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Fluorine-18 NaF PET imaging of child abuse

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Abstract

We describe the use of 18F-NaF positron emission tomography (PET) whole-body imaging for the evaluation of skeletal trauma in a case of suspected child abuse. To our knowledge, 18F NaF PET has not been used in the past for the evaluation of child abuse. In our patient, this technique detected all sites of trauma shown by initial and follow-up skeletal surveys, including bilateral metaphyseal fractures of the proximal humeri. Fluorine-18 NaF PET has potential advantage over Tc-99m-labeled methylene diphosphonate (MDP) based upon superior image contrast and spatial resolution.

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References

  1. American College of Radiology (2006) ACR Practice Guideline for Skeletal Surveys in Children. ACR Standards. American College of Radiology, Reston, VA, pp 145–149

  2. (No authors listed) (2000) Diagnostic imaging of child abuse. Pediatrics 105:1345–1348

    Google Scholar 

  3. Kleinman PL, Kleinman PK, Savageau JA (2004) Suspected infant abuse: radiographic skeletal survey practices in pediatric health care facilities. Radiology 233:477–485

    Article  PubMed  Google Scholar 

  4. Mandelstam SA, Cook D, Fitzgerald M (2003) Complementary use of radiological skeletal survey and bone scintigraphy in detection of bony injuries in suspected child abuse. Arch Dis Child 88:387–390

    Article  PubMed  CAS  Google Scholar 

  5. Kleinman PK (1998) Diagnostic imaging of child abuse. Mosby, St. Louis, pp 8–25

    Google Scholar 

  6. Grant FD, Fahey FH, Packard AB (2008) Skeletal PET with 18F-fluoride: applying new technology to an old tracer. J Nucl Med 49:68–78

    Article  PubMed  Google Scholar 

  7. Park-Holohan SJ, Blake GM, Fogelman I (2001) Quantitative studies of bone using (18)F-fluoride and (99m)Tc-methylene diphosphonate: evaluation of renal and whole-blood kinetics. Nucl Med Commun 22:1037–1044

    Article  PubMed  CAS  Google Scholar 

  8. Schirrmeister H, Rentschler M, Kotzerke J (1998) Imaging of the normal skeletal system with 18F Na-PET compared with conventional skeletal scintigraphy using Tc99m-MDP. Rofo 168:451–456

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Division of Nuclear Medicine/PET, Children’s Hospital Boston and Harvard Medical School, 300 Longwood Ave, Boston, MA, 02115, USA

    Laura A. Drubach

  2. Child Abuse Research Education and Services (CARES) Institute University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, New Jersey, USA

    Mark. V. Sapp

  3. Department of Radiology, Division of Nuclear Medicine/PET, Children’s Hospital Boston, Boston, MA, USA

    Stephen Laffin

  4. Department of Radiology, Division of Musculoskeletal Imaging, Children’s Hospital Boston and Harvard Medical School, Boston, MA, USA

    Paul K. Kleinman

Authors
  1. Laura A. Drubach
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  2. Mark. V. Sapp
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  3. Stephen Laffin
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  4. Paul K. Kleinman
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Corresponding author

Correspondence to Laura A. Drubach.

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Drubach, L.A., Sapp, M.V., Laffin, S. et al. Fluorine-18 NaF PET imaging of child abuse. Pediatr Radiol 38, 776–779 (2008). https://doi.org/10.1007/s00247-008-0885-y

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  • DOI: https://doi.org/10.1007/s00247-008-0885-y

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