Abstract
The prevalence and intensity of radiotracer uptake in asymptomatic wrists are significantly lower compared to symptomatic wrists. The tracer uptake in the asymptomatic wrists is mainly due to osteoarthritis and mechanical overload; the other causes are trauma and normal variations. The radiotracer uptake is predominantly in the late phase of bone scintigraphy. In general, radionuclide bone imaging is more sensitive in detecting asymptomatic dormant pathologies compared to radiography. This chapter discusses the role of bone SPECT/CT in evaluating asymptomatic hand and wrist.
References
Allgayer M, Hug U, Roos J, del Sol PLM, Wild D, Lehnick D, et al. Prevalence and prognostic value of increased uptake in bone SPECT/CT in asymptomatic wrists. Eur J Hybrid Imag. 2018;2(3)
Awengen R, Rasch H, Amsler F, Hirschmann MT. Symptomatic versus asymptomatic knees after bilateral total knee arthroplasty: what is the difference in SPECT/CT? Eur J Nucl Med Mol Imaging. 2016;43(4):762–72.
Bhure U, Hug U, Huellner MW, Grunig H, Zander A, Del Sol Perez Lago M, et al. The value of SPECT/CT in carpal boss. Eur J Nucl Med Mol Imaging. 2015;42(12):1883–90.
Chong A, Ha JM, Lee JY. Clinical meaning of hot uptake on bone scan in symptomatic accessory navicular bones. Nucl Med Mol Imaging. 2016;50(4):322–8.
Huellner MW, Strobel K, Hug U, von Wartburg U, Veit-Haibach P. SPECT/CT in diagnostics of the hand joint. Radiologe. 2012;52(7):621–8.
Hunter DJ, McDougall JJ, Keefe FJ. The symptoms of osteoarthritis and the genesis of pain. Rheum Dis Clin N Am. 2008;34(3):623–43.
Schleich FS, Schurch M, Huellner MW, Hug U, von Wartburg U, Strobel K, et al. Diagnostic and therapeutic impact of SPECT/CT in patients with unspecific pain of the hand and wrist. EJNMMI Res. 2012;2(1):53.
Schmid L, Dreier D, Muff B, Allgayer B, Schlumpf U. Lifelong heavy agricultural work and development of arthrosis of the hand--a case study. Z Rheumatol. 1999;58(6):345–50.
Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi P, Felson DT. Prevalence of symptomatic hand osteoarthritis and its impact on functional status among the elderly: the Framingham study. Am J Epidemiol. 2002;156(11):1021–7.
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Bhure, U., Strobel, K. (2023). Uptake in Asymptomatic Wrist. 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_69
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DOI: https://doi.org/10.1007/978-3-031-26449-8_69
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