PET-CT confirms the diagnosis of pyogenic spondylodiscitis complicated by psoas abscess

Davison, Jonathan M; Graham, Jess; Nieves, Neris M; Yoest, Stephen M

doi:10.1136/bcr-2012-008264

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…As described in other clinical reports [5], our report confirms that PET/CT could be very useful in detecting spondylodiscitis in asymptomatic subjects.…”

Section: Discussionsupporting

confidence: 77%

A Case of Spondylodiscitis due to Bacteroides Fragilis in Febrile Patient With Past Thoracic Vertebral Trauma

Ceriotti¹

2013

J Med Cases

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Spondylodiscitis caused by Bacteroides fragilis in an uncommon finding. We report a case of spondylodiscitis due to Bacteroides fragilis in a febrile young patient with history of previous trauma to the back. Sub-acute appendicitis was considered the portal of entry of infection. The patient was febrile but did not complain spinal pain. 2-[ 18 F]fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET) was very useful in the diagnosis of this pathology.

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“…As described in other clinical reports [5], our report confirms that PET/CT could be very useful in detecting spondylodiscitis in asymptomatic subjects.…”

Section: Discussionsupporting

confidence: 77%

A Case of Spondylodiscitis due to Bacteroides Fragilis in Febrile Patient With Past Thoracic Vertebral Trauma

Ceriotti¹

2013

J Med Cases

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“…Solid conclusions are difficult to draw, since in three patients the abscesses were located outside the scan range. Besides several case reports, little information is available on the diagnostic value of 18 F-FDG-PET/CT and MRI in paravertebral and psoas abscesses [ 6 , 7 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

A comparison of the diagnostic value of MRI and 18F-FDG-PET/CT in suspected spondylodiscitis

et al. 2016

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PurposeThe purpose of this study was to evaluate the diagnostic value of 18F-fluorodeoxyglucose (FDG) positron emission tomography and computed tomography (PET/CT scan) and magnetic resonance imaging (MRI) in diagnosing spondylodiscitis and its complications, such as epidural and paraspinal abscesses.MethodsFrom January 2006 to August 2013 patients with a clinical suspicion of spondylodiscitis, with an infection, or with fever of unknown origin were retrospectively included if 18F-FDG-PET/CT and MRI of the spine were performed within a 2-week time span. Imaging results were compared to the final clinical diagnosis and follow-up data were collected.ResultsSixty-eight patients were included of whom 49 patients were diagnosed with spondylodiscitis. MRI showed an overall sensitivity of 67 % and specificity of 84 %. Diagnostic accuracy was 58 %, when MRI was performed within 2 weeks after the start of symptoms and improved to 82 %, when performed more than 2 weeks after onset of symptoms. 18F-FDG-PET/CT showed a sensitivity of 96 % and a specificity of 95 %, with no relation to the interval between the scan and the start of symptoms.ConclusionsAs compared to MRI, 18F-FDG-PET/CT has superior diagnostic value for detecting early spondylodiscitis. After 2 weeks both techniques perform similarly.

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PET-CT confirms the diagnosis of pyogenic spondylodiscitis complicated by psoas abscess

Cited by 2 publications

References 4 publications

A Case of Spondylodiscitis due to Bacteroides Fragilis in Febrile Patient With Past Thoracic Vertebral Trauma

A Case of Spondylodiscitis due to Bacteroides Fragilis in Febrile Patient With Past Thoracic Vertebral Trauma

A comparison of the diagnostic value of MRI and 18F-FDG-PET/CT in suspected spondylodiscitis

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