Single-photon emission computed tomography/computed tomography arthrography of wrist, ankle, and knee joints.
Adolescent
Adult
Aged
Ankle Injuries
/ diagnostic imaging
Ankle Joint
/ diagnostic imaging
Arthrography
Cartilage, Articular
/ diagnostic imaging
Female
Fractures, Bone
/ diagnostic imaging
Humans
Knee Injuries
/ diagnostic imaging
Knee Joint
/ diagnostic imaging
Male
Middle Aged
Retrospective Studies
Single Photon Emission Computed Tomography Computed Tomography
Wrist Injuries
/ diagnostic imaging
Wrist Joint
/ diagnostic imaging
Young Adult
Journal
Nuclear medicine communications
ISSN: 1473-5628
Titre abrégé: Nucl Med Commun
Pays: England
ID NLM: 8201017
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
pubmed:
3
1
2020
medline:
16
12
2020
entrez:
3
1
2020
Statut:
ppublish
Résumé
To evaluate the additional value of single-photon emission computed tomography/computed tomography arthrography compared with single-photon emission computed tomography/computed tomography alone in wrist, ankle, and knee joints. Retrospective evaluation of 68 patients including 74 joints (48 wrists, 13 upper ankle (talocrural joint), and 13 knee joints) was performed. Activity in single-photon emission computed tomography/computed tomography images was graded using a four-point scale: 0 no uptake, one low uptake, two moderate uptake, and three high uptake. Arthrography images were evaluated for the presence of cartilage/ligament/meniscal lesions, and loose bodies. Fifty-six joints (76%) showed increased activity in late planar and 58 (78%) in single-photon emission computed tomography/computed tomography images, the latter graded as follows: grade 1 in 20 (34%), grade 2 in 29 (50%), grade 3 in nine (16%) joints. 16 joints were inactive (grade 0) in single-photon emission computed tomography/computed tomography. In 57 joints (77%), intraarticular contrast unmasked additional pathologies (37 cartilage lesions, 25 ligaments tears, 25 triangular fibrocartilage complex tears, six meniscal lesions, and four loose bodies). There was matching findings between single-photon emission computed tomography and computed tomography arthrography in 57 joints (77%) and mismatching findings in 17 joints (23%). Out of these 17 mismatched joints, eight were metabolically inactive but showed some lesion in computed tomography arthrography, whereas nine metabolically active joints did not show any abnormality in computed tomography arthrography. The addition of arthrography to single-photon emission computed tomography/computed tomography of wrist, ankle, and knee joints leads to supplementary visibility of lesions of cartilage, ligaments, triangular fibrocartilage complex, meniscus, or loose bodies in 77% of joints. Single-photon emission computed tomography/computed tomography arthrography can serve as promising alternative especially in patients with magnetic resonance imaging contraindications or metallic hardware.
Identifiants
pubmed: 31895263
doi: 10.1097/MNM.0000000000001132
pii: 00006231-202003000-00002
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
182-188Références
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