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Nuclear Medicine Imaging of Thoracic Sports Injuries

  • K. P. Koopmans

Abstract

Nuclear medicine imaging of the thorax may be helpful to the clinician to assess sports-related trauma. For this purpose bone scintigraphy, in combination with a SPECT-CT, can help the physician examine bone injuries with a high sensitivity such as fractures, stress fractures, and bone bruise. A new technique which needs further investigation is the use of sodium fluoride (NaF) PET scanning.

Thus far, lung scintigraphy has not been proven to be of use in assessing sports-related injuries to the lungs.

Keywords

Stress Fracture Bone Scintigraphy Blunt Chest Trauma Bone Bruise Sternal Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 2011-187 verdict of dutch disciplinary law august 7th 2012 (2012) In ’s-Gravenhage RTvdGt (ed), (ed), Vol. pp. Overheid.nl, ’s-GravenhageGoogle Scholar
  2. Anderson MW (2006) Imaging of upper extremity stress fractures in the athlete. Clin Sports Med 25:489–504, viiCrossRefPubMedGoogle Scholar
  3. Barbaix EJ (1996) Stress fracture of the sternum in a golf player. Int J Sports Med 17:303–304CrossRefPubMedGoogle Scholar
  4. Bennell KL, Malcolm SA, Wark JD, Brukner PD (1996) Models for the pathogenesis of stress fractures in athletes. Br J Sports Med 30:200–204PubMedCentralCrossRefPubMedGoogle Scholar
  5. Bense L, Hedenstierna G, Lewander R, Wiman LG, Thornstrom S (1986) Regional lung function of non-smokers with healed spontaneous pneumothorax. A physiologic and emission radiologic study. Chest 90:352–357CrossRefPubMedGoogle Scholar
  6. Ceulemans G, De Meirleir L, Keyaerts M, Smets D, Verdries D, Vincken W et al (2012) Air leaks localized with lung ventilation SPECT. Clin Nucl Med 37:1182–1183CrossRefPubMedGoogle Scholar
  7. Cho SH, Sung YM, Kim MS (2012) Missed rib fractures on evaluation of initial chest CT for trauma patients: pattern analysis and diagnostic value of coronal multiplanar reconstruction images with multidetector row CT. Br J Radiol 85:e845–e850PubMedCentralCrossRefPubMedGoogle Scholar
  8. Connolly LP, Connolly SA (2004) Rib stress fractures. Clin Nucl Med 29:614–616CrossRefPubMedGoogle Scholar
  9. Dobrindt O, Hoffmeyer B, Ruf J, Seidensticker M, Steffen IG, Zarva A et al (2012) MRI versus bone scintigraphy. Evaluation for diagnosis and grading of stress injuries. Nuklearmedizin 51:88–94CrossRefPubMedGoogle Scholar
  10. Drubach LA, Johnston PR, Newton AW, Perez-Rossello JM, Grant FD, Kleinman PK (2010) Skeletal trauma in child abuse: detection with 18F-NaF PET. Radiology 255:173–181CrossRefPubMedGoogle Scholar
  11. Erhan Y, Solak I, Kocabas S, Sozbilen M, Kumanlioglu K, Moral AR (2001) The evaluation of diagnostic accordance between plain radiography and bone scintigraphy for the assessment of sternum and rib fractures in the early period of blunt trauma. Ulus Travma Derg 7:242–245PubMedGoogle Scholar
  12. Even-Sapir E, Arbel R, Lerman H, Flusser G, Livshitz G, Halperin N (2002) Bone injury associated with anterior cruciate ligament and meniscal tears: assessment with bone single photon emission computed tomography. Invest Radiol 37:521–527CrossRefPubMedGoogle Scholar
  13. Gregory PL, Biswas AC, Batt ME (2002) Musculoskeletal problems of the chest wall in athletes. Sports Med 32:235–250CrossRefPubMedGoogle Scholar
  14. Grindstaff TL, Beazell JR, Saliba EN, Ingersoll CD (2010) Treatment of a female collegiate rower with costochondritis: a case report. J Man Manip Ther 18:64–68PubMedCentralCrossRefPubMedGoogle Scholar
