The lecture reviews typical cases of skeletal single-photon emission computed tomography (SPECT)/spiral CT of the spine to familiarize the reader with this new hybrid imaging technology. The following issues are covered: (1) anatomy of the cervical, thoracic, and lumbar spine; (2) SPECT/CT appearance of malignant disease; and (3) SPECT/CT appearance of benign disorders, including osteoarthritis, inflammation, and normovariants.
KeywordsBone Scintigraphy Spiral Computerize Tomography Skeletal Scintigraphy Orthopedic Disease Computerize Tomography Component
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Horger M, Eschmann SM, Pfannenberg C et al (2004) Evaluation of combined transmission and emission tomography for classification of skeletal lesions. AJR Am J Roentgoenol 183:655–661Google Scholar
Römer W, Nömayr A, Uder M et al (2006) SPECT-guided CT for evaluating foci of increased bone metabolism classified as indeterminate on SPECT in cancer patients. J Nucl Med 47:1102–1106PubMedGoogle Scholar
Utsunomiya D, Shiraishi S, Imuta M et al (2006) Added value of SPECT/CT fusion in assessing suspected bone metastasis: comparison with scintigraphy alone and nonfused scintigraphy and CT. Radiology 238:264–271PubMedCrossRefGoogle Scholar
Even-Sapir E (2005) Imaging of malignant bone involvement by morphologic, scintigraphic, and hybrid modalities. J Nucl Med 46:1356–1367PubMedGoogle Scholar
Römer W, Olk A, Hennig FF, Kuwert T (2005) Assessment of aseptic loosening of the acetabular component in a total hip replacement with Tc-99m-DPD-SPECT/ spiral-CT hybrid imaging. Nuklearmedizin 44:N58–N60PubMedGoogle Scholar
Wüst W, Kuwert T, Grunewald M et aal (2007) Skeletal SPECT/CT of the peripheral extremities — interdisciplinary approach in orthopaedic disorders — first clinical results. Central Europ J Med 2:499–510CrossRefGoogle Scholar
Even-Sapir E, Flusser G, Lerman H et al (2007) SPECT/multislice low-dose CT: a clinically relevant constituent in the imaging algorithm of nononcological patients referred for bone scintigraphy. J Nucl Med 48:319–324PubMedGoogle Scholar
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