Abstract Archives of the RSNA, 2014
NME107
The Rediscovery of the Nuclear Arthrogram using SPECT/CT
Education Exhibits
Presented in 2014
Daniel Joseph Wale DO, Presenter: Nothing to Disclose
Asha Kandathil MD, Abstract Co-Author: Nothing to Disclose
David Brandel MD, Abstract Co-Author: Nothing to Disclose
Robert Ackermann, Abstract Co-Author: Nothing to Disclose
Richard K.J. Brown MD, Abstract Co-Author: Investor, RadExchange, LLC
1. SPECT/CT nuclear arthrograms have significant advantages over traditional planar arthrograms due to improved localization and anatomic correlation.
2. The clinical diagnosis of prosthetic loosening is challenging and nuclear arthrograms can aid the clinician by determining the presence of the radiotracer between bone-prosthetic interfaces.
3. SPECT/CT nuclear arthrograms can aid in the evaluation of periarticular fluid collections and draining sinus tracts by determining communication with the joint space.
I. Introduction
a. Planar arthrograms and their limitations
b. Hybrid SPECT/CT arthrogram
c. Advantages of nuclear arthrogram over traditional contrast arthrography
II. Technique
a. Arthrogram procedure
b. Image acquisition
III. Image findings
a. Normal
i. Hip
ii. Knee
b. Non-diagnostic study due to extra-articular injection
c. Loosening
i. Hip
1. Femoral component
2. Acetabular component
ii. Knee
1. Femoral component
2. Tibial component
iii. Correlation with bone scintigraphy, radiographs, and clinical exam findings.
d. Other clinical uses
i. Evaluation of periarticular fluid collection
ii. Evaluation of periarticular draining sinus tract
e. Interpretation pitfalls
IV. Conclusion
http://abstract.rsna.org/uploads/2014/14014646/14014646_kn2u.pdf
Wale, D,
Kandathil, A,
Brandel, D,
Ackermann, R,
Brown, R,
The Rediscovery of the Nuclear Arthrogram using SPECT/CT. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14014646.html