“Hot” Vertebra on 18F-FDG PET Scan: A Case of Vertebral HemangiomaNakayama, Michihiro MD; Okizaki, Atsutaka MD, PhD; Ishitoya, Shunta MD; Aburano, Tamio MD, PhDClinical Nuclear Medicine: December 2012 - Volume 37 - Issue 12 - p 1190–1193 doi: 10.1097/RLU.0b013e3182708628 Interesting Images Abstract Author Information 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: firstname.lastname@example.org. Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.