摘要
目的探讨布鲁氏菌病脊柱炎的临床特征及18F-氟脱氧葡萄糖(18F-FDG)正电子发射计算机断层显像(PET/CT)影像表现。方法回顾性分析珠海市人民医院诊治的1例布鲁氏菌病脊柱炎患者的临床资料及18F-FDG PET/CT影像特点,并复习相关文献。结果患者脊柱CT表现为T11椎体下缘、T12椎体上缘骨质破坏;MR表现为T11、T12椎体呈T1WI呈低信号,T2WI呈高信号;SPECT全身骨扫描表现为T11、T12椎体呈弥漫性中度放射性浓聚;18F-FDG PET/CT检查示:T11椎体下缘、T12椎体上缘局部骨质破坏伴FDG摄取增高,标准摄取值最大值(SUVmax)为6.4;后经血培养检出:马耳他布鲁氏菌,明确诊断。结论布鲁氏菌脊柱炎临床表现不具特征性,18F-FDG PET/CT显像表现为FDG摄取增高,PET/CT检查有助于疾病早期诊断。
Objective To investigate the clinical features and 18F-FDG PET/CT manifestations of brucellosis pondylitis.Methods The clinical data and 18F-FDG PET/CT imaging characteristics in 1 case of brucellosis spondylitis diagnosed and treated in Zhuhai Municipal People′s Hospital were analyzed retrospectively,and the relevant literatures were reviewed.Results The spinal CT in this patient manifested by the bone destruction of the lower edge of T11 vertebral body and upper edge of T12 vertebral body;MR revealed the low signal on T1WI and high signal on T2WI in T11 and T12 vertebral bodies;the SPECT whole body bone scan showed the diffuse and moderate radioactive concentration in T11 and T12 vertebral bodies.The 18F-FDG PET/CT examination revealed the FDG uptake increase in the lower edge of T11 vertebral body and upper edge of T12 vertebral body,SUVmax was 6.4.Later brucella was detected by the blood culture and the diagnosis was definite.Conclusion The clinical manifestations of brucella spondylitis are not specific.18F-FDG PET/CT imaging shows FDG uptake increase.The PET/CT examination is helpful for the early diagnosis of the disease.
作者
王金玉
彭永军
武兆忠
WANG Jinyu;PENG Yongjun;WU Zhaozhong(Department of Nuclear Medicine,Zhuhai Municipal People′s Hospital/Affiliated Zhuhai Hospital,Jinan University,Zhuhai,Guangdong 519000,China;Department of Nuclear Medicine,Second Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510260,China)
出处
《重庆医学》
CAS
2020年第24期4140-4142,4146,共4页
Chongqing medicine
基金
珠海市医学科研基金项目(20181117A010019)。
