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99mTc-HMPAO–Labeled WBC Scan for the Diagnosis of Chronic Recurrent Multifocal Osteomyelitis

Tyler A. Dailey, Michael D. Berven and Penny J. Vroman
Journal of Nuclear Medicine Technology December 2014, 42 (4) 299-301; DOI: https://doi.org/10.2967/jnmt.114.138073

Article Figures & Data

Figures

  • FIGURE 1.
    FIGURE 1.

    Radiograph obtained 3 mo after onset of symptoms shows osteolysis (arrow) with surrounding sclerosis (arrowheads).

  • FIGURE 2.
    FIGURE 2.

    Sagittal short-τ inversion recovery MR image demonstrates bone marrow edema in calcaneus (arrowheads). Small amount of edema is seen in surrounding soft tissues

  • FIGURE 3.
    FIGURE 3.

    Anterior (A) and posterior (B) whole-body planar images and spot image (C) from 99mTc-HMPAO WBC scan show increased uptake at left calcaneus (arrowhead). Additional radiotracer uptake is seen in right tibial plateau, left acetabulum, right greater trochanter, and right mandible (arrows). None of these sites were symptomatic.

  • FIGURE 4.
    FIGURE 4.

    Coronal short-τ inversion recovery MR image of pelvis demonstrates bone marrow edema in left acetabulum and right greater trochanter (arrows) corresponding to sites of asymptomatic WBC accumulation.

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