Normal Anatomy of the Lumbosacral Spine and Pelvis A Correlation of SPECT and Radiographic Techniques

Gates, Gary F.

doi:10.1097/00003072-198805000-00003

Cited by 6 publications

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“…for lesion location and intensity. Location within the vertebral body was judged with assistance from the SPECT vertebral atlas previously published by Gates [4]. The two reviewers agreed by consensus on lesion location within the vertebra and were blinded to any results which would reveal the etiology of the bone lesions.…”

Section: Methodsmentioning

confidence: 99%

“…Consequently, it should be possible to improve the predictive value for metastatic disease of a particular vertebral lesion by defining its location within the vertebral body. SPECT imaging of the spine has the ability to detect vertebral lesions not seen on planar images and to localize better those lesions that are detected [4,5]. We believe that with a multidetector SPECT imaging system capable of achieving relatively high resolution, more precise localization of lesions within individual vertebra could be achieved.…”

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confidence: 99%

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Utility of SPECT imaging for determination of vertebral metastases in patients with known primary tumors

et al. 1995

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Determining the etiology of a focal lesion seen on bone scan in patients with primary tumors usually requires the use of other imaging procedures or biopsy. Single positron emission computed tomography (SPECT) with high resolution multidetector systems can localize the specific site of a vertebral lesion and in this way potentially differentiate between benign and metastatic disease. SPECT images of the lower thoracic and lumbar spine were reviewed for lesion location and intensity by two experienced interpreters. Follow-up data were adequate to ascertain the cause of 71 lesions seen on SPECT in 29 patients. Twenty-six of these lesions were not seen on planar images. Of the 71 lesions, 44 were benign and 27 metastatic. Of the 15 lesions where the pedicle was involved, 11 were found to metastatic. There were a total of 14 facet lesions, 9 of which were present in vertebra with no lesions at sites other than the facets. All 9 of these isolated facet lesions turned out to be benign. Lesion intensity did not distinguish benign from malignant disease. We conclude that SPECT imaging is useful in determining the etiology of focal lesions seen on bone scan in patients with a known primary tumor referred for evaluation of metastatic disease.

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Section: Methodsmentioning

confidence: 99%

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Utility of SPECT imaging for determination of vertebral metastases in patients with known primary tumors

et al. 1995

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Atlas of SPECT Cross-Sectional Anatomy of the Normal Spine, Pelvis, Hips, and Skull

Gates¹,

Front²,

Ziessman³

et al. 1992

Selected Atlases of Bone Scintigraphy

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The role of single photon emission computed tomography in bone scintigraphy

Murray

Dixon

1989

Skeletal Radiol

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The increasing availability for routine nuclear medicine studies of single photon emission computed tomography (SPECT) reflects the realisation of its ability to improve lesional detection and the assessment of location. This is achieved by removing unwanted surrounding radioactivity and thus delineating with greater clarity deeper areas of preferential accumulation. By removing the super-imposition of structures, SPECT offers considerable potential for improved diagnostic accuracy in suspected bone and joint disease. Time and cost, however, necessitate a selective use of the technique. The maximum advantages arise from studies of the head, spine, skull and knees. The role of SPECT does, in some instances, lie in providing increased sensitivity in the detection of focal uptake while in others it complements alternative imaging modalities by identifying the functional status of an abnormality and thus may demonstrate its clinical significance. Since such information may be obtained by planar scintigraphy using techniques such as pinhole collimation, continuing evaluation is essential to ascertain the precise indications for SPECT imaging.

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Normal Anatomy of the Lumbosacral Spine and Pelvis A Correlation of SPECT and Radiographic Techniques

Cited by 6 publications

References 0 publications

Utility of SPECT imaging for determination of vertebral metastases in patients with known primary tumors

Utility of SPECT imaging for determination of vertebral metastases in patients with known primary tumors

Atlas of SPECT Cross-Sectional Anatomy of the Normal Spine, Pelvis, Hips, and Skull

The role of single photon emission computed tomography in bone scintigraphy

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