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Annals of Nuclear Medicine
Published in: Annals of Nuclear Medicine 2/2014

01-02-2014 | Original Article

Metabolic patterns of the shoulder joint on 18F-fluorodeoxyglucose positron emission tomography/computed tomography in adhesive capsulitis

Authors: Du Hwan Kim, Duk Hyun Sung, Hyo Yun Ga, Joon Young Choi

Published in: Annals of Nuclear Medicine | Issue 2/2014

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Abstract

Objective

The purpose of our study was to demonstrate metabolic patterns on 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) in patients with adhesive capsulitis (AC).

Methods

We retrospectively reviewed 18F-FDG PET/CT performed on 22 shoulders of 21 patients diagnosed with AC: 2 shoulders with stage I, 14 with stage II, and 6 with stage III. A clinical diagnosis of AC was retrospectively made based on clinical examination, clinical course, and imaging. The pattern of radiotracer uptake was analyzed. Standardized uptake values in rotator interval (RI), anterior joint capsule (AJC), axillary recess (AR), and greater tuberosity were measured and compared to those of the contralateral side and the control group consisting of 40 shoulders in 20 subjects without shoulder pain.

Results

Four patterns of uptake were noted: (1) glenoid type I (n = 16), with uptake in RI, AJC, and AR; (2) glenoid type II (n = 2),with uptake in AJC and AR; (3) glenoid type III (n = 2), with uptake in RI and AJC; (4) focal type (n = 2), with uptake in RI or AR. Affected side SUVmax for RI, AJC, and AR was significantly higher compared with the unaffected side and the control group. Two shoulders with stage I AC had patterns similar to the ones with stage II or III.

Conclusion

Specific patterns of 18F-FDG uptake with dominant uptake in RI, AJC, or AR may be related to AC.
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Metadata
Title
Metabolic patterns of the shoulder joint on 18F-fluorodeoxyglucose positron emission tomography/computed tomography in adhesive capsulitis
Authors
Du Hwan Kim
Duk Hyun Sung
Hyo Yun Ga
Joon Young Choi
Publication date
01-02-2014
Publisher
Springer Japan
Published in
Annals of Nuclear Medicine / Issue 2/2014
Print ISSN: 0914-7187
Electronic ISSN: 1864-6433
DOI
https://doi.org/10.1007/s12149-013-0794-5

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