Easy Interpretation of Heterotopic Ossification
Demonstrated
on Bone SPECT/CT
Yin Lin, MD,* Wan Y. Lin, MD,*þ§ Chia H. Kao, MD,Þþ and Shih C. Tsai, MD*
§
Abstract: A 29-year-old male patient suffered from paraplegia 6 months
after brain injury. Heterotopic ossification was diagnosed based on clinical
characteristics such as decreased range of motion at the bilateral hips without
infective signs. A planar bone scintigraphy using 99mTc-MDP showed
intensive radiotracer accumulation in the proximal portion of the bilateral
femurs and the right acetabulum. The SPECT/CT images showed increased
radiotracer accumulation in the adjacent soft tissues of the bilateral hips but
not in the bone. The conservative treatment rather than surgical intervention
was given according to the findings in bone SPECT/CT images.
Key Words: heterotopic ossification, bone scintigraphy, SPECT/CT
(Clin Nucl Med 2014;39: 62Y63)
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INTERESTING IMAGE
62 www.nuclearmed.com Clinical Nuclear Medicine & Volume 39, Number 1, January 2014
Received for publication July 12, 2012; revision accepted December 29, 2012.
From the *Department of Nuclear Medicine, Taichung Veterans General Hospital;
†Department of Nuclear Medicine and PET Center, China Medical University
Hospital; ‡Institute of Clinical Medicine Science and School of Medicine,
China Medical University; and §Institute of Radiological Science, Central
Taiwan University of Science and Technology, Taichung, Taiwan.
Conflicts of interest and sources of funding: none declared.
Reprints: Shih-Chuan Tsai, MD, Department of Nuclear Medicine, Taichung Veterans
General Hospital, 160 Taichung Harbor Road, Section 3, Taichung 407,
Taiwan. E-mail: sctsai@vghtc.gov.tw.
Copyright * 2013 by Lippincott Williams & Wilkins
ISSN: 0363-9762/14/3901Y0062