Radiology Case Reports (Sep 2021)

FDG-CT/PET false positive case in hip prosthesis: a clue to avoid error

  • Vincenzo Cuccurullo,
  • Francesco Manti,
  • Marina De Risi,
  • Giuseppe Lucio Cascini

Journal volume & issue
Vol. 16, no. 9
pp. 2601 – 2604

Abstract

Read online

A 62 years old woman 6 months after left total hip prosthesis referred to our institution for persistent pain and warm, stiff, and swollen joint. 18F-FDG CT/PET Images showed an intense focal uptake corresponding to the external margin of inter-trochanteric region of prosthesis and inside the stem inferiorly, but common decision was to reconstruct PET images without attenuation correction and now showed a complete and unexpected disappearance of focal and pathological FDG uptake. This case shows the potential propagation of CT artifacts into PET emission data close to metal implants and should be taken in account together to SUV values.

Keywords