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01-10-2010 | Scientific Article

Therapeutic impact of [¹⁸F]fluoride positron-emission tomography/computed tomography on patients with unclear foot pain

Authors: Dorothee Rita Fischer, Gerardo J. Maquieira, Norman Espinosa, Marco Zanetti, Rolf Hesselmann, Anass Johayem, Thomas F. Hany, Gustav K. von Schulthess, Klaus Strobel

Published in: Skeletal Radiology | Issue 10/2010

Abstract

Purpose

To evaluate the therapeutic impact of [¹⁸F]fluoride positron-emission tomography/computed tomography ([¹⁸F]fluoride PET/CT) imaging on patients with unclear foot pain.

Methods

Twenty-eight patients were prospectively included in this study. Therapeutic management was defined by two experienced dedicated foot surgeons before and after [¹⁸F]fluoride PET/CT imaging. Twenty-six patients underwent cross-sectional imaging [CT, magnetic resonance (MR)] prior to PET/CT. A retrospective analysis of the magnetic resonance imaging (MRI) diagnoses was performed when a therapy change occurred after PET/CT imaging.

Results

In 13/28 (46%) patients therapeutic management was changed due to PET/CT results. Management changes occurred in patients with the following diagnoses: os trigonum syndrome; sinus tarsi syndrome; os tibiale externum syndrome; osteoarthritis of several joints; non-consolidated fragments; calcaneo-navicular coalition; plantar fasciitis; insertional tendinopathy; suggestion of periostitis; neoarticulations between metatarsal bones. Os trigonum, os tibiale externum, subtalar osteoarthritis and plantar fasciitis were only seen to be active on PET/CT images but not on MR images.

Conclusion

[¹⁸F]fluoride PET/CT has a substantial therapeutic impact on management in patients with unclear foot pain.

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Title: Therapeutic impact of [18F]fluoride positron-emission tomography/computed tomography on patients with unclear foot pain
Authors: Dorothee Rita Fischer
Gerardo J. Maquieira
Norman Espinosa
Marco Zanetti
Rolf Hesselmann
Anass Johayem
Thomas F. Hany
Gustav K. von Schulthess
Klaus Strobel
Publication date: 01-10-2010
Publisher: Springer-Verlag
Published in: Skeletal Radiology / Issue 10/2010
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-010-0875-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Therapeutic impact of [¹⁸F]fluoride positron-emission tomography/computed tomography on patients with unclear foot pain

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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