Current imaging techniques for detecting bone metastases in renal carcinoma are insensitive to small lesions. This prospective trial of 18F-NaF PET/CT shows it is more than twice as sensitive as CT and more than three times as sensitive as bone scintigraphy for these lesions. 18F-NaF PET/CT could alter management by identifying occult metastases in patients with negative standard-of-care imaging.
Thumb duplication and syndactyly are the most common conditions for which radiographs are requested at our hospital, although overall syndactyly is considered the most common congenital hand anomaly. For a variety of reasons, children are often imaged very early, before review by the Specialist in Children's Hand Surgery (despite surgery being unlikely before 1 year of age.) We discuss the classification systems and specific issues that hand surgeons want to know from the radiologists.
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