Bone scan with SPECT/CT in children with complex foot and ankle pain: Initial experience of a paediatric tertiary referral centre

Journal of Children's Orthopaedics
James C YeatsDeborah M Eastwood

Abstract

This study was designed to review the diagnostic yield of single photon emission computed tomography-computed tomography (SPECT/CT) in children with complex foot/ankle pain. We reviewed the records of 33 patients with complex foot and ankle pain referred for SPECT/CT (36 scans) performed between 1st September 2009 to 30th September 2019. All patients had foot and ankle radiographs and 18 out of 33 patients had undergone magnetic resonance imaging (MRI) prior to SPECT/CT. The diagnostic contribution of SPECT/CT was established at the time of the scan during a multi-disciplinary team meeting. The patients' mean age was 13.4 years (range six to 16.5 years) and 58% were female. In total, 18 patients had undergone previous surgical treatment. SPECT/CT was found to have decisive clinical value compared with radiographs and CT/MRI in 28 out of 36 cases. In ten patients it prompted surgical management (coalition excision, arthrodesis), in seven patients it redirected conservative management, in six patients it excluded other pathology and in five patients it showed additional/unexpected focal areas of mechanical stress, thus avoiding surgery. When compared with MRI, SPECT/CT added further clinical information in 13 out of 18 cases. SPE...Continue Reading

References

Jul 11, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Ralph CavalierPeter D Pizzutillo
Oct 6, 2009·Seminars in Nuclear Medicine·Gopinath GnanasegaranIgnac Fogelman
Feb 9, 2011·The American Journal of Sports Medicine·André LeumannGeert I Pagenstert
Jan 13, 2012·European Journal of Nuclear Medicine and Molecular Imaging·Martin W HuellnerPatrick Veit-Haibach
Feb 14, 2012·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Timothy WilliamsDishan Singh
Jun 14, 2012·Nuclear Medicine Communications·Malavika NathanGopinath Gnanasegaran
Mar 27, 2013·Pediatric Radiology·Ramesh S Iyer, Mahesh M Thapa
Oct 8, 2013·The British Journal of Radiology·S SahaG Gnanasegaran
Dec 5, 2013·Clinical Nuclear Medicine·Myoung Hyoun KimDae-Weung Kim
Apr 2, 2014·Clinical Nuclear Medicine·Jianmin HuangHongming Zhuang
Jun 6, 2016·European Journal of Nuclear Medicine and Molecular Imaging·T Van den WyngaertUNKNOWN EANM Bone & Joint Committee and the Oncology Committee.
Sep 9, 2018·Seminars in Nuclear Medicine·Willm Uwe KampenFrédéric Paycha

❮ Previous
Next ❯

Citations

May 19, 2021·Skeletal Radiology·Rupert BerkeleyAsif Saifuddin

❮ Previous
Next ❯

Methods Mentioned

BETA
amputation
imaging techniques
imaging technique
helpful imaging technique

Software Mentioned

Hybrid 2 Viewer

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine
Peter KnollSiroos Mirzaei
Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
Vinay Kumar SinghAndrea Helene Sott
Nuklearmedizin. Nuclear Medicine
H-J BiersackA Sabet
Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
Robin EelsingTim Schepers
© 2021 Meta ULC. All rights reserved