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Metabolic patterns of the shoulder joint on 18F-fluorodeoxyglucose positron emission tomography/computed tomography in adhesive capsulitis

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Abstract

Objective

The purpose of our study was to demonstrate metabolic patterns on 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) in patients with adhesive capsulitis (AC).

Methods

We retrospectively reviewed 18F-FDG PET/CT performed on 22 shoulders of 21 patients diagnosed with AC: 2 shoulders with stage I, 14 with stage II, and 6 with stage III. A clinical diagnosis of AC was retrospectively made based on clinical examination, clinical course, and imaging. The pattern of radiotracer uptake was analyzed. Standardized uptake values in rotator interval (RI), anterior joint capsule (AJC), axillary recess (AR), and greater tuberosity were measured and compared to those of the contralateral side and the control group consisting of 40 shoulders in 20 subjects without shoulder pain.

Results

Four patterns of uptake were noted: (1) glenoid type I (n = 16), with uptake in RI, AJC, and AR; (2) glenoid type II (n = 2),with uptake in AJC and AR; (3) glenoid type III (n = 2), with uptake in RI and AJC; (4) focal type (n = 2), with uptake in RI or AR. Affected side SUVmax for RI, AJC, and AR was significantly higher compared with the unaffected side and the control group. Two shoulders with stage I AC had patterns similar to the ones with stage II or III.

Conclusion

Specific patterns of 18F-FDG uptake with dominant uptake in RI, AJC, or AR may be related to AC.

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Acknowledgments

We did not receive any financial support or other benefits from commercial sources for the work reported on this manuscript, nor did any of the authors have any financial interests with regard to the work that may create a potential conflict of interest or the appearance of one.

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Authors and Affiliations

  1. Department of Rehabilitation Medicine, Keimyung University School of Medicine, Daegu, Korea

    Du Hwan Kim

  2. Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Gangnam-Gu, Seoul, 135-710, Korea

    Duk Hyun Sung & Hyo Yun Ga

  3. Department of Nuclear Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Gangnam-Gu, Seoul, 135-710, Korea

    Joon Young Choi

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  1. Du Hwan Kim
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  2. Duk Hyun Sung
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Correspondence to Duk Hyun Sung.

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Kim, D.H., Sung, D.H., Ga, H.Y. et al. Metabolic patterns of the shoulder joint on 18F-fluorodeoxyglucose positron emission tomography/computed tomography in adhesive capsulitis. Ann Nucl Med 28, 136–144 (2014). https://doi.org/10.1007/s12149-013-0794-5

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  • DOI: https://doi.org/10.1007/s12149-013-0794-5

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