BACKGROUND CONTEXT The management of neck and low back pain secondary to cervical and lumbar spondylosis remains a significant challenge, often necessitating advanced diagnostic techniques for effective diagnosis and treatment planning. Single-photon emission computed tomography (SPECT-CT) imaging, known ...
CT (c) and MRI (enhanced T1W/FS and T2W sequence) (d, e) of the cervical spine showed a 20.0-mm lesion on the right transverse processes and laminae of C3–4, a typical osteogenic feature of OB (orange arrow). Planar bone scan displayed high uptake around C3–4 cervical vertebral ...
Planar post-ablation 131I-iodide scan (a) shows multiple sites of intense uptake in the neck and upper mediastinum consistent with known metastatic spread. There is an additional area of focal tracer accumulation of moderate intensity in the right pelvis (arrow). SPECT/low-dose CT slices and ...
Six patients were classified as “super bone scan” based on planar with targeted SPECT/CT, and all of them were concordant according to whole-body SPECT/CT. Table 1. Repartition of scintigraphic findings on targeted SPECT/CT and whole-body SPECT/CT in relation to final diagnosis. ABC...
The added value of SPECT/CT in patients with musculoskeletal infections is unquestionable. When added to a bone scan, the specificity moved from 50% for three phase bone scans alone to 86% with the addition of SPECT/CT.2 Labeled white blood cells (WBCs) techniques using Technetium-99m (...
Quantitative bone SPECT/CT is useful for disease follow up and inter-patient comparison. For bone metastatic malignant lesions, spine is the most commonly invaded site. However, Quantitative studies with large sample size investigating all the segments of normal cervical, thoracic and lumbar vertebrae...
Only one patient had a different diagnostic conclusion based on systematic WB SPECT/CT (equivocal scan) as compared with the single-bed SPECT/CT (no evidence of disease). Guided biopsy of the equivocal lesion did not show malignancy.Conclusions As previously demonstrated, adding a single-bed ...
The surgeries were performed by a single orthopedic spine surgeon over a 12-month period. Patients included in the study had SPECT/CT imaging done prior to surgery, and had either MRI or CT scan or both. All available preoperative imaging results (SPECT/CT, CT and MRI) and operative ...
Exclusion criteria included prior cervical injection or surgery at a level identified as a potential pain foci on SPECT/CT scan.OUTCOME MEASURES Percentage of pain relief within 24 hours after facet injection, medial branch block or radiofrequency ablation. A positive response was defined as a ...
In the latter circumstance, a comparison between the WBC scan and a companion 99mTc sulfur colloid scan (which shows normal marrow) can be helpful in identifying subtle vertebral osteomyelitis. The improved anatomic definition provided by SPECT/CT is important in this application. In the spine, ...