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Journal of Nuclear Medicine Technology

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Review ArticleTEACHING CASE STUDY

Use of SPECT/CT with 99mTc-MDP Bone Scintigraphy to Diagnose Sacral Insufficiency Fracture

Zaid Al-faham, John N. Rydberg and Ching-Yee Oliver Wong
Journal of Nuclear Medicine Technology September 2014, 42 (3) 240-241; DOI: https://doi.org/10.2967/jnmt.114.137547
Zaid Al-faham
Department of Diagnostic Radiology and Molecular Imaging, Oakland University William Beaumont School of Medicine and Health System, Royal Oak, Michigan
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John N. Rydberg
Department of Diagnostic Radiology and Molecular Imaging, Oakland University William Beaumont School of Medicine and Health System, Royal Oak, Michigan
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Ching-Yee Oliver Wong
Department of Diagnostic Radiology and Molecular Imaging, Oakland University William Beaumont School of Medicine and Health System, Royal Oak, Michigan
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  • FIGURE 1.
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    FIGURE 1.

    Anterior (left) and posterior (right) whole-body bone scan images showing classic H-sign in posterior view of pelvis. Some postoperative changes are noted in lumbar screws and right knee prosthesis, and degenerative changes are also seen in cervical spine and appendicular joints.

  • FIGURE 2.
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    FIGURE 2.

    CT, SPECT, SPECT/CT images including lumbar spine region and sacral region area. In top row, from left to right, axial CT shows normal findings and corresponding SPECT and fused SPECT/CT images show intense bone uptake. In bottom row, from left to right, screws are seen on coronal CT, corresponding intense pelvic uptake is seen on SPECT and fused SPECT/CT, and spinal screws are seen on fused SPECT/CT.

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Journal of Nuclear Medicine Technology: 42 (3)
Journal of Nuclear Medicine Technology
Vol. 42, Issue 3
September 1, 2014
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Use of SPECT/CT with 99mTc-MDP Bone Scintigraphy to Diagnose Sacral Insufficiency Fracture
Zaid Al-faham, John N. Rydberg, Ching-Yee Oliver Wong
Journal of Nuclear Medicine Technology Sep 2014, 42 (3) 240-241; DOI: 10.2967/jnmt.114.137547

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Use of SPECT/CT with 99mTc-MDP Bone Scintigraphy to Diagnose Sacral Insufficiency Fracture
Zaid Al-faham, John N. Rydberg, Ching-Yee Oliver Wong
Journal of Nuclear Medicine Technology Sep 2014, 42 (3) 240-241; DOI: 10.2967/jnmt.114.137547
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Keywords

  • bone
  • SPECT/CT
  • Honda sign
  • sacral insufficiency fracture
  • SPECT
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