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CASE REPORT
Year : 2010  |  Volume : 25  |  Issue : 1  |  Page : 32-33 Table of Contents   

Utility of hybrid SPECT-CT in the detection of unsuspected single lytic vertebral metastases in renal cell carcinoma


Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication22-May-2010

Correspondence Address:
Bhagwant Rai Mittal
Department of Nuclear Medicine, PGIMER, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.63600

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   Abstract 

Authors describe the incremental value of hybrid SPECT-CT in upstaging disease and changing the management strategy of a case of renal cell carcinoma

Keywords: Bone scan, metastasis, renal cell carcinoma, SPECT-CT


How to cite this article:
Harisankar C, Mittal BR, Bhattacharya A, Singh B. Utility of hybrid SPECT-CT in the detection of unsuspected single lytic vertebral metastases in renal cell carcinoma. Indian J Nucl Med 2010;25:32-3

How to cite this URL:
Harisankar C, Mittal BR, Bhattacharya A, Singh B. Utility of hybrid SPECT-CT in the detection of unsuspected single lytic vertebral metastases in renal cell carcinoma. Indian J Nucl Med [serial online] 2010 [cited 2019 Nov 18];25:32-3. Available from: http://www.ijnm.in/text.asp?2010/25/1/32/63600


   Introduction Top


Bone scintigraphy is less sensitive for detection of osteolytic lesions. We describe the utility of hybrid modality SPECT-CT in demonstrating the osteolytic lesion on morphological (CT) component of SPECT-CT associated with focal subtle tracer uptake. [1],[2],[3]


   Case Report Top


We report the case of a 47-year-old male patient who presented with abdominal pain, lower urinary symptoms and hematuria for three months. He was diagnosed as a case of renal cell carcinoma and subjected to radical nephrectomy. The patient also underwent a whole body bone scan for a metastatic workup. A planar whole body bone scan along with a hybrid single photon emission computed tomography (SPECT) / Computed Tomography (CT) imaging was performed. The planar imaging showed an area of mildly increased tracer uptake in the second lumbar vertebra [Figure 1]. Subsequent SPECT / CT imaging revealed a lytic lesion in the L2 vertebra, with increased uptake in the rest of the vertebral body; the findings more likely to be with metastatic involvement [Figure 2]. Thus, SPECT / CT upstaged the disease and changed the management strategy. In conclusion the present case report emphasizes the importance of a hybrid SPECT / CT imaging for suspicious bone lesions on planar images.

 
   References Top

1.Horger M, Bares R. The role of single photon emission computed tomography/computed tomography in benign and malignant bone disease. Semin Nucl Med 2006;36:286-94.  Back to cited text no. 1  [PUBMED]  [FULLTEXT]  
2.Even-Sapir E. Imaging of malignant bone involvement by morphologic, scintigraphic and hybrid modalities. J Nucl Med 2005;46:1356-67.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]  
3.Koga S, Tsuda S, Nishikido M, Ogawa Y, Hayashi K, Hayashi T, et al. The diagnostic value of bone scan in patients with renal cell carcinoma. J Urol 2001;166:2126-8.  Back to cited text no. 3  [PUBMED]  [FULLTEXT]  


    Figures

  [Figure 1], [Figure 2]



 

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    Abstract
    Introduction
    Case Report
    References
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