A comparison of the diagnostic value of MRI and 18F-FDG-PET/CT in suspected spondylodiscitis

C. Smids, Ilse Johanna Elsa Kouijzer, F.J. Vos, T.A. Sprong, A.J.F. Hosman, J.W. de Rooy, E.H.J.G. Aarntzen, Lioe-Fee de Geus-Oei, W.J.G. Oyen, Chantal P. Bleeker-Rovers

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Abstract

Purpose The purpose of this study was to evaluate the diagnostic value of 18F-fluorodeoxyglucose (FDG) positron emission tomography and computed tomography (PET/CT scan) and magnetic resonance imaging (MRI) in diagnosing spondylodiscitis and its complications, such as epidural and paraspinal abscesses. Methods From January 2006 to August 2013 patients with a clinical suspicion of spondylodiscitis, with an infection, or with fever of unknown origin were retrospectively included if 18F-FDG-PET/CT and MRI of the spine were performed within a 2-week time span. Imaging results were compared to the final clinical diagnosis and follow-up data were collected. Results Sixty-eight patients were included of whom 49 patients were diagnosed with spondylodiscitis. MRI showed an overall sensitivity of 67 % and specificity of 84 %. Diagnostic accuracy was 58 %, when MRI was performed within 2 weeks after the start of symptoms and improved to 82 %, when performed more than 2 weeks after onset of symptoms. 18F-FDG-PET/CT showed a sensitivity of 96 % and a specificity of 95 %, with no relation to the interval between the scan and the start of symptoms. Conclusions As compared to MRI, 18F-FDG-PET/CT has superior diagnostic value for detecting early spondylodiscitis. After 2 weeks both techniques perform similarly.
Original languageEnglish
Pages (from-to)41-49
JournalInfection
Volume45
Issue number1
DOIs
Publication statusPublished - 17 Jun 2017

Keywords

  • IR-101109
  • METIS-317737

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    Smids, C., Kouijzer, I. J. E., Vos, F. J., Sprong, T. A., Hosman, A. J. F., de Rooy, J. W., ... Bleeker-Rovers, C. P. (2017). A comparison of the diagnostic value of MRI and 18F-FDG-PET/CT in suspected spondylodiscitis. Infection, 45(1), 41-49. https://doi.org/10.1007/s15010-016-0914-y