INTRAOSSEOUS HAEMANGIOMAS ON HYBRID IMAGING: A PICTORIAL REVIEW
Abstract
Osseous haemangiomas are benign skeletal tumours, usually identi ed as incidental ndings on different imaging modalities. Bone scan is the most frequent radionuclide procedure performed as metastatic workup in patients with various malignancies. Not every hotspot on a staging bone scan is malignant. Haemangiomas with variable degree of radiotracer uptake on technetium-99m (Tc-99m) bone scintigraphy may be falsely labelled as metastases in background of known malignancy. The addition of single-photon emission computed tomography computed tomography (SPECT-CT) enhances the specificity of bone scan which allows accurate detection and anatomical localisation of scintigraphic findings. We present a case series as pictorial review of osseous haemangiomas identi ed on Tc-99m methylene diphosphonate SPECT CT at our department.
Key words: Haemangioma, methylene diphosphonate, bone scan, single-photon emission computed tomography- computed tomography
References
Franquet T, Giménez A, Alegret X, et al. Imaging findings of sternal abnormalities. Eur Radiol 1997;7:492-7.
Raphael J, Hephzibah J, Mani S, et al. Abnormal appearance of spinal hemangioma mimicking metastasis in bone scintigraphy and SPECT-CT: Case report. J Nucl Med Radiat Ther 2013;S6:16-8.
Murphey MD, Fairbairn KJ, Parman LM, et al. Musculoskeletal angiomatous lesions: Radiologic- pathologic correlation. Radiographics 1995;15:893-917.
Even-Sapir E. Imaging of malignant bone involvement by morphologic, scintigraphic, and hybrid modalities. J Nucl Med 2005;46:1356-67.
Buck AK, Nekolla S, Ziegler S, et al. SPECT-CT. J Nucl Med 2008;49:1305-19.
Bhoil A, Mittal BR, Harisankar CN, et al. Methylene diphosphonate uptake in a case of vertebral haemangiomas: Demonstration with hybrid SPECT/CT. Clin Nucl Med 2011;36:e65-6.
Moran DE, O’Neill AC, Heffernan EJ, et al. Not everything that is hot on a staging bone scan is malignant: A pictorial review of benign causes of increased isotope uptake. Can Assoc Radiol J 2012;63:280-8.
Domínguez M, Rayo J, Serrano J, et al. Vertebral hemangioma: “Cold” vertebrae on bone scintigraphy and uordeoxy-glucose positron emission tomography- computed tomography. Indian J Nucl Med 2011;26:49-51.
Han BK, Ryu JS, Moon DH, et al. Bone SPECT imaging of vertebral haemangiomas correlation with MR imaging and symptoms. Clin Nucl Med 1995;20:916-21.
Manohar K, Parghane RV, Kumari S, et al. Multiple vertebral haemangiomas mimicking metastases in a patient with renal carcinoma: Importance of hybrid imaging with SPECT/CT and FDG PET/CT. J Postgrad Med Edu Res 2012;46:196-7.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors retain copyright and grant the Journal of Cancer & Allied Specialties (JCAS) right-of-first publication. In addition, the work will be simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International license. This license allows others to share the work in whole or part (for non-commercial purpose), with an acknowledgement of the work’s authorship and initial publication in JCAS.
Furthermore, authors are free to enter into separate contractual arrangements for the non-exclusive distribution of the journal’s published version of the work, with an acknowledgement of its initial publication in this journal.
Authors are permitted and encouraged to share their work online or in medical or scientific conferences prior to or during submission process.
