Development of a Protocol for SPECT/CT in the Assessment of Wrist Disorders.
Identifieur interne : 002061 ( PubMed/Checkpoint ); précédent : 002060; suivant : 002062Development of a Protocol for SPECT/CT in the Assessment of Wrist Disorders.
Auteurs : Aude Le Corre [France] ; Kym Phuong Huynh [Australie] ; Rasmeet Singh Dhaliwal [Australie] ; Gregory Ian Bain [Australie]Source :
- Journal of wrist surgery [ 2163-3916 ] ; 2016.
Abstract
Background Single-photon emission computed tomography and computed tomography (SPECT/CT) is a hybrid diagnostic imaging modality that allows clinicians to integrate their diagnostic evaluations and deliver a definitive diagnosis in musculoskeletal disorders. Specifically, in identification of osseous pathology, the conventional bone scan delivers greater specificity compared with magnetic resonance imaging (MRI). However, use of SPECT/CT enhances the sensitivity and specificity. Use of this modality denotes the possibility to specify the lesion more accurately and precisely while grading the activity according to osseous structural changes. Purpose This study aimed to evaluate the clinical utility of SPECT/CT in the diagnoses and management of osseous wrist disorders. The objectives were to examine the value of SPECT/CT in the diagnosis of osseous-related wrist pain and whether the findings altered management. Patients and Methods A retrospective cohort study of 20 patients with such wrist pain was conducted. SPECT/CT was used in the diagnostic process for these patients. Results Following SPECT/CT imaging, the common final diagnoses were osteoarthritis (10; 50%) and avascular necrosis (5; 25%). Less common diagnoses included ulnar carpal impact syndrome, infection, malunion, complex regional pain syndrome, and carpal boss. Some presented with multiple pathologies. SPECT/CT changed the final diagnosis in 11 cases, resulting in nonoperative treatment (7; 63%) or surgery (4; 37%). Conclusion Findings from this study and the literature demonstrate the clinical utility of SPECT/CT in the assessment of osseous-related wrist disorders. We present an algorithm for the assessment of wrist pain with osseous pathology. This commences with clinical assessment and plane radiographs (first-line investigation). Some cases will require a second-line investigation (ultrasound, CT, and/or MRI). If the diagnosis remains unclear, SPECT/CT is recommended as a third-line investigation.
DOI: 10.1055/s-0036-1583314
PubMed: 27777821
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xml:lang="en">Development of a Protocol for SPECT/CT in the Assessment of Wrist Disorders.</title><author><name sortKey="Corre, Aude Le" sort="Corre, Aude Le" uniqKey="Corre A" first="Aude Le" last="Corre">Aude Le Corre</name><affiliation wicri:level="3"><nlm:affiliation>Clinique Jeanne d'Arc, Institut de la Main, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Clinique Jeanne d'Arc, Institut de la Main, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Huynh, Kym Phuong" sort="Huynh, Kym Phuong" uniqKey="Huynh K" first="Kym Phuong" last="Huynh">Kym Phuong Huynh</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Medicine, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Dhaliwal, Rasmeet Singh" sort="Dhaliwal, Rasmeet Singh" uniqKey="Dhaliwal R" first="Rasmeet Singh" last="Dhaliwal">Rasmeet Singh Dhaliwal</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Medicine, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Bain, Gregory Ian" sort="Bain, Gregory Ian" uniqKey="Bain G" first="Gregory Ian" last="Bain">Gregory Ian Bain</name><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Flinders University, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Medicine, Flinders University, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of wrist surgery</title><idno type="ISSN">2163-3916</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background Single-photon emission computed tomography and computed tomography (SPECT/CT) is a hybrid diagnostic imaging modality that allows clinicians to integrate their diagnostic evaluations and deliver a definitive diagnosis in musculoskeletal disorders. Specifically, in identification of osseous pathology, the conventional bone scan delivers greater specificity compared with magnetic resonance imaging (MRI). However, use of SPECT/CT enhances the sensitivity and specificity. Use of this modality denotes the possibility to specify the lesion more accurately and precisely while grading the activity according to osseous structural changes. Purpose This study aimed to evaluate the clinical utility of SPECT/CT in the diagnoses and management of osseous wrist disorders. The objectives were to examine the value of SPECT/CT in the diagnosis of osseous-related wrist pain and whether the findings altered management. Patients and Methods A retrospective cohort study of 20 patients with such wrist pain was conducted. SPECT/CT was used in the diagnostic process for these patients. Results Following SPECT/CT imaging, the common final diagnoses were osteoarthritis (10; 50%) and avascular necrosis (5; 25%). Less common diagnoses included ulnar carpal impact syndrome, infection, malunion, complex regional pain syndrome, and carpal boss. Some presented with multiple pathologies. SPECT/CT changed the final diagnosis in 11 cases, resulting in nonoperative treatment (7; 63%) or surgery (4; 37%). Conclusion Findings from this study and the literature demonstrate the clinical utility of SPECT/CT in the assessment of osseous-related wrist disorders. We present an algorithm for the assessment of wrist pain with osseous pathology. This commences with clinical assessment and plane radiographs (first-line investigation). Some cases will require a second-line investigation (ultrasound, CT, and/or MRI). If the diagnosis remains unclear, SPECT/CT is recommended as a third-line investigation.