Abstract
In the child and adolescent, growth centers are responsible for enlargement of all components of the axial and appendicular skeleton. It is well recognized that bone-seeking tracers, which localize in direct relation to metabolic activity and blood supply, accumulate in greater amount at these sites in the immature skeleton. Traditional evaluation of growth centers had been based on anatomic imaging, such as radiography and linear tomography, with the physiologic status of the plate inferred from visualized changes. This type of imaging, however, can be confusing and is not always accurate. Bone scintigraphy complements anatomic imaging by reflecting the functional status of a growth center, and it can be used to determine the effects of pathologic events on a center.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bylander B, Hansson LI, Karrholm J, et al. Scintimetric evaluation of posttraumatic and postoperative growth disturbance using 99Tcm MDP. Acta Radiol [Diagn] 1983;24:85–96
Cawley KA, Dvorak AD, Wilmot MD. Normal anatomic variant scintigraphy of the ischiopubic synchondrosis. J Nucl Med 1983;24:14–16
Christensen SB, Krogsgaard OW. Localization of Tc-99m MDP in epiphyseal growth plates of rats. J Nucl Med 1981;22:237–245
Collier BD Jr, Hellman RS, Krasnow AZ. Bone SPECT. Semin Nucl Med 1987;17:247–266
Comar CL, Lotz WE, Boyd GA. Autoradiographic studies of calcium, phosphorus and strontium distribution in the bones of the growing pig. Am J Anat 1952; 90:113–129
Harcke HT. Bone imaging in infants and children: a review, J Nucl Med 1978;19:324–329
Harcke HT. Bone scintigraphy in children: trauma. Ann Radiol (Paris) 1983;26:675–681
Harcke HT, Leuzzi RA, Mandell GA, et al. Assessment of the growth plate by quantitative bone scintigraphy. Presented at the Annual Meeting of the Society for Pediatric Radiology, Cincinnati, 1990
Harcke HT, Zapf SE, Mandell GA, et al. Angular deformity of the lower extremity: evaluation with quantitative bone scintigraphy. Radiology 1987; 164:437–440
Keret D, Mendez AA, Harcke HT, et al. Type V phy-seal injury: a case report. J Pediatr Orthop 1990; 10:545–548
Mandell GA, Harcke HT Scintigraphy of persistent vertebral transverse process epiphysis. Clin Nucl Med 1987;12:359–362
Mandell GA, Keret D, Harcke HT, et al. Chondrolysis: detection by bone scintigraphy. J Pediatr Orthop 1992;12:80–85
Sharkey CA, Harcke HT, Mandell GA, et al. SPECT techniques in the evaluation of growth plate abnormalities about the knee [abstract]. J Nucl Med 1986; 14:13
Smergel EM, Harcke HT, Pizzutillo PD, et al. Use of bone scintigraphy in the management of slipped capital femoral epiphysis. Clin Nucl Med 1987;12: 349–353
Walter E, Feine U, Anger K, et al. The scintigraphic diagnosis and followup of injuries to the epiphyseal plates [author’s translation, German], Fortschr Rontgenstr 1980;132:309–315
Zionts LE, Harcke HT, Brooks KM, et al. Posttraumatic tibia valga: a case demonstrating asymmetric activity at the proximal growth plate on technetium bone scan. J Pediatr Orthop 1987;7:458–462
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1995 Springer Science+Business Media New York
About this chapter
Cite this chapter
Harcke, H.T. (1995). Skeletal Scintigraphy for Assessment of Growth Centers. In: Treves, S.T. (eds) Pediatric Nuclear Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4205-3_16
Download citation
DOI: https://doi.org/10.1007/978-1-4757-4205-3_16
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-4207-7
Online ISBN: 978-1-4757-4205-3
eBook Packages: Springer Book Archive