Orthopedic Nuclear Medicine

Elgazzar, Abdelhamid H.

doi:10.1007/978-3-642-18790-2

Cited by 10 publications

(8 citation statements)

References 16 publications

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“…Low et al [ 45 ] reported that 7 of 14 young patients with CRPS showed the decreased uptake in the flow phase of TPBS. In case of paralysis and immobilization, TPBS could exhibit the similar finding [ 43 ].…”

Section: Main Bodymentioning

confidence: 67%

“…TPBS showed increased uptake at left hand and wrist in all three phase. This pattern is commonly demonstrated in the early phase of CRPS [ 43 ].…”

Section: Main Bodymentioning

confidence: 85%

“…Although TPBS findings are variable depending on the duration of disease, the typical pattern of TPBS are increase of the uptake in all of blood flow, blood pool, and delayed phases [ 36 43 ]. Fig.…”

Section: Main Bodymentioning

confidence: 99%

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Bone scintigraphy in patients with pain

Shin

Kim

2017

Korean J Pain

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Nuclear medicine imaging is widely used in pain medicine. Low back pain is commonly encountered by physicians, with its prevalence from 49% to 70%. Computed tomography (CT) or magnetic resonance imaging (MRI) are usually used to evaluate the cause of low back pain, however, these findings from these scans could also be observed in asymptomatic patients. Bone scintigraphy has an additional value in patients with low back pain. Complex regional pain syndrome (CRPS) is defined as a painful disorder of the extremities, which is characterized by sensory, autonomic, vasomotor, and trophic disturbances. To assist the diagnosis of CRPS, three-phase bone scintigraphy is thought to be superior compared to other modalities, and could be used to rule out CRPS due to its high specificity. Studies regarding the effect of bone scintigraphy in patients with extremity pain have not been widely conducted. Ultrasound, CT and MRI are widely used imaging modalities for evaluating extremity pain. However, SPECT/CT has an additional role in assessing pain in the extremities.

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Section: Main Bodymentioning

confidence: 67%

“…TPBS showed increased uptake at left hand and wrist in all three phase. This pattern is commonly demonstrated in the early phase of CRPS [ 43 ].…”

Section: Main Bodymentioning

confidence: 85%

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Bone scintigraphy in patients with pain

Shin

Kim

2017

Korean J Pain

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“…New bone lesions were not observed. 6 High and intensive uptake in the calcaneus on a bone scan should mainly include trauma and neoplasia in the differential diagnosis. A selective image centered on the calcaneus showed high metabolic changes and extensive involvement of these bones in the anterior (B) and lateral views (C).…”

Section: Figurementioning

confidence: 99%

Bilateral Paget Disease of the Calcaneus Diagnosed by Conventional Bone Scintigraphy

Duch

Fuster

Ortín

et al. 2006

Clinical Nuclear Medicine

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An 85-year-old woman who had an invasive ductal carcinoma of the breast and elevated alkaline phosphatases (420 U/L) was referred for Tc-99m MDP bone scintigraphy for initial evaluation of skeletal metastases. Bone symptoms were limited to chronic pain in both knees. A bone scan revealed pagetoid findings in both calcanei. Feet and toes on plain x-rays of the calcaneus were unremarkable. Findings were stable in the 2-year follow up, excluding other potential diagnosis as extensive metastases or stress fractures.

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“… Intense uptake on blood pool and late phase images early after onset for up to 6 months. This is followed by a gradual decrease of blood pool uptake, but persisting positive late phase images for up to 2 years (Elgazzar 2004 ). Tarsal coalition Abnormal osseous continuity of two bones, or more subtle abnormalities in non-osseous coalitions (joint space narrowing, minimal marginal reactive osseous changes).…”

Section: Introductionmentioning

confidence: 99%

The role of hybrid bone SPECT/CT imaging in the work-up of the limping patient: a symptom-based and joint-oriented review

Mohan

Strobel

Bruggen

et al. 2018

European J Hybrid Imaging

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A vast spectrum of lower limb bone and joint disorders (hip, knee, ankle, foot) present with a common clinical presentation: limping. Too often this symptom generates an inefficient cascade of imaging studies.This review attempts to optimise the diagnostic effectiveness of bone scintigraphy using the hybrid SPECT/CT technique in relation to the diagnostic clues provided by other imaging modalities, discusses the appropriate clinical indications, optimal scintigraphic procedures and illustrates updated image pattern-oriented reporting. Frequent lower limb bone and joint pathologies that can now be reliably diagnosed using hybrid bone SPECT/CT imaging will be reviewed.Bone SPECT/CT can be an effective problem-solving tool in patients with persistent limping when careful history taking, clinical examination, and first-line imaging modalities fail to identify the underlying cause.

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Orthopedic Nuclear Medicine

Cited by 10 publications

References 16 publications

Bone scintigraphy in patients with pain

Bone scintigraphy in patients with pain

Bilateral Paget Disease of the Calcaneus Diagnosed by Conventional Bone Scintigraphy

The role of hybrid bone SPECT/CT imaging in the work-up of the limping patient: a symptom-based and joint-oriented review

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