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27777821</PMID><DateCreated><Year>2016</Year><Month>10</Month><Day>25</Day></DateCreated><DateRevised><Year>2017</Year><Month>11</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2163-3916</ISSN><JournalIssue CitedMedium="Print"><Volume>5</Volume><Issue>4</Issue><PubDate><Year>2016</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Journal of wrist surgery</Title><ISOAbbreviation>J Wrist Surg</ISOAbbreviation></Journal><ArticleTitle>Development of a Protocol for SPECT/CT in the Assessment of Wrist Disorders.</ArticleTitle><Pagination><MedlinePgn>297-305</MedlinePgn></Pagination><Abstract><AbstractText>Background Single-photon emission computed tomography and computed tomography (SPECT/CT) is a hybrid diagnostic imaging modality that allows clinicians to integrate their diagnostic evaluations and deliver a definitive diagnosis in musculoskeletal disorders. Specifically, in identification of osseous pathology, the conventional bone scan delivers greater specificity compared with magnetic resonance imaging (MRI). However, use of SPECT/CT enhances the sensitivity and specificity. Use of this modality denotes the possibility to specify the lesion more accurately and precisely while grading the activity according to osseous structural changes. Purpose This study aimed to evaluate the clinical utility of SPECT/CT in the diagnoses and management of osseous wrist disorders. The objectives were to examine the value of SPECT/CT in the diagnosis of osseous-related wrist pain and whether the findings altered management. Patients and Methods A retrospective cohort study of 20 patients with such wrist pain was conducted. SPECT/CT was used in the diagnostic process for these patients. Results Following SPECT/CT imaging, the common final diagnoses were osteoarthritis (10; 50%) and avascular necrosis (5; 25%). Less common diagnoses included ulnar carpal impact syndrome, infection, malunion, complex regional pain syndrome, and carpal boss. Some presented with multiple pathologies. SPECT/CT changed the final diagnosis in 11 cases, resulting in nonoperative treatment (7; 63%) or surgery (4; 37%). Conclusion Findings from this study and the literature demonstrate the clinical utility of SPECT/CT in the assessment of osseous-related wrist disorders. We present an algorithm for the assessment of wrist pain with osseous pathology. This commences with clinical assessment and plane radiographs (first-line investigation). Some cases will require a second-line investigation (ultrasound, CT, and/or MRI). If the diagnosis remains unclear, SPECT/CT is recommended as a third-line investigation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Corre</LastName><ForeName>Aude Le</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Clinique Jeanne d'Arc, Institut de la Main, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huynh</LastName><ForeName>Kym Phuong</ForeName><Initials>KP</Initials><AffiliationInfo><Affiliation>School of Medicine, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dhaliwal</LastName><ForeName>Rasmeet Singh</ForeName><Initials>RS</Initials><AffiliationInfo><Affiliation>School of Medicine, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bain</LastName><ForeName>Gregory Ian</ForeName><Initials>GI</Initials><AffiliationInfo><Affiliation>School of Medicine, Flinders University, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>05</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Wrist Surg</MedlineTA><NlmUniqueID>101603430</NlmUniqueID><ISSNLinking>2163-3916</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Rev Esp Med Nucl Imagen Mol. 2015 May-Jun;34(3):185-7</RefSource><PMID Version="1">25824583</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Technol Health Care. 2011;19(2):103-8</RefSource><PMID Version="1">21422534</PMID></CommentsCorrections><CommentsCorrections 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Version="1">24751704</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Quant Imaging Med Surg. 2015 Jun;5(3):323-31</RefSource><PMID Version="1">26029633</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Bone Joint Surg Br. 2009 Sep;91(9):1191-6</RefSource><PMID Version="1">19721045</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">SPECT/CT</Keyword><Keyword MajorTopicYN="N">avascular necrosis</Keyword><Keyword MajorTopicYN="N">osteoarthritis</Keyword><Keyword MajorTopicYN="N">ulnar impingement</Keyword><Keyword MajorTopicYN="N">wrist</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>10</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>03</Month><Day>28</Day></PubMedPubDate><PubMedPubDate 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last="Corre">Aude Le Corre</name></region></country><country name="Australie"><noRegion><name sortKey="Huynh, Kym Phuong" sort="Huynh, Kym Phuong" uniqKey="Huynh K" first="Kym Phuong" last="Huynh">Kym Phuong Huynh</name></noRegion><name sortKey="Bain, Gregory Ian" sort="Bain, Gregory Ian" uniqKey="Bain G" first="Gregory Ian" last="Bain">Gregory Ian Bain</name><name sortKey="Dhaliwal, Rasmeet Singh" sort="Dhaliwal, Rasmeet Singh" uniqKey="Dhaliwal R" first="Rasmeet Singh" last="Dhaliwal">Rasmeet Singh Dhaliwal</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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