Use of Hybrid SPECT/CT for Diagnosis of Radiographic Occult Fractures of the Wrist

被引:9
作者
Allainmat, Laurent [1 ]
Aubault, Mathieu [2 ]
Noel, Vincent [2 ]
Baulieu, Francoise [1 ]
Laulan, Jacky [2 ]
Eder, Veronique [1 ]
机构
[1] CHU Trousseau, Dept Nucl Med, F-37044 Tours, France
[2] CHU Trousseau, Dept Orthoped, F-37044 Tours, France
关键词
SPECT/CT; bone scintigraphy; hybrid imaging; carpal fractures; SCAPHOID FRACTURES; BONE-SCINTIGRAPHY; TOMOGRAPHY; LESIONS;
D O I
10.1097/RLU.0b013e318263819e
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Wrist and hand traumas represent most traumatic lesions. Any delay in treatment involves complications compromising the functional prognosis. We report typical examples illustrating the incremental diagnosis value of hybrid SPECT/CT compared with planar scintigraphy with semiquantitative analysis in the diagnosis of radiographic occult fractures of the wrist. Hybrid imaging diagnoses much more of scaphoid lesions because bone disruptions cannot always be shown on CT, as well as carpal-associated lesions and differentiates chronic arthritis or ligament lesions. This noninvasive approach could lead to improved therapeutic strategies with a beneficial impact on prognosis.
引用
收藏
页码:E246 / +
页数:6
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