Open AccessElevated Iodine Uptake at Autogenous Bone Graft Harvest Sites
Author(s) -
Jigang Yang,
Ion Codreanu,
Sabah Servaes,
Hongming Zhuang
Publication year - 2012
Publication title -
clinical nuclear medicine
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.637
H-Index - 57
eISSN - 1536-0229
pISSN - 0363-9762
DOI - 10.1097/rlu.0b013e31825b25a7
Subject(s) - medicine , bone scintigraphy , iodine , scintigraphy , thyroid , mandible (arthropod mouthpart) , thyroid carcinoma , total thyroidectomy , thyroidectomy , nuclear medicine , surgery , radiology , materials science , botany , metallurgy , biology , genus
A 16-year-old adolescent girl post total thyroidectomy for papillary thyroid carcinoma presented for postsurgical radioablative therapy. A whole-body I scintigraphy revealed not only expected activity in the thyroid bed but also asymmetric tracer distribution in the mandible and 2 foci of increased I accumulation in the distal left lower extremity. SPECT/CT images localized the activity to the donor sites of an autologous left fibular bone graft, harvested 8 years earlier to repair her mandible. Our case demonstrates that iodine accumulation can occur at the site of bone surgery many years after intervention and should be differentiated from iodine-avid metastases.