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Nuclear Medicine Imaging of Thoracic Sports Injuries

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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.

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References

  • 2011-187 verdict of dutch disciplinary law august 7th 2012 (2012) In ’s-Gravenhage RTvdGt (ed), (ed), Vol. pp. Overheid.nl, ’s-Gravenhage

    Google Scholar 

  • Anderson MW (2006) Imaging of upper extremity stress fractures in the athlete. Clin Sports Med 25:489–504, vii

    Article  PubMed  Google Scholar 

  • Barbaix EJ (1996) Stress fracture of the sternum in a golf player. Int J Sports Med 17:303–304

    Article  CAS  PubMed  Google Scholar 

  • Bennell KL, Malcolm SA, Wark JD, Brukner PD (1996) Models for the pathogenesis of stress fractures in athletes. Br J Sports Med 30:200–204

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • 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 90:352–357

    Article  CAS  PubMed  Google Scholar 

  • 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 37:1182–1183

    Article  PubMed  Google Scholar 

  • 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–e850

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Connolly LP, Connolly SA (2004) Rib stress fractures. Clin Nucl Med 29:614–616

    Article  PubMed  Google Scholar 

  • 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 51:88–94

    Article  CAS  PubMed  Google Scholar 

  • 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 255:173–181

    Article  PubMed  Google Scholar 

  • 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 7:242–245

    CAS  PubMed  Google Scholar 

  • 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 37:521–527

    Article  PubMed  Google Scholar 

  • Gregory PL, Biswas AC, Batt ME (2002) Musculoskeletal problems of the chest wall in athletes. Sports Med 32:235–250

    Article  PubMed  Google Scholar 

  • Grindstaff TL, Beazell JR, Saliba EN, Ingersoll CD (2010) Treatment of a female collegiate rower with costochondritis: a case report. J Man Manip Ther 18:64–68

    Article  PubMed Central  PubMed  Google Scholar 

  • 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 14:252–259

    Article  PubMed  Google Scholar 

  • 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 9–70

    PubMed  Google Scholar 

  • Jones GL (2006) Upper extremity stress fractures. Clin Sports Med 25:159–174, xi

    Article  PubMed  Google Scholar 

  • Karlson KA (1998) Rib stress fractures in elite rowers. A case series and proposed mechanism. Am J Sports Med 26:516–519

    CAS  PubMed  Google Scholar 

  • Keating TM (1987) Stress fracture of the sternum in a wrestler. Am J Sports Med 15:92–93

    Article  CAS  PubMed  Google Scholar 

  • 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 104:769–775

    Article  CAS  PubMed  Google Scholar 

  • 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 30:241–249

    Article  PubMed  Google Scholar 

  • Lee VW, Dedick P, Shapiro JH (1984) The diagnosis of pneumothorax by radionuclide lung scan. Clin Nucl Med 9:13–14

    Article  CAS  PubMed  Google Scholar 

  • 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 52:769–775

    Article  PubMed  Google Scholar 

  • Maffulli N, Pintore E (1990) Stress fracture of the sixth rib in a canoeist. Br J Sports Med 24:247

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • 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 7

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Mendelson G, Mendelson H, Horowitz SF, Goldfarb CR, Zumoff B (1997) Can (99m)technetium methylene diphosphonate bone scans objectively document costochondritis? Chest 111:1600–1602

    Article  CAS  PubMed  Google Scholar 

  • Miller TL, Kaeding CC (2012) Upper-extremity stress fractures: distribution and causative activities in 70 patients. Orthopedics 35:789–793

    Article  PubMed  Google Scholar 

  • 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 4:30

    Article  PubMed Central  PubMed  Google Scholar 

  • Proulx AM, Zryd TW (2009) Costochondritis: diagnosis and treatment. Am Fam Physician 80:617–620

    PubMed  Google Scholar 

  • 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 69:291–294

    Article  CAS  PubMed  Google Scholar 

  • 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 36:151–156

    Article  CAS  PubMed  Google Scholar 

  • Soudry G, Mannting F (1995) Hot calcaneus on three-phase bone scan due to bone bruise. Clin Nucl Med 20:832–834

    Article  CAS  PubMed  Google Scholar 

  • 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 6:464–467

    Article  PubMed Central  PubMed  Google Scholar 

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Correspondence to K. P. Koopmans MD, PhD .

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Koopmans, K.P. (2015). Nuclear Medicine Imaging of Thoracic Sports Injuries. In: Glaudemans, A., Dierckx, R., Gielen, J., Zwerver, J. (eds) Nuclear Medicine and Radiologic Imaging in Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46491-5_15

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  • DOI: https://doi.org/10.1007/978-3-662-46491-5_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46490-8

  • Online ISBN: 978-3-662-46491-5

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