F-18 FDG PET/CT findings in postradiation pelvic insufficiency fracture |
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Authors: | Salavati Ali Shah Vinil Wang Zhen J Yeh Benjamin M Costouros Nick G Coakley Fergus V |
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Affiliation: | a Department of Radiology, University of California San Francisco, San Francisco, CA 94143-0628, USAb Department of Radiology, Medical Imaging Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran |
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Abstract: | We retrospectively identified eight patients who underwent F-18 FDG PET/CT and had diagnostic findings of postradiation pelvic insufficiency fracture. The fractures had a median SUVmax of 2.5 (range, 1.6 to 6.0) and were initially interpreted as possible metastases in six patients. A new bone lesion developing in the sacrum, pubic ramus, or acetabulum after radiation for pelvic malignancy is likely to be a postradiation pelvic insufficiency fracture, even if associated with increased FDG uptake at PET. |
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Keywords: | F-18 FDG PET/CT Insufficiency fractures Neoplasm metastasis Pelvic bones Radiation injuries |
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