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. 2019 Jan 11;98(2):e14022. doi: 10.1097/MD.0000000000014022

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Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc.

This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0

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SPECT/CT demonstration of a typical case of subtype II-1 ANB with surgical treatment. A 20-year-old male patient visited the hospital due to right foot medial side pain. The quantitative bone SPECT/CT revealed right ANB (type II-1) with increased uptake (SUVmax: 11.57 g/mL). The symptomatic right ANB was surgically removed. (A) A planar bone scintigraphy image (anterior view). (B) A maximum-intensity-projection (MIP) image from SPECT (anterior view). (C) Transaxial CT (upper) and SPECT/CT fusion (lower) images of the right foot with volume-of-interest over-laid on the SPECT/CT image. White arrows indicate the bony irregularity of the subtype II-1 ANB which is associated with high uptake on SPECT/CT. ANB = accessory navicular bone, CT = computed tomography, SPECT/CT = single-photon emission computed tomography/CT.