Use of Single-Photon Emission Computed Tomography/Low-Resolution Computed Tomography Fusion Imaging in Detecting an Unusually Presenting Osteoid Osteoma of the Lumbar Vertebra
Julie Hephzibah, MD, Bernice Theodore, MBBS, Regi Oommen, MD, DMRT, DRM, Kenny David, MS, Vinu Moses, MD, Sanjeev Shah, MD, and Jayalakshmi Panicker, DCP
Dr. Hephzibah is Lecturer, Dr. Theodore is Registrar, and Dr. Oommen is Professor and Head, Department of Nuclear Medicine, Christian Medical College, Vellore, India.
Dr. David is Reader, Department of Orthopedics, Christian Medical College, Vellore, India.
Dr. Moses is Lecturer, Department of Radiology, Christian Medical College, Vellore, India.
Dr. Shah is Lecturer, and Dr. Panicker is Registrar, Department of Pathology, Christian Medical College, Vellore, India.
In this article, we describe an unusual presentation of osteoid osteoma of the lumbar vertebra in a woman in her early 30s. Single-photon emission computed tomography/low-resolution computed tomography (SPECT/CT) fusion imaging was used to detect the osteoma, precisely localize the pathology site, and guide surgical excision of the lesion. In recent years, SPECT/CT fusion imaging has helped make interpretations of scintigraphic images significantly more accurate.