Fig. 4From: Giant cell tumour of the distal radius/ulna: response to pre-operative treatment with short-term denosumabPatient 4: pre denosumab, a frontal plain radiograph demonstrates a lytic expansile Campanacci grade 2 distal radial GCTB with cortical thinning. b Coronal STIR MR image shows the lesion returns heterogeneous predominantly high STIR MR signal. c Fused PET/CT image illustrates marked FDG uptake with a standardized uptake value (SUV) of 17 (arrow). Post denosumab at 2 months, d coronal STIR MR image shows increased heterogeneity of MR signal with areas of low STIR signal reflecting matrix osteosclerosis (white arrows). e Fused PET/CT image confirms a significant decrease in FDG uptake with an SUV of 4.8 and the formation of marginal sclerosis (red arrows)Back to article page