Abstract
Purpose
Currently, traumatic bone diseases are diagnosed by assessing the micro 99mTc-hydroxymethylene diphosphonate (HDP) uptake in injured trabeculae with ongoing osteoneogenesis demonstrated by gamma correction pinhole scan (GCPS). However, the mathematic size quantification of micro-uptake is not yet available. We designed and performed this phantom-based study to set up an in-vitro model of the mathematical calculation of micro-uptake by the pixelized measurement.
Methods
The micro 99mTc-HDP deposits used in this study were spontaneously formed both in a large standard flood and small house-made dish phantoms. The processing was as follows: first, phantoms were flooded with distilled water and 99mTc-HDP was therein injected to induce micro 99mTc-HDP deposition; second, the deposits were scanned using parallel-hole and pinhole collimator to generally survey 99mTc-HDP deposition pattern; and third, the scans underwent gamma correction (GC) to discern individual deposits for size measurement.
Results
In original naïve scans, tracer distribution was simply nebulous in appearance and, hence, could not be measured. Impressively, however, GCPS could discern individual micro deposits so that they were calculated by pixelized measurement. Phantoms naturally formed micro 99mTc-HDP deposits that are analogous to 99mTc-HDP uptake on in-vivo bone scan. The smallest one we measured was 0.414 mm. Flooded phantoms and therein injected 99mTc-HDP form nebulous micro 99mTc-HDP deposits that are rendered discernible by GCPB and precisely calculable using pixelized measurement.
Conclusions
This method can be used for precise quantitative and qualitative diagnosis of bone and joint diseases at the trabecular level.
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Acknowledgments
We are grateful to Dr. Yoon Kwang Kim, the Chairman of Sung-Ae Medical Foundation for his generous support. Our thanks are due to Mr. Jae-Wan Kim and Mr. Taeyeong Shin for their devoted technological assistance. We also gladly acknowledge Mr. Woo Jin Chang for his knowledgeable reference work.
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Conflict of Interest
Joo-Young Jung, Gi Jeong Cheon, Yun-Sang Lee, Seunggyun Ha, Mi-Hye Chae, Yong-An Chung, Do Kyun Yoon, and Yong-Whee Bahk declare that they have no conflict of interest.
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This article does not contain any studies with human participants or animals performed by any of the authors.
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Jung, JY., Cheon, G.J., Lee, YS. et al. Pixelized Measurement of 99mTc-HDP Micro Particles Formed in Gamma Correction Phantom Pinhole Scan: a Reference Study. Nucl Med Mol Imaging 50, 207–212 (2016). https://doi.org/10.1007/s13139-015-0391-8
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DOI: https://doi.org/10.1007/s13139-015-0391-8