18F‐FDG uptake in denervated muscles of patients with peripheral nerve injury

Abstract Objective We aimed to investigate the clinical significance of increased uptake in 18F‐fluorodeoxyglucose positron emission tomography in patients with peripheral nerve lesions. Methods We selected patients with unilateral peripheral nerve lesions confirmed with electromyography who had undergone 18F‐fluorodeoxyglucose positron emission tomography covering the lesions. In the denervated muscles and their contralateral corresponding pairs, a mean (SUVmean) and maximum standardized uptake value (SUVmax) were obtained from 18F‐fluorodeoxyglucose positron emission tomography images. We analyzed the difference in these values between the denervated and normal muscles. The lesion‐to‐normal ratio of the SUVmean (LNRmean) between each muscle pair was also obtained. Subgroup analysis was performed to find whether these three parameters were related to severity, abundance of abnormal spontaneous activity, and etiology. Results Twenty‐three patients with 38 denervated muscles were included. Compared to their normal counterparts, the denervated muscles showed significantly higher SUVmax (1.33 ± 0.49 vs. 1.10 ± 0.37, n = 38, P