PMID: 8461235Feb 1, 1993Paper

The role of SPECT in the evaluation of skeletal trauma

Annals of Nuclear Medicine
I P Murray

Abstract

Single photon emission computed tomography (SPECT) has, in the last decade, established a critical role in routine diagnosis. Skeletal scintigraphy exemplifies the impact in improving detection of lesions by delineation of their site and size. The advantage of minimizing the superimposed radioactivity from overlying and underlying structures is typified by the readiness with which avascular necrosis of the femoral head can be identified by removal of the surrounding hyperaemia which masks the classical photopaenia. However, the ability to achieve an accurate image at a plane at a prescribed depth is most characteristically shown by the study of a vertebra, a bone of irregular contour and subject to a variety of pathological disorders at different sites within it. The various focal abnormalities resulting from these can be localized exactly, readily distinguishing, for example, those in the body from those in the natural arch. In particular, the alterations resulting from trauma, such as pars interarticularis stress fracture, are readily seen. Consequently SPECT has an indispensable role in the investigation and management of low back pain. However, the ability of SPECT to delineate abnormal accumulation has provided a new appro...Continue Reading

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Citations

Dec 13, 2000·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·D J DeNucciS Meehan
Nov 24, 2005·AJR. American Journal of Roentgenology·Hadyn T Williams, Shanon Smith
Mar 25, 2005·AJR. American Journal of Roentgenology·Takayoshi UematsuJunichiro Watanabe
May 9, 2014·Case Reports in Rheumatology·Paul Rai, Vinay Takwale
Apr 16, 1998·The British Journal of Radiology·C M Medley, G C Vivian
Dec 6, 2005·Clinics in Sports Medicine·Michael J DeFrancoRichard D Parker
Feb 19, 1998·Seminars in Nuclear Medicine·G F Gates
May 10, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoritaka OtsukaYoshio Ishida
Aug 24, 2004·European Journal of Nuclear Medicine and Molecular Imaging·Ryohei HosokawaToru Kita
Apr 29, 1998·Annals of Nuclear Medicine·J HashimotoS Ogawa

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