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Metabolic Activity of Neurogenic Heterotopic Ossification on 18 F-FDG PET/CT Matching with Ongoing Osteoblastic Activity on Bone Scan.

A 54-year-old man, with previous history of neurogenic heterotopic ossification (HO) in muscles around the left hip following a spinal cord injury ten months earlier, was referred to our nuclear medicine center for an 18 fluorine-fluorodeoxyglucose (18 F-FDG) positron emission tomography/computed tomography (PET/CT) to rule out a spondylodiscitis. No sign of spondylodiscitis was found on 18 F-FDG PET/CT, but images revealed an increased 18 F-FDG uptake in HO areas, matching with ongoing osteoblastic activity on a following bone scan.

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