PET/computed tomography shows association between subjective pain in knee joints and fluorine-18-fluorodeoxyglucose uptake

Nucl Med Commun. 2020 Mar;41(3):241-245. doi: 10.1097/MNM.0000000000001143.

Abstract

Objective: The aim of this study was to evaluate the capability of fluorine-18-fluorodeoxyglucose (F-FDG)-PET/computed tomography (CT) in screening for musculoskeletal inflammation and injury in the knee region.

Methods: The study included 12 subjects (6 men and 6 women) who complained of knee pain at rest and 94 controls who did not. Maximum standardized uptake value (SUV)max was calculated for the right and left knees and compared via a 4-point numerical rating scale (NRS) for subjective knee pain. Correlations between SUV values were also evaluated.

Results: SUVmax was significantly higher in knee joints with resting and/or walking pain than in pain-free knee joints. SUVmax in knee joints with walking pain were significantly correlated with NRS category (β = 0.129, P < 0.001).

Conclusion: F-FDG-PET/CT may be useful in screening for musculoskeletal inflammation and injury in the knee region. As knee pain is common, especially among elderly individuals, we should consider conducting further examinations when F-FDG uptake is identified in knee joints.

MeSH terms

  • Adult
  • Aged
  • Arthralgia / diagnosis
  • Arthralgia / diagnostic imaging*
  • Arthralgia / psychology*
  • Female
  • Fluorodeoxyglucose F18
  • Humans
  • Knee Joint / diagnostic imaging*
  • Male
  • Middle Aged
  • Pain Measurement
  • Positron Emission Tomography Computed Tomography
  • Radiopharmaceuticals
  • Rest
  • Walking

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18