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Visual Pattern and Serial Quantitation of 18F-Sodium Fluoride PET/CT in Asymptomatic Patients After Hip and Knee Arthroplasty

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Abstract

Purpose

We investigated the visual tracer distribution pattern and serial changes in uptake ratio in different anatomical zones during the natural postoperative course in order to establish a reference for evaluation of patients with complications.

Methods

A total of 36 patients without symptoms after hip or knee arthroplasty were grouped according to the interval between surgery and the scan. The serial changes in SUVmean in each periprosthetic zone were quantified using the volume of interest isocontour method. Images were classified according to the uptake distribution pattern. The uptake ratios in the postoperative period groups were then compared using the Kruskal-Wallis test. The correlation between uptake ratio and postoperative period was then determined.

Results

Tracer distribution patterns in hip prostheses were classified into three types and the patterns in knee prostheses into five types. In hip prostheses, intense osteoblastic activity was observed during 3–6 months and then declined in most patients, but showed a slight increase over 15–25 months in 5–10 % of patients. The correlation coefficients varied among the zones. Significant differences in uptake ratios among the period groups was found for all zones, except zone 8. Porous coated areas showed higher uptake than uncoated areas only for the period the 3–6 months. In knee prostheses, uptake ratios showed a curvilinear pattern, increasing from 3–6 to 8–15 months and declining later. The uptake ratios were different among the period groups. Every zone showed a positive correlation from 3–6 to 8–15 months, and negative correlations from 8–15 to 22–25 months.

Conclusions

This is the first 18F-sodium fluoride PET/CT study investigating the stability of implants and sets a reference for evaluation of patients with complications.

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Acknowledgments

This work was supported by the Busan Metropolitan City research fund.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Dong-A University Medical Center, Dong-A University College of Medicine, 26 Daesingongwon-ro, Seo-gu, Busan, 602-812, South Korea

    Hye Joo Son, Young Jin Jeong, Hyun Jin Yoon & Do-Young Kang

  2. Department of Orthopedic Surgery, Dong-A University Medical Center, Dong-A University College of Medicine, Busan, South Korea

    Lih Wang & Hyeon Jun Kim

  3. Institute of Convergence Bio-Health, Dong-A University, Busan, South Korea

    Hye Joo Son, Young Jin Jeong, Hyun Jin Yoon, Jong-Hwan Park & Do-Young Kang

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  1. Hye Joo Son
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  2. Young Jin Jeong
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  3. Hyun Jin Yoon
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  4. Lih Wang
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Correspondence to Do-Young Kang.

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The authors declare that they don’t have conflicts of interest.

Ethical Statement

The study was approved by an institutional review board or equivalent and has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All subjects in the study gave written informed consent or the institutional review board waived the need to obtain informed consent.

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The manuscript has not been published previously, is not under consideration for publication elsewhere, and has been approved by all of the authors.

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Son, H.J., Jeong, Y.J., Yoon, H.J. et al. Visual Pattern and Serial Quantitation of 18F-Sodium Fluoride PET/CT in Asymptomatic Patients After Hip and Knee Arthroplasty. Nucl Med Mol Imaging 50, 308–321 (2016). https://doi.org/10.1007/s13139-016-0430-0

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  • DOI: https://doi.org/10.1007/s13139-016-0430-0

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