By Yong-Whee Bahk
Sung Ae normal health facility, Seoul, Korea. Emphasizes the worth of pinhole scintigraphy in diagnosing bone and joint illnesses. This moment version covers new pinhole scintigraphic concepts: dual-head pinhole scintigraphy and pinhole SPECT. For radiologists, nuclear physicians, orthopedic surgeons and different experts. Illustrated with radiographic pictures. prior version: c1994.
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Extra resources for Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases
1986). In summary, dual-head pinhole scintigraphy is an efficient means to eliminate the blind zones that are inevitably created in the peripheries of the field of view in the single-head planar pinhole scan, and can reduce the scan time by half. On the other hand, pinhole SPECT greatly enhances the contrast and resolution of bone scans, further enhancing diagnostic efficacy. With the future development of software programs for improved image processing and hardware for higher sensitivity and extended detector rotation, pinhole SPECT will make a valuable contribution to nuclear imaging science.
Basically, SPECT has two important functions: the separation of the plane of interest and con- 18 Chapter 2: Fig. 4A–C Paired dual-head pinhole scans of the left ankle with acute pyogenic synovitis. A Lateral scan clearly showing the lateral malleolus (F) and the lateral aspects of the talus (A) and calcaneus (C). B Medial scan delineating the medial malleolus (T) and the medial aspects of the talus (A) and calcaneus (C). Note that the inflamed ankle can be assessed three-dimensionally. The posterior subtalar joint is distinctly visualized (lower arrowheads).
It is able to depict most small landmarks in the tarsal bones and joints. For example, the bundles of condensed trabeculae in the weight-bearing axis of the talus and calcaneus can be imaged among the unstressed trabeculae. Although the cases in which we have used pinhole SPECT are limited, the data obtained show that pinhole SPECT is useful and provides information of specific diagnostic value. The technique has been used to diagnose an old talar fracture and associated osteoarthritis, acute rheumatoid arthritis, and reflex sympathetic dystrophy syndrome (RSDS).
Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases by Yong-Whee Bahk