Detection of vertebral insufficiency fractures on 18F-FDG PET/CT following radiation therapy for oesophageal cancer

A 62-year-old man and 70-year-old woman with oesophageal cancer treated with chemoradiotherapy underwent <sup>18</sup>F-FDG PET/CT (FDG-PET/CT) for assessment of suspected thoracic vertebral metastases. Each was found to have a thoracic vertebral fracture with mild linear FDG uptake. The location of these fractures within the radiotherapy field was in keeping with insufficiency fractures post-therapy. The diagnosis and the exclusion of metastases was achieved by FDG-PET/CT, as demonstrated by the discussed cases.

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Journal
Radiology Case Reports
Published
2025-06-27
DOI
https://doi.org/10.1016/j.radcr.2025.06.022
Primary Topic
Management of metastatic bone disease
Type
article
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article

Detection of vertebral insufficiency fractures on 18F-FDG PET/CT following radiation therapy for oesophageal cancer

G. Ashton, Stephen R. Thompson, Karan Bir Singh, Eva A. Wegner et al.
Radiology Case Reports
Management of metastatic bone disease
article

Detection of vertebral insufficiency fractures on 18F-FDG PET/CT following radiation therapy for oesophageal cancer

G. Ashton, Stephen R. Thompson, Karan Bir Singh, Eva A. Wegner, E. Mayo
article en

Abstract

A 62-year-old man and 70-year-old woman with oesophageal cancer treated with chemoradiotherapy underwent <sup>18</sup>F-FDG PET/CT (FDG-PET/CT) for assessment of suspected thoracic vertebral metastases. Each was found to have a thoracic vertebral fracture with mild linear FDG uptake. The location of these fractures within the radiotherapy field was in keeping with insufficiency fractures post-therapy. The diagnosis and the exclusion of metastases was achieved by FDG-PET/CT, as demonstrated by the discussed cases.

Radiology Case ReportsVol. 20(9)
UNSW Sydney (AU), Prince of Wales Hospital (AU), Sydney Children's Hospital (AU)
Good health and well-being
Openalex Percentile: Top 74%
Management of metastatic bone disease
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Detection of vertebral insufficiency fractures on 18F-FDG PET/CT following radiation therapy for oesophageal cancer — G. Ashton, Stephen R. Thompson, et al. · Radiology Case Reports (2025) | TGRS Research Map | TGRS