Abstract
We applied bone SPECT for the examination of the cervical spine. A three-head rotating gamma camera SPECT system was employed for this study. The SPECT image disclosed 42.7 % of abnormal accumulations in the skeleton not seen with planar imagings. SPECT could separately visualize the trachea and thyroid cartilage and also provided interpretation of abnormality in the anterior part of the vertebral body being difficult with planar imagings only. The trachea cartilage was seen in 55.4% and the thyroid cartilage was seen in 47.3% of patients with anterior neck density in planar imagings. SPECT clarified that marked cervical curvature and diffuse high uptake by the skeleton might cause high intensity of the anterior neck in planar imagings in the case of non-pathological change. We concluded that bone SPECT is a useful diagnostic tool in detecting occult lesion in the skeleton and to rule out extraskeletal accumulations in examination of the cervical spine.
Similar content being viewed by others
References
Silberstein EB, Francis MD, Tofe AJ, et al: Distribution of99mTc-Sn diphoshonate and free99mTc-pertechnetate in selected soft and hard tissues.J Nucl Med 16: 58–62, 1975
Siddiqui AR, Wellman HN, Park H-M, et al:99mTc diphosphonate imaging in the differential diagnosis of thyroid nodules.Clin Nucl Med 7: 353–356, 1982
Tonami T, Sugihara M, Hisada K: Concentration of99mTc-diphosphonate in calcified thyroid carcinoma.Clin Nucl Med 2: 204, 1977
Shigeno C, Fukunaga M, Yamamoto I: Accumulation of99mTc phosphorus compounds in medullary carcinoma of the thyroid.Clin Nucl Med 7: 297–298, 1982
Arbona GL, Antonmattei S, Tetalman MR, et al:99mTc diphosphonate distribution in a patient with hypercalcemia and metastatic calcifications.Clin Nucl Med 5:422, 1980
Kim YC: Thyroid uptake in bone scan on a large multinodular non-toxic goiter with calcific degeneration.Clin Nucl Med 5: 561–562, 1980
Sty JR, Starshak RJ, Oechler HW: Extraosseous uptake of99mTc-MDP in congenital fibromatosis.Clin Nucl Med 6: 123, 1981
Collier BD, Johnson RP, Carrera GF, et al: Painful spondylolysis or spondylolisthesis studies by radiography and single-photon emission computed tomography.Radiology 154: 207–211, 1985
Gates GF: SPECT imaging of the lumbosacral spine and pelvis.Clin Nucl Med 13: 907–914, 1988
Bellah RD, Summerville DA, Treves ST, et al: Low-back pain in the adolescent athletes: Detection of stress injury to the pars interarticularis with SPECT.Radiology 180 (2): 509–512, 1991
Ryan PJ, Evans PA, Gibson T, Fogelman I: Chronic low back pain: Comparison of bone SPECT with radiography and CT.Radiology 183 (3): 849–854, 1992
Yui N, Togawa T, Kinoshita F, et al: Assessment of skull base involment of nasopharyngeal carcinoma by bone SPECT using three detectors system.Kaku-Igaku 29: 37–47, 1992 (in Japanese)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yui, N., Togawa, T., Kinoshita, F. et al. Usefulness of bone SPECT of the cervical spine : With special reference to separate visualization of the trachea and thyroid cartilage. Ann Nucl Med 7, 223–230 (1993). https://doi.org/10.1007/BF03164702
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF03164702