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Dergiler / Molecular Oncologic Imaging / 2025 / Volume: 5 Issue: 3

Sacral insufficiency fracture as shown by 18F-FDG PET/CT and 99mTc-MDP bone scintigraphy

Alpay İbrahim Kasman(MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, NÜKLEER TIP ANABİLİM DALI)0009-0003-3443-4616
Zehra Pınar Koç(MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, NÜKLEER TIP ANABİLİM DALI)0000-0002-3274-5790
Pınar Pelin Özcan(MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, NÜKLEER TIP ANABİLİM DALI)0000-0003-0147-2678
Vehbi Erçolak(MERSİN ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, İÇ HASTALIKLARI ANABİLİM DALI, TIBBİ ONKOLOJİ BİLİM DALI)0000-0003-1014-1694
Sayfa
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Yayın Tarihi
2026-01-13
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Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The specific ‘H’ shaped accumulation of the radiopharmaceutical and previous history of pelvic radiation therapy should indicate this diagnosis as presented in this case report.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Sacral insufficiency is a frequent cause of false positivity in diagnosis of bone metastasis.
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Temel Bulgular & Veri:Sacral insufficiency is a frequent cause of false positivity in diagnosis of bone metastasis.
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Sonuç & Katkı:The specific ‘H’ shaped accumulation of the radiopharmaceutical and previous history of pelvic radiation therapy should indicate this diagnosis as presented in this case report.
🔬Tür:Case Report
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Sacral insufficiency · 99mTc-MDP · 18F-FDG PET/CT

Abstract

Sacral insufficiency is a frequent cause of false positivity in diagnosis of bone metastasis. The specific ‘H’ shaped accumulation of the radiopharmaceutical and previous history of pelvic radiation therapy should indicate this diagnosis as presented in this case report.

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Bu Makaleye Atıf Yap

Kasman, A. İ., Koç, Z. P., Özcan, P. P., Erçolak, V. (2026). Sacral insufficiency fracture as shown by 18F-FDG PET/CT and 99mTc-MDP bone scintigraphy. Molecular Oncologic Imaging, Volume: 5 Issue: 3. https://doi.org/10.71286/moi.1849051

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Kaynakça (8)

  1. Baldwin, M. J., & Tucker, L. J. (2014). Sacral insufficiency fractures: a case of mistaken identity. International medical case reports journal, 7, 93–98. https://doi.org/10.2147/IMCRJ.S60133
  2. Zhang, L., He, Q., Jiang, M., Zhang, B., Zhong, X., & Zhang, R. (2018). Diagnosis of Insufficiency Fracture After Radiotherapy in Patients With Cervical Cancer: Contribution of Technetium Tc 99m-Labeled Methylene Diphosphonate Single-Photon Emission Computed Tomography/Computed Tomography. International journal of gynecological cancer: official journal of the International Gynecological Cancer Society, 28(7), 1369–1376. https://doi.org/10.1097/IGC.0000000000001337
  3. Fujii M, Abe K, Hayashi K, Kosuda S, Yano F, Watanabe S, Katagiri S, Ka WJ, Tominaga S. Honda sign and variants in patients suspected of having a sacral insufficiency fracture. Clin Nucl Med. 2005 Mar;30(3):165-9. doi: 10.1097/00003072-200503000-00004. PMID: 15722819.
  4. Kara, P. Ö., Koç, Z. P., Gümüş, A., Süleymanoğlu, M. (2023). PET-CT Imaging in Cancer of Unknown Primary in a Patient with Cranial Metastatic Mass. Molecular Oncologic Imaging, 3(1), 4-6.
  5. Al-faham, Z., Rydberg, J. N., & Oliver Wong, C. Y. (2014). Use of SPECT/CT with 99mTc-MDP bone scintigraphy to diagnose sacral insufficiency fracture. Journal of nuclear medicine technology, 42(3), 240–241. https://doi.org/10.2967/jnmt.114.137547
  6. Xiao, Z., Dong, A., Nian, S., Bai, Y., & Zuo, C. (2025). Sacral Insufficiency Fracture Mimicking Metastatic Prostate Cancer on 18 F-PSMA-1007 PET/CT. Clinical nuclear medicine, 50(12), 1197–1200. https://doi.org/10.1097/RLU.0000000000006030
  7. Lyders, E. M., Whitlow, C. T., Baker, M. D., & Morris, P. P. (2010). Imaging and treatment of sacral insufficiency fractures. AJNR. American journal of neuroradiology, 31(2), 201–210. https://doi.org/10.3174/ajnr.A1666
  8. Zhang, L., He, Q., Jiang, M., Zhang, B., Zhong, X., & Zhang, R. (2018). Diagnosis of Insufficiency Fracture After Radiotherapy in Patients With Cervical Cancer: Contribution of Technetium Tc 99m-Labeled Methylene Diphosphonate Single-Photon Emission Computed Tomography/Computed Tomography. International journal of gynecological cancer: official journal of the International Gynecological Cancer Society, 28(7), 1369–1376. https://doi.org/10.1097/IGC.0000000000001337