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“Hot” Vertebra on 18F-FDG PET Scan: A Case of Vertebral Hemangioma

Nakayama, Michihiro MD; Okizaki, Atsutaka MD, PhD; Ishitoya, Shunta MD; Aburano, Tamio MD, PhD

doi: 10.1097/RLU.0b013e3182708628
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Abstract: An 18F-FDG-PET with CT scan was performed to stage a tongue cancer, revealing the hypermetabolic region in the thoracic vertebra. This corresponded to a benign lesion seen on MRIs and CT.

Although these findings suggested a vertebral hemangioma, “hot” vertebra in FDG-PET was atypical. The final diagnosis was confirmed capillary hemangioma by the scopic biopsy and this lesion was no change at 1 year later.

Careful interpretation of metabolic (FDG-PET) and anatomic (CT and MRI) images should be performed to accurately characterize the foci of increased FDG uptake.

From the Department of Radiology, Asahikawa Medical University, Asahikawa, Japan.

Received for publication May 7, 2012; revision accepted August 9, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Michihiro Nakayama, MD, Department of Radiology, Asahikawa Medical University, 2-1-1-1 Midorigaoka-higashi, Asahikawa 078-8510, Japan. E-mail: m-naka@asahikawa-med.ac.jp.

© 2012 Lippincott Williams & Wilkins, Inc.