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18F-FDG PET/CT Imaging of Critical Ischemia in the Diabetic Foot

Marre, Fanny MD; Sibille, Louis MD; Nalda, Enrique MD; Kotzki, Pierre-Olivier MD, PhD; Boudousq, Vincent MD, PhD

doi: 10.1097/RLU.0b013e3182817c4c
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A 72-year-old patient with type 2 diabetes mellitus underwent 18F-FDG PET/CT for diabetic foot infection. No increased focal uptake was seen. 18F-FDG uptake was absent in the second, third, and fourth toes of the right foot. Angiography demonstrated severe stenosis in the proximal anterior tibial artery and segmental stenosis on the posterior tibial artery. The patient was diagnosed as having dry gangrene of the second to fourth toes of the right foot due to ischemia. He underwent a selective amputation because of the lack of revascularization possibilities.

From the Department of Nuclear Medicine, Nîmes University Hospital, Nîmes, France.

Received for publication April 17, 2012; and revision accepted December 4, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Fanny Marre, MD, Department of Nuclear Medicine, Place du Pr R.Debré, 30029 Nîmes, France. E-mail:

© 2013 by Lippincott Williams & Wilkins