Evidence map›Paper›PMID 26250690›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2015

The value of SPECT/CT in carpal boss.

Ujwal Bhure, Urs Hug, Martin W Huellner, Hannes Grünig, Andrea Zander, Maria Del Sol Pérez Lago, Klaus Strobel

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Article in European journal of nuclear medicine and molecular imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. SPECT/CT arthrography.The British journal of radiology · 2018
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ujwal BhureNuclear Medicine and Radiology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Urs HugDepartment of Hand and Plastic Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Martin W HuellnerNuclear Medicine and Radiology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Hannes GrünigNuclear Medicine and Radiology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Andrea ZanderNuclear Medicine and Radiology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Maria Del Sol Pérez LagoNuclear Medicine and Radiology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Klaus StrobelNuclear Medicine and Radiology, Cantonal Hospital Lucerne, Lucerne, Switzerland. klaus.strobel@ksl.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the value of SPECT/CT in patients with carpal boss (CB).

methodsIn 24 wrists with CB (18 right-sided, 6 left-sided) in 21 patients, planar images and SPECT/CT images were obtained. Three patients had bilateral CB. The grade of uptake (0 absent, 1 low, 2 moderate, 3 high) on planar imaging and SPECT/CT was assessed and compared with CT findings, clinical symptoms and follow-up findings.

resultsCB affected carpometacarpal joint II in 4 wrists, carpometacarpal joint III in 17 wrists and both carpometacarpal joints II and III in 3 wrists. Of the 24 CB, 12 (50 %) were active (i.e. increased radionuclide uptake) on planar images and 18 (75 %) on SPECT/CT images. Of the 17 symptomatic CB, 10 (59 %) were active on planar images and 14 (82 %) were active (mean grade 1.9, range 1 - 3) on SPECT/CT images. Of the 7 asymptomatic CB, 2 were active on planar images and 4 were active (mean grade 1.25, range 1 - 2) on SPECT/CT images. CT alone showed CB in all patients and an accessory ossicle (os styloideum) in 8 wrists. MR imaging was available in 7 patients and positive for CB in 5 (sensitivity 71 %). Plain radiographs were available in 17 patients and positive in 10 (59 %). Therapeutic infiltration of the CB was performed in 9 patients, and resection of the CB in 7 patients.

conclusionSPECT/CT provides important morphological and metabolic information for the clinical assessment of CB, but because SPECT/CT tends to overestimate the clinical importance of CB, we recommend that planar images should still be obtained.

Indexed as

Multimodal ImagingTomography, Emission-Computed, Single-PhotonTomography, X-Ray ComputedAdolescentAdultCarpometacarpal JointsFemaleFollow-Up StudiesHumansJoint DiseasesMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesYoung AdultBoneCarpal bossJointSPECT/CTWrist

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.