Skip to main content

Role of Sodium Fluoride-PET in Primary Bone Tumors

  • Chapter
  • First Online:

Part of the book series: Clinicians’ Guides to Radionuclide Hybrid Imaging ((PET/CT))

Abstract

Malignant bone tumors are classified based on the histological origin. The nomenclature is based on the predominant components of the malignancy. Osteogenic sarcoma (osteosarcoma), chondrosarcoma, and Ewing’s sarcoma are primary bone tumors. Although multiple myeloma is the most common primary bone tumor it is considered a marrow cell tumor and not one arising from the bone. The incidence of the primary bone tumors vary depending upon the age (Table 9.1). Owing to the ability to metastasize and progress rapidly they are a cause of major morbidity and mortality. Osteosarcoma and Ewing’s sarcoma strike adolescents and young adults in the prime of their lives. Conventional imaging modalities for staging and restaging include bone scintigraphy with SPECT/CT, CT scan, MRI, and PET/CT scan. More recently sodium fluoride PET/CT scan has become available. The benefit of using sodium fluoride PET/CT in malignant primary bone tumors is characterized by detectable bone formation in soft-tissue. Herein, we discuss the role of sodium fluoride PET/CT scan in imaging of primary bone tumors specifically osteosarcoma and giant cell tumor of the bone. We also present the role of sodium fluoride PET/CT in staging, monitoring, and evaluation of response in malignant primary bone tumors.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Wahl RL, Jacene H, Kasamon Y, Lodge MA. From RECIST to PERCIST: evolving considerations for PET response criteria in solid tumors. J Nucl Med. 2009;50(Suppl 1):122S–50S.

    Article  CAS  PubMed  Google Scholar 

  2. Subbiah V, Anderson P, Rohren E. Alpha emitter radium 223 in high-risk osteosarcoma: first clinical evidence of response and blood-brain barrier penetration. JAMA Oncol. 2015;1(2):253–5.

    Article  PubMed  Google Scholar 

  3. Kairemo K, Wang WL, Subbiah V. Comprehensive molecular imaging of malignant transformation of giant cell tumor of bone reveals diverse disease biology. BMJ Case Rep. 2019;12(4). pii: e218839. https://doi.org/10.1136/bcr-2016-218839.

  4. Kairemo K, Rohren EM, Anderson P, Ravizzini G, Rao A, Macapinlac HA, Subbiah V. Development of Sodium Fluoride-PET Response Criteria for Solid tumors (NAFCIST) in a clinical trial of Radium 223 in Osteosarcoma: From RECIST to PERCIST to NAFCIST. ESMO Open. 2019;4(1):e000439.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Verma P, Purandare N, Agrawal A, Shah S, Rangarajan V. Unusual finding of a tumor Thrombus arising from osteosarcoma detected on 18F-NaF PET/CT. Clin Nucl Med. 2016;41(6):e304–6.

    Article  PubMed  Google Scholar 

  6. Usmani S, Marafi F, Rasheed R, Bakiratharajan D, Al Maraghy M, Al Kandari F. Unsuspected metastases to muscles in osteosarcoma detected on 18F-sodium fluoride PET/CT. Clin Nucl Med. 2018;43(9):e343–e5.

    Article  PubMed  Google Scholar 

  7. Jackson T, Mosci C, von Eyben R, Mittra E, Ganjoo K, Biswal S, et al. Combined 18F-NaF and 18F-FDG PET/CT in the evaluation of sarcoma patients. Clin Nucl Med. 2015;40(9):720–4.

    Article  PubMed  Google Scholar 

  8. Hamaoka T, Costelloe CM, Madewell JE, Liu P, Berry DA, Islam R, et al. Tumour response interpretation with new tumour response criteria vs the World Health Organisation criteria in patients with bone-only metastatic breast cancer. Br J Cancer. 2010;102(4):651–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Subbiah, V., Kairemo, K. (2020). Role of Sodium Fluoride-PET in Primary Bone Tumors. In: Kairemo, K., Macapinlac, H.A. (eds) Sodium Fluoride PET/CT in Clinical Use. Clinicians’ Guides to Radionuclide Hybrid Imaging(). Springer, Cham. https://doi.org/10.1007/978-3-030-23577-2_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-23577-2_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23576-5

  • Online ISBN: 978-3-030-23577-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics