Skip to main content
Log in

Combined single-photon emission computerized tomography and conventional computerized tomography (SPECT/CT): clinical value for the knee surgeons?

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Single-photon emission computerized tomography in combination with conventional computer tomography (SPECT/CT) is an emerging technology that may hold great clinical value to the orthopaedic knee surgeon. Post-operative knee pain is a familiar condition seen in most orthopaedic clinics. Here, we present the value of SPECT/CT in three such cases of pain after surgical treatment of knee osteoarthritis (high tibial osteotomy, medial unicompartmental arthroplasty, total knee arthroplasty). In these patients with post-operative knee pain, SPECT/CT has proved to be beneficial in establishing the diagnosis and providing guidance for further treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Breunung N, Barwick T, Fernando R, Gnanasegaran G, Vijayanathan S, Hosahalli M et al (2008) Additional benefit of SPECT-CT in investigating heel pain. Clin Nucl Med 33:705–706

    Article  PubMed  Google Scholar 

  2. Bybel B, Brunken RC, DiFilippo FP, Neumann DR, Wu G, Cerqueira MD (2008) SPECT/CT imaging: clinical utility of an emerging technology. Radiographics 28:1097–1113

    Article  PubMed  Google Scholar 

  3. Dye S, Chew MH (1993) The use of scintigraphy to detect increased osseous metabolic activity about the knee. J Bone Joint Surg 75:1388–1406

    Google Scholar 

  4. Filippi L, Schillaci O (2006) SPECT/CT with a hybrid camera: a new imaging modality for the functional anatomical mapping of infections. Expert Rev Med Devices 3:699–703

    Article  PubMed  Google Scholar 

  5. Filippi L, Schillaci O (2006) Usefulness of hybrid SPECT/CT in 99mTc-HMPAO-labeled leukocyte scintigraphy for bone and joint infections. J Nucl Med 47:1908–1913

    CAS  PubMed  Google Scholar 

  6. Horger M, Eschmann SM, Pfannenberg C, Storek D, Vonthein R, Claussen CD et al (2007) Added value of SPECT/CT in patients suspected of having bone infection: preliminary results. Arch Orthop Trauma Surg 127:211–221

    Article  PubMed  Google Scholar 

  7. Knupp M, Pagenstert GI, Barg A, Bolliger L, Easley ME, Hintermann B (2009) SPECT-CT compared with conventional imaging modalities for the assessment of the varus and valgus malaligned hindfoot. J Orthop Res. May 26

  8. Madsen JL (2008) Bone SPECT/CT detection of a sequestrum in chronic-infected nonunion of the tibia. Clin Nucl Med 33:700–701

    Article  PubMed  Google Scholar 

  9. O’Connor MK, Kemp BJ (2006) Single-photon emission computed tomography/computed tomography: basic instrumentation and innovations. Semin Nucl Med 36:258–266

    Article  PubMed  Google Scholar 

  10. Roarke MC, Nguyen BD, Pockaj BA (2008) Applications of SPECT/CT in nuclear radiology. AJR Am J Roentgenol 191:W135–W150

    Article  PubMed  Google Scholar 

  11. Romer W, Olk A, Hennig FF, Bautz W, Kuwert T (2005) Assessment of aseptic loosening of the acetabular component in a total hip replacement with 99mTc-DPD-SPECT/spiral-CT hybrid imaging. Nuklearmedizin 44:N58–N60

    CAS  PubMed  Google Scholar 

  12. Schillaci O (2005) Hybrid SPECT/CT: a new era for SPECT imaging? Eur J Nucl Med Mol Imaging 32:521–524

    Article  PubMed  Google Scholar 

  13. Schillaci O, Danieli R, Manni C, Simonetti G (2004) Is SPECT/CT with a hybrid camera useful to improve scintigraphic imaging interpretation? Nucl Med Commun 25:705–710

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael T. Hirschmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hirschmann, M.T., Iranpour, F., Davda, K. et al. Combined single-photon emission computerized tomography and conventional computerized tomography (SPECT/CT): clinical value for the knee surgeons?. Knee Surg Sports Traumatol Arthrosc 18, 341–345 (2010). https://doi.org/10.1007/s00167-009-0879-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-009-0879-9

Keywords

Navigation