Usmani Sharjeel, Sit Cherry, Gnanasegaran Gopinath, den Wyngaert Tim Van, Marafi Fahad
Department of Nuclear Medicine & PET/CT Imaging, Kuwait Cancer Control CenterKhaitan, Kuwait.
Royal Free Hospital NHS TrustLondon, UK.
Am J Nucl Med Mol Imaging. 2017 Dec 20;7(6):275-282. eCollection 2017.
Accessory ossicles are developmental variants which are often asymptomatic. When incidentally picked up on imaging, they are often inconsequential and rarely a cause for concern. However, they may cause pain or discomfort due to trauma, altered stress, and over-activity. Nuclear scintigraphy may play a role in the diagnosis and localizing pain generators. F-Sodium Fluoride (NaF) is a PET imaging agent used in bone imaging. Although commonly used in imaging patients with cancer imaging malignancy, F-NaF may be useful in the evaluation of benign bone and joint conditions. In this article, we would like to present a spectrum of clinical cases and review the potential diagnostic utility of F-NaF in the assessment of symptomatic accessory ossicles in patients referred for staging cancers.
副骨是发育变异，通常无症状。当在影像学检查中偶然发现时，它们往往无关紧要，很少引起担忧。然而，它们可能因创伤、应力改变和过度活动而导致疼痛或不适。核素骨显像可能在诊断和确定疼痛来源方面发挥作用。氟-氟化钠（NaF）是一种用于骨显像的正电子发射断层显像（PET）剂。虽然常用于癌症成像恶性肿瘤患者的成像，但氟-氟化钠可能有助于评估良性骨和关节疾病。在本文中，我们将展示一系列临床病例，并回顾氟-氟化钠在评估转诊进行癌症分期的患者有症状副骨时的潜在诊断效用。
