and Subsequent Bone Resorption in Reflex Sympathetic Dystrophy. Clinical Nuclear Medicine, 42(10), 784-786. https://doi.org/10.1097/RLU.0000000000001795

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10.1097/RLU.0000000000001795