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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Spondylodiscitis: A False-Positive Pitfall in 68 Ga-PSMA Scintigraphy
Amin Saber Tanha1, Farid Jafari Zarrin Ghabaei1, Hamidreza Ghorbani2,3
1Nuclear Medicine Research Center, Mashhad University of Medical Sciences.
Abstract:
A 65-year-old man with elevated serum prostate-specific antigen (PSA) and obstructive urinary symptoms referred for PRIMARY score assessment via 68 Ga-PSMA scintigraphy. The scan showed increased PSMA uptake in vertebral endplates with CT features of spondylodiscitis, confirmed by clinical history and inflammatory markers. Symmetrical PSMA uptake in the prostate corresponded to primary score 2. This case highlights spondylodiscitis as a false-positive on PSMA imaging and emphasizes the importance of correlating PET/CT findings with clinical and laboratory data to avoid misdiagnosis.
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