Click on image to view larger version.

FIGURE 1. SPECT/CT for suspected bone infection on GS. A 56-y-old woman presented with fever, low back pain, and infected scar 1 mo after spinal surgery and was referred for GS for suspected vertebral osteomyelitis. (A) Planar posterior whole-body GS image (left) shows prominent abnormal uptake in left lower back, corresponding in part to regions of increased irregular uptake seen on planar posterior whole-body 99mTc-MDP image (right) along operated vertebrae. (B) Transaxial GS SPECT/CT image (left) localizes abnormal uptake on GS (center) to paravertebral soft-tissue abscess seen on corresponding CT image (right), thus defining soft-tissue infection without osteomyelitis. There was no evidence of vertebral osteomyelitis on follow-up CT 4 wk later.