Clinical applications of SPECT/CT in imaging the extremities

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• 作者：Martin W. Huellner (1)
  Klaus Strobel (2)
  
  1. Department of Medical Radiology ; Division of Nuclear Medicine ; University Hospital Zurich ; 8091 ; Zurich ; Switzerland
  2. Department of Nuclear Medicine and Radiology ; Lucerne Cantonal Hospital ; 6004 ; Lucerne ; Switzerland
  
• 关键词：SPECT/CT ; Musculoskeletal imaging ; Prostheses ; Arthroplasty ; Knee ; Hip ; Shoulder ; Elbow ; Hand/wrist ; Foot ; Bone
• 刊名：European Journal of Nuclear Medicine and Molecular Imaging
• 出版年：2014
• 出版时间：May 2014
• 年：2014
• 卷：41
• 期：1-supp
• 页码：50-58
• 全文大小：860 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Nuclear Medicine
  Imaging and Radiology
  Orthopedics
  Cardiology
  Oncology
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1619-7089

文摘

Today, SPECT/CT is increasingly used and available in the majority of larger nuclear medicine departments. Several applications of SPECT/CT as a supplement to or replacement for traditional conventional bone scintigraphy have been established in recent years. SPECT/CT of the upper and lower extremities is valuable in many conditions with abnormal bone turnover due to trauma, inflammation, infection, degeneration or tumour. SPECT/CT is often used in patients if conventional radiographs are insufficient, if MR image quality is impaired due to metal implants or in patients with contraindications to MR. In complex joints such as those in the foot and wrist, SPECT/CT provides exact anatomical correlation of pathological uptake. In many cases SPECT increases the sensitivity and CT the specificity of the study, increasing confidence in the final diagnosis compared to planar images alone. The CT protocol should be adapted to the clinical question and may vary from very low-dose (e.g. attenuation correction only), to low-dose for anatomical correlation, to normal-dose protocols enabling precise anatomical resolution. The aim of this review is to give an overview of SPECT/CT imaging of the extremities with a focus on the hand and wrist, knee and foot, and for evaluation of patients after joint arthroplasty.