ArticleEJNMMI research2012
Diagnostic and therapeutic impact of SPECT/CT in patients with unspecific pain of the hand and wrist.
Article in EJNMMI research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- A scoping review to map evidence regarding key domains and questions in the management of non-traumatic wrist disorders.Hand therapy · 2024Article
- Use of Oral Prednisolone and a 3-Phase Bone Scintigraphy in Patients with Complex Regional Pain Syndrome Type I.Healthcare (Basel, Switzerland) · 2020Article
- Article
- Diagnostic Value of Bone SPECT/CT in Patients with Suspected OsteomyelitisMolecular imaging and radionuclide therapy · 2019Article
- 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
- Early and Delayed 99mTc-MDP SPECT/CT Findings in Rheumatoid Arthritis and Osteoarthritis.Clinical nuclear medicine · 2017Article
- Case Report: SPECT/CT as the New Diagnostic Tool for Specific Wrist Pathology.Journal of arthritis · 2017Article
- The value of SPECT/CT in carpal boss.European journal of nuclear medicine and molecular imaging · 2015Article
- Article
- 18F-FDG PET of the hands with a dedicated high-resolution PEM system (arthro-PET): correlation with PET/CT, radiography and clinical parameters.European journal of nuclear medicine and molecular imaging · 2014Article
- Clinical applications of SPECT/CT in imaging the extremities.European journal of nuclear medicine and molecular imaging · 2014Review
- Radiological and Radionuclide Imaging of Degenerative Disease of the Facet Joints.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, IndiaReview
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelled
backgroundUnspecific pain of the hand/wrist is a diagnostic challenge. Radiographs and planar bone scan are useful diagnostic tools in patients with unspecific wrist pain. Both modalities are deficient, either by not presenting metabolic disorders or due to inadequate anatomical resolution. Single photon emission computed tomography/computed tomography (SPECT/CT) claims to fuse both features.
methodsFifty-one patients with persisting wrist pain were referred for evaluation by SPECT/CT. All patients received X-ray and early-phase/late-phase SPECT/CT imaging. SPECT/CT results were compared with X-ray alone and X-ray combined with planar bone scan. The therapeutic impact was evaluated in consensus with the referring hand surgeon.
resultsA total of 48 lesions were detected on plain radiographs, 117 on planar bone scan, and 142 on SPECT/CT. SPECT/CT detected significantly more lesions than the other imaging modalities. In 30 out of 51 patients (61%), a positive concordance between the clinical diagnosis and SPECT/CT findings was found. In 19 out of 51 patients (37%), SPECT/CT findings had significant impact on consecutive therapy.
conclusionsSPECT/CT showed higher lesion detection rates compared to standard X-rays and planar bone scan. Significant impact on patient management could be demonstrated. SPECT/CT might be added to the workup of such a specific patient population when standard imaging fails to detect the patient's main pathology.
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