Abstract
Over the last two decades, bone SPECT/CT has become the backbone of skeletal imaging in nuclear medicine. Combining the superb sensitivity of traditional bone scintigraphy with the anatomic detail of CT imaging has significantly increased the diagnostic accuracy and reader confidence. This holds especially true for the imaging of smaller bones and joints and in the presence of frequent anatomical variations, which are both present in the foot and ankle region.
In this chapter, we will elaborate on the optimal SPECT and CT acquisition and reconstruction methods as well as useful patient positioning techniques and immobilization devices used in foot and ankle imaging.
References
Cuvilliers C, Palard-Novello X, Pontoizeau C, Meneret P, Devillers A, le Jeune F, et al. The added value of bloodpool SPECT/CT in painful non-operated foot and ankle undiagnosed with standard three-phase bone scintigraphy. Front Med. 2021;8:147.
Kampen WU, Westphal F, van den Wyngaert T, Strobel K, Kuwert T, van der Bruggen W, et al. SPECT/CT in postoperative foot and ankle pain. Semin Nucl Med. 2018;48(5):454–68.
Livieratos L. Technical pitfalls and limitations of SPECT/CT. Semin Nucl Med [Internet]. 2015 Nov 1 [cited 2022 Jan 17];45(6):530–40. Available from: https://pubmed.ncbi.nlm.nih.gov/26522394/
Machado Jdo MF, Monteiro MS, Vieira VF, Collinot JA, Prior JO, Vieira L, et al. Value of a lower-limb immobilization device for optimization of SPECT/CT image fusion. J Nucl Med Technol [Internet]. 2015 Jun 1 [cited 2022 Jan 17];43(2):98–102. Available from: https://tech.snmjournals.org/content/43/2/98
Mohan HK, Gnanasegaran G, Vijayanathan S, Fogelman I. SPECT/CT in imaging foot and ankle pathology – the demise of other coregistration techniques. Semin Nucl Med. 2010;40(1):41–51.
van den Wyngaert T, Strobel K, Kampen WU, Kuwert T, van der Bruggen W, Mohan HK, et al. The EANM practice guidelines for bone scintigraphy. Eur J Nucl Med Mol Imaging [Internet]. 2016 Aug 1 [cited 2022 Jan 17];43(9):1723–38. Available from: https://link.springer.com/article/10.1007/s00259-016-3415-4
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Berwouts, D., Mertens, J., Van Den Bossche, B., Lambert, B. (2023). Foot and Ankle Bone SPECT/CT Acquisition Protocol. In: Van den Wyngaert, T., Gnanasegaran, G., Strobel, K. (eds) Clinical Atlas of Bone SPECT/CT. Springer, Cham. https://doi.org/10.1007/978-3-031-26449-8_40
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DOI: https://doi.org/10.1007/978-3-031-26449-8_40
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