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  5. SPECT/CT in musculoskeletal medicine
Siemens Healthineers SPECT/CT in musculoskeletal medicine

SPECT/CT in musculoskeletal medicinePinpoint musculoskeletal pain with precision

Whether genetic, age-related, or trauma-induced, diagnosing musculoskeletal injuries and conditions can be difficult. 2D imaging demonstrates clinical utility in the anatomical evaluation of musculoskeletal (MSK) disorders, but is it providing you with enough specificity to accurately identify pain generators? 

Combining both physiological and anatomical information, 3D SPECT/CT is your one-stop tool for quickly pinpointing the source of musculoskeletal pain and confirming the presence of disease with precision—possibly reducing the need for exploratory surgery or other diagnostic procedures.

What the experts are saying

Read physicians' experience with using SPECT/CT for MSK disorders.

“The 2D CT, X-ray, and MRI images are of great help in orthopedic practice, but SPECT/CT images reconstructed with xSPECT Bone and viewed on syngo.via add valuable information and increase diagnostic confidence. Not all osteoblastic bone activity showcased is abnormal activity. As a result, in some cases, unnecessary surgery can be avoided...” 
Human Adams, MD
Human Adams, MD
Groene Hart Hospital 
Gouda, The Netherlands

Clinical Use

Clinical image review

View nuclear medicine clinical images in this series of clinical case studies.

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Bone SPECT fused with CT defines severe degenerative endplate changes in cervical vertebrae
Data courtesy of PRP Diagnostic Imaging Dee Why, NSW, Australia.

Bone SPECT fused with CT defines severe degenerative endplate changes in cervical vertebrae

  • Patient with neck pain underwent a bone SPECT/CT
  • SPECT/CT shows hypermetabolism in the endplates of the C5-C6 vertebrae 
  • CT shows severe degenerative changes in the vertebral endplates with a reduction of disk space, endplate osteophyte formation, endplate sclerosis, as well as subcortical cystic changes 
  • Hypermetabolism on SPECT correlates with degenerative endplate changes on CT 
  • Thin-slice CT with Tin Filter accurately defines details of endplate erosion along with osteophyte and subcortical cyst formation

Symbia Pro.specta™ SPECT/CT

SPECT
Scan acquisition: 32 stops per detector, 13 seconds per stop
Total scan time: ~7 minutes
Image reconstruction: 256 x 256 matrix, Flash 3D, 18i4s 
Injected dose: 99mTc-HMDP (dose amount anonymized)
Post-injection delay: 2 hours
CT
SAFIRE
Scan parameters: 130 kV Sn/251 ref mAs, 0.8-sec rotation, 32 x 0.7-mm collimation, 1-mm recon, BR464 S3

Bone SPECT fused with CT defines severe degenerative endplate changes in cervical vertebrae
Bone SPECT fused with CT with iMAR defines severe arthritic changes in talo-calcaneal joint space following arthrodesis
xSPECT Bone fused with CT with iMAR defines L4 facet arthropathy adjacent to spinal stabilization screw
Bone SPECT/CT defines site of fracture of vertical spinal stabilization rod at level of L5 vertebral pedicle
xSPECT Bone fused with CT with iMAR defines bone stress in lateral aspect of femoral component of knee arthroplasty
xSPECT Bone delineates arthritic changes in ankle and tarsal joints bilaterally
99mTc-HMDP bone SPECT/CT shows bone remodeling around stem of femoral component of knee arthroplasty
xSPECT Bone and CT with iMAR define reactive bony sclerosis in tibial malunion following plate fixation
Bone SPECT/CT shows reactive changes around stem and humeral joint surface of bilateral shoulder arthroplasty
SPECT/CT shows leukocyte accumulation in stabilization screws of intramedullary rod inserted for femoral fracture
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Scientific Presentations

Learn new insights from a collection of scientific presentations from critically acclaimed physicians in the field of MSK medicine.

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Dr. Human Adams<br />Green Heart Hospital, Gouda, The Netherlands

Efficiency by routine: MSK xSPECT/CT

Dr. Human Adams
Green Heart Hospital, Gouda, The Netherlands

Dr. Human Adams<br />Green Heart Hospital, Gouda, The Netherlands
Orthopedic view on utilizing SPECT/CT in clinical practice
Our experience using xSPECT/CT bone in musculoskeletal medicine
Clinical experience of routine SPECT/CT reading after migrating from Symbia.net to syngo.via
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News & Stories

Read more about musculoskeletal medicine and orthopedics in these Nuclear Medicine News & Stories articles.

Dr. Ethan Colliver sits in his office at Valley Sports & Spine Clinic.

The use of SPECT/CT in a musculoskeletal Physical Medicine and Rehabilitation practice 

Nuclear medicince images help physicians see the location of pain generators, such as in the hip.

The convergence of nuclear medicine and orthopedic surgery

Nuclear medicince images help physicians locate pain generators in pediatric patients, such as in the foot.

The convergence of nuclear medicine and pediatric orthopedic surgery

An illustration depicts the convergence of nuclear medicine and musculoskeletal medicine.

The convergence of nuclear medicine and musculoskeletal medicine

Discover how SPECT/CT can benefit your practice

Explore SPECT/CT
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The amount of metal artifact reduction and corresponding improvement in image quality depends on a number of factors including: composition and size of the metal object, patient size, anatomical location and clinical practice. It is recommended to perform reconstruction with iMAR enabled in addition to conventional reconstruction without iMAR. 
The statements by Siemens Healthineers' customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.
The outcomes achieved by the Siemens Healthineers' customers described herein were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (eg, hospital size, case mix, level of IT adoption) there can be no guarantee that others will achieve the same results.
The products and features (mentioned herein) are not commercially available in all countries. Future availability cannot be guaranteed.
Header image data courtesy of Queen Elizabeth Hospital Birmingham, Birmingham, UK.