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Hemivertebral "disappearance" on bone scan.

R P Spencer, J J Sziklas, R Rosenberg

    Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine
    |May 1, 1981
    PubMed
    Summary
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    Absence of uptake in hemivertebra on bone scans can occur, even with previous normal scans. This finding may indicate compromised blood supply to the hemivertebra, affecting Tc-99m methylene diphosphonate uptake.

    Area of Science:

    • Radiology
    • Nuclear Medicine
    • Skeletal Imaging

    Background:

    • Bone scintigraphy using Technetium-99m methylene diphosphonate (Tc-99m MDP) is a common imaging modality.
    • Vertebral hemihypertrophy can be identified through various imaging techniques.

    Observation:

    • Two cases presented with absent Tc-99m MDP uptake in a hemivertebra.
    • One patient had a normal bone scan 56 days prior to the scan showing absent uptake.
    • Radiographs of the vertebrae were unremarkable in both cases.

    Findings:

    • The observed absence of hemivertebra uptake on bone scintigraphy is likely due to compromised blood supply.
    • Each vertebral half typically receives a distinct arterial supply, making it vulnerable to vascular compromise.

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    Implications:

    • This finding suggests that vascular compromise should be considered in the differential diagnosis of absent hemivertebra uptake.
    • Further investigation may be warranted in cases of unexpected absent uptake on bone scans to evaluate for vascular etiologies.