  15. Iagaru A, Mittra E, Dick DW, Gambhir SS (2012) Prospective evaluation of (99m)Tc MDP scintigraphy, (18)F NaF PET/CT, and (18)F FDG PET/CT for detection of skeletal metastases. Mol Imaging Biol 14:252–259CrossRefPubMedGoogle Scholar
  16. Jin W, Yang DM, Kim HC, Ryu KN (2006) Diagnostic values of sonography for assessment of sternal fractures compared with conventional radiography and bone scans. J Ultrasound Med 25:1263–1268; quiz 9–70PubMedGoogle Scholar
  17. Jones GL (2006) Upper extremity stress fractures. Clin Sports Med 25:159–174, xiCrossRefPubMedGoogle Scholar
  18. Karlson KA (1998) Rib stress fractures in elite rowers. A case series and proposed mechanism. Am J Sports Med 26:516–519PubMedGoogle Scholar
  19. Keating TM (1987) Stress fracture of the sternum in a wrestler. Am J Sports Med 15:92–93CrossRefPubMedGoogle Scholar
  20. Kitada K, Kubota K, Nagatomi R, Itoh M, Tashiro M, Fukuda H et al (2008) Effect of exercise intensities on free fatty acid uptake in whole-body organs measured with (123)I-BMIPP-SPECT. Eur J Appl Physiol 104:769–775CrossRefPubMedGoogle Scholar
  21. Laaksonen MS, Bjorklund G, Heinonen I, Kemppainen J, Knuuti J, Kyrolainen H et al (2010) Perfusion heterogeneity does not explain excess muscle oxygen uptake during variable intensity exercise. Clin Physiol Funct Imaging 30:241–249CrossRefPubMedGoogle Scholar
  22. Lee VW, Dedick P, Shapiro JH (1984) The diagnosis of pneumothorax by radionuclide lung scan. Clin Nucl Med 9:13–14CrossRefPubMedGoogle Scholar
  23. Li ZC, Jiang SD, Yan J, Jiang LS, Dai LY (2011) Small-animal PET/CT assessment of bone microdamage in ovariectomized rats. J Nucl Med 52:769–775CrossRefPubMedGoogle Scholar
  24. Maffulli N, Pintore E (1990) Stress fracture of the sixth rib in a canoeist. Br J Sports Med 24:247PubMedCentralCrossRefPubMedGoogle Scholar
  25. Marabotti C, L’Abbate A, Bedini R (2007) Cardiac changes after SCUBA diving: the evasive shape of right ventricle. J Physiol 583:405; author reply 7PubMedCentralCrossRefPubMedGoogle Scholar
  26. Mendelson G, Mendelson H, Horowitz SF, Goldfarb CR, Zumoff B (1997) Can (99m)technetium methylene diphosphonate bone scans objectively document costochondritis? Chest 111:1600–1602CrossRefPubMedGoogle Scholar
  27. Miller TL, Kaeding CC (2012) Upper-extremity stress fractures: distribution and causative activities in 70 patients. Orthopedics 35:789–793CrossRefPubMedGoogle Scholar
  28. Omar HR, Mangar D, Khetarpal S, Shapiro DH, Kolla J, Rashad R et al (2011) Anteroposterior chest radiograph vs. chest CT scan in early detection of pneumothorax in trauma patients. Int Arch Med 4:30PubMedCentralCrossRefPubMedGoogle Scholar
  29. Proulx AM, Zryd TW (2009) Costochondritis: diagnosis and treatment. Am Fam Physician 80:617–620PubMedGoogle Scholar
  30. Rangger C, Kathrein A, Freund MC, Klestil T, Kreczy A (1998) Bone bruise of the knee: histology and cryosections in 5 cases. Acta Orthop Scand 69:291–294CrossRefPubMedGoogle Scholar
  31. Seccombe LM, Chung SC, Jenkins CR, Frater CJ, Mackey DW, Pearson MA et al (2010) Lung perfusion and chest wall configuration is altered by glossopharyngeal breathing. Eur Respir J 36:151–156CrossRefPubMedGoogle Scholar
  32. Soudry G, Mannting F (1995) Hot calcaneus on three-phase bone scan due to bone bruise. Clin Nucl Med 20:832–834CrossRefPubMedGoogle Scholar
  33. Ucar BY, Necmioglu S, Bulut M, Azboy I, Demirtas A, Gumus H (2012) Determining bone bruises of the knee with magnetic resonance imaging. Open Orthop J 6:464–467PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Radiology and Nuclear MedicineMartini Hospital GroningenGroningenThe Netherlands

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