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Review ArticleTeaching Case Studies

Bone Scintigraphy SPECT/CT Evaluation of Mandibular Condylar Hyperplasia

Zhiyun Yang, Tameron Reed and Becky H. Longino
Journal of Nuclear Medicine Technology March 2016, 44 (1) 49-51; DOI: https://doi.org/10.2967/jnmt.115.158691
Zhiyun Yang
Department of Radiology, Louisiana State University Health Sciences Center/University Health, Shreveport, Louisiana
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Tameron Reed
Department of Radiology, Louisiana State University Health Sciences Center/University Health, Shreveport, Louisiana
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Becky H. Longino
Department of Radiology, Louisiana State University Health Sciences Center/University Health, Shreveport, Louisiana
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Abstract

Mandibular condylar hyperplasia (CH) is a complex developmental deformity resulting in asymmetries of the hyperplastic condyle. Bone scan SPECT is a sensitive and accurate method of detecting the growth activity of this disorder. This method can be used to quantitate the radionuclide uptake differences between the left and right condyles. Uptake differences of 10% or more between the left and right condyles, with increased uptake ipsilateral to the CH, are considered to be evidence of active growing CH. Quantitative assessment of CH is important to select an appropriate treatment course. Degenerative arthropathies of the temporomandibular joints may result in altered uptake, but this is mostly associated with the side contralateral to the CH. The CT portion of SPECT/CT is useful to assess the condylar dimensions and underlying bony changes.

  • bone
  • SPECT
  • SPECT/CT
  • bone scintigraphy
  • condylar hyperplasia
  • mandibular condyle hyperplasia
  • temporomandibular disorders

Footnotes

  • Published online Jun. 25, 2015.

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Journal of Nuclear Medicine Technology: 44 (1)
Journal of Nuclear Medicine Technology
Vol. 44, Issue 1
March 1, 2016
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Bone Scintigraphy SPECT/CT Evaluation of Mandibular Condylar Hyperplasia
Zhiyun Yang, Tameron Reed, Becky H. Longino
Journal of Nuclear Medicine Technology Mar 2016, 44 (1) 49-51; DOI: 10.2967/jnmt.115.158691

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Bone Scintigraphy SPECT/CT Evaluation of Mandibular Condylar Hyperplasia
Zhiyun Yang, Tameron Reed, Becky H. Longino
Journal of Nuclear Medicine Technology Mar 2016, 44 (1) 49-51; DOI: 10.2967/jnmt.115.158691
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Keywords

  • bone
  • SPECT
  • SPECT/CT
  • bone scintigraphy
  • condylar hyperplasia
  • mandibular condyle hyperplasia
  • temporomandibular disorders
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