Combined Scintigraphic and Radiographic Diagnosis of Bone by Yong-Whee Bahk, H.N.Jr. Wagner

By Yong-Whee Bahk, H.N.Jr. Wagner

The 3rd variation of mixed Scintigraphic and Radiographic analysis of Bone and Joint ailments has been comprehensively rewritten and rearranged. It now encompasses, as well as the bone and joint illnesses defined within the previous variants, hitherto unpublished novel functions of pinhole scanning to the analysis of a broader spectrum of skeletal problems than ever earlier than, together with these of the gentle tissues. quite a few cutting-edge scans and corroboratory radiograms acquired utilizing CT, MRI and/or sonography are awarded facet via facet. The ebook has been significantly extended to debate 5 new topics: basic variations and Artifacts, Drug-Induced Osteoporosis, Soft-Tissue Tumors and Tumor-like stipulations, PET/CT in Bone and Joint illnesses and A Genetic attention of Skeletal issues. Topical chapters on rheumatic skeletal problems, malignant tumors of bone, benign tumors of bone and disturbing ailments have additionally been completely rewritten and are complemented by means of the addition of a few ninety lately obtained situations.

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Extra resources for Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases (2007)

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Accordingly, pin- hole SPECT is applicable only to the bones and joints in the ankle and wrist at present. Pinhole SPECT is performed by the 360° rotation of a single detector collimated with a 4-mm pinhole and adapter cone (Fig. 6). 5–8 k-counts per acquisition. In 45 min Dual-Head Planar Pinhole Scintigraphy and Pinhole SPECT of Bone 23 Fig. 11A, B Pinhole SPECT findings of reflex sympathetic dystrophy syndrome (RSDS). A Sagittal pinhole SPECT images of the right ankle in a 23-year-old man with posttraumatic RSDS showing characteristic spotty tracer uptake at the insertions of ligaments and tendons in the peripheries of the tarsal bones (n talar neck, tnl talonavicular ligament, troc trochlea, stj subtalar joint, pp posterior process, iol interosseous ligament, tfl tibiofibular ligament, ttl talotibial ligament, ct calcaneal tendon).

Note that the fracture is poorly defined even on the radiograph (from Bahk et al. 1998b, with permission) 22 Chapter 2: Fig. 10A, B Pinhole SPECT features of acute rheumatoid arthritis. A Sagittal pinhole SPECT images of the left ankle showing diffuse, intense tracer accumulation in the subchondral bones (tncj talonaviculocuneiform joint, stj subtalar joint, lstj lateral subtalar joint, tstc tendosubtalar connection). The tendosubtalar connection is a characteristic sign of rheumatoid arthritis.

Pinhole SPECT is carried out in exactly the same way as conventional planar SPECT. There is no need for any new software, Dual-Head Planar Pinhole Scintigraphy and Pinhole SPECT of Bone 19 Fig. 5A, B Comparison of the resolution of a planar scan and a planar SPECT scan. A Anterior planar scan of both knees with cortical desmoid in the left lateral femoral condyle showing a small, ill-defined hot area (arrows). B The resolution of planar SPECT is lower, revealing many fallacious hot areas 20 Fig.

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