ArticleEuropean journal of nuclear medicine and molecular imaging2012
SPECT/CT versus MRI in patients with nonspecific pain of the hand and wrist - a pilot study.
Article in European journal of nuclear medicine and molecular imaging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 48 citations in OpenAlex.
- Trial
- Imaging non-specific wrist pain: interobserver agreement and diagnostic accuracy of SPECT/CT, MRI, CT, bone scan and plain radiographs.PloS one · 2013Trial
- A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders.Hand therapy · 2024Article
- Bone scan with SPECT/CT in children with complex foot and ankle pain: Initial experience of a paediatric tertiary referral centre.Journal of children's orthopaedics · 2020Article
- Beyond the bones and joints: a review of ligamentous injuries of the foot and ankle onThe British journal of radiology · 2019Review
- Two decades of SPECT/CT - the coming of age of a technology: An updated review of literature evidence.European journal of nuclear medicine and molecular imaging · 2019Review
- SPECT/CT arthrography.The British journal of radiology · 2018Review
- Bone scintigraphy in patients with pain.The Korean journal of pain · 2017Review
- Development of a Protocol for SPECT/CT in the Assessment of Wrist Disorders.Journal of wrist surgery · 2016Article
- Symptomatic versus asymptomatic knees after bilateral total knee arthroplasty: what is the difference in SPECT/CT?European journal of nuclear medicine and molecular imaging · 2016Article
- The value of SPECT/CT in carpal boss.European journal of nuclear medicine and molecular imaging · 2015Article
- Article
- Clinical applications of SPECT/CT in imaging the extremities.European journal of nuclear medicine and molecular imaging · 2014Review
- Feasibility and preliminary results of SPECT/CT arthrography of the wrist in comparison with MR arthrography in patients with suspected ulnocarpal impaction.European journal of nuclear medicine and molecular imaging · 2014Article
- SPECT-CT: applications in musculoskeletal radiology.The British journal of radiology · 2013Review
- Assessment of Inter-modality Spatial Alignment Accuracy in Hybrid Single Photon Emission Computed Tomography in Patients with Hand and Wrist Pain.World journal of nuclear medicine · 2013Article
- Highlights of the 25th Anniversary EANM Congress Milan 2012: nuclear medicine and molecular imaging at its best.European journal of nuclear medicine and molecular imaging · 2013Article
- Diagnostic and therapeutic impact of SPECT/CT in patients with unspecific pain of the hand and wrist.EJNMMI research · 2012Article
- [SPECT/CT in diagnostics of the hand joint].Der Radiologe · 2012Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHand and wrist pain is a diagnostic challenge for hand surgeons and radiologists due to the complex anatomy of the involved small structures. The American College of Radiology recommends MRI as the study of choice in patients with chronic wrist pain if radiographs are negative. Lately, state-of-the-art SPECT/CT systems have been introduced and may help in the diagnosis of this selected indication. MATERIALS AND
methodsThis retrospective study included 21 patients with nonspecific pain of the hand/wrist. The diagnosis of nonspecific wrist pain was made by the referring hand surgeon based on patient history, clinical examination, plain radiography and clinical guidelines. All patients received planar early-phase imaging and late-phase SPECT/CT imaging as well as MRI. Lesions were divided into major (causative) and minor (not causative) pathologies according to clinical follow-up. Furthermore, oedema-like bone marrow changes seen on MRI were compared with focally increased tracer uptake seen on SPECT/CT images.
resultsMRI yielded a quite high sensitivity (0.86), but a low specificity (0.20). In contrast, SPECT/CT yielded a high specificity (1.00) and a low sensitivity (0.71). Oedema-like bone marrow changes were detected in 15 lesions in 11 patients. In ten lesions with bone marrow oedema on MRI, foci of elevated tracer uptake were detected on SPECT/CT. Overall, MRI was more sensitive, but SPECT/CT was more specific in the evaluation of causative pathologies.
conclusionIn this initial comparison, SPECT/CT showed higher specificity than MRI in the evaluation of causative pathologies in patients with nonspecific wrist pain. However, MRI was more sensitive. Thus, SPECT/CT was shown to be a useful problem-solving tool in the diagnostic work-up of these patients.
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