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omis niloticus) is well-tolerated and helps reduce water loss in in middle-aged women. Clinical Trial Registration www.clinicaltrials.gov/, Identifier NCT03505684.Purpose To evaluate the value of texture analysis for the differential diagnosis of spinal metastases and to improve the diagnostic performance of 2-deoxy-2-[fluorine-18]fluoro-D-glucose positron emission tomography/computed tomography (18F-FDG PET/CT) for spinal metastases. Methods This retrospective analysis of patients who underwent PET/CT between December 2015 and January