Bone Scintigraphy Blood Pool SPECT-BT in Benign Lesions of Costae

Year 2024, Volume: 4 Issue: 2, 24 - 27, 06.09.2024

Adil Gümüş , Zehra Pınar Koç , Pınar Pelin Özcan , Mehmet Oğuz Köksel , Hamide Sayar

Abstract

Aim: Aim of this study is to determinate the possible role of blood pool SPECT/CT imaging in benign lesion of the costae.
Materials and Methods: Seventeen patients (8 M, 9 F, 50 ± 19.36 years old) were included who were presented with mass or pain in the costa region. The scintigraphy, SPECT and SPECT/CT in blood pool and late phase were performed and analyzed retrospectively.
Results: The diagnostic accuracy of the bone scintigraphy was significantly higher by means of additional SPECT-CT imaging by increasing sensitivity and specificity.
Conclusion: Although the number of cases is low this preliminary result showed significantly increased diagnostic accuracy in diagnostic power of scintigraphy by adding SPECT-CT in the imaging workflow.

Keywords

bone scintigraphy, costae, rib, benign, SPECT/CT

Ethical Statement

Etik kurul onay aşamasındadır.

Supporting Institution

Mersin üniversitesi

References

• Koç, Z. P., Balcı, T. A., & Ozyurtkan, M. O. (2013). The role of the three phase bone scintigraphy in the management of the patients with costochondral pain. Molecular imaging and radionuclide therapy, 22(3), 90–93. https://doi.org/10.4274/Mirt.68077
• Duan, R., & Shi, H. (2015). Clinical study of the application of SPECT, CT, and SPECT/CT for diagnosing rib diseases. Japanese journal of radiology, 33(3), 131–139. https://doi.org/10.1007/s11604-015-0390-9
• Adusumilli, P., Nejadhamzeeigilani, H., Pitts, K., McDermott, G., Scarsbrook, A. F., Vaidyanathan, S., Patel, C. N., & Chowdhury, F. U. (2020). Protocol-driven multidetector SPECT/CT: integration of hybrid imaging into the routine workflow of whole-body bone scintigraphy in oncology patients. Clinical radiology, 75(1), 79.e1–79.e7. https://doi.org/10.1016/j.crad.2019.09.128Duan R, Shi H.Jpn J Radiol. 2015 Mar;33(3):131-9. doi: 10.1007/s11604-015-0390-9.
• Römer, W., Nömayr, A., Uder, M., Bautz, W., & Kuwert, T. (2006). SPECT-guided CT for evaluating foci of increased bone metabolism classified as indeterminate on SPECT in cancer patients. Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 47(7), 1102–1106.Adusumilli P, Nejadhamzeeigilani H, Pitts K, McDermott G, Scarsbrook AF, Vaidyanathan S, Patel CN, Chowdhury FU.Clin Radiol. 2020 Jan;75(1):79.e1-79.e7. doi: 10.1016/j.crad.2019.09.128.
• McLoughlin, L. C., O'Kelly, F., O'Brien, C., Sheikh, M., Feeney, J., Torreggiani, W., & Thornhill, J. A. (2016). The improved accuracy of planar bone scintigraphy by adding single photon emission computed tomography (SPECT-CT) to detect skeletal metastases from prostate cancer. Irish journal of medical science, 185(1), 101–105. https://doi.org/10.1007/s11845-014-1228-7
• Li, W., Zhang, L., Li, W., & Zhang, R. (2020). The Value of 99mTc-Methylene Diphosphonate Single-Photon Emission Computed Tomography/Computed Tomography in Detecting Atraumatic Costal Cartilage Fracture in Malignant Tumor Patients. Frontiers in oncology, 10, 138. https://doi.org/10.3389/fonc.2020.00138McLoughlin LC, O'Kelly F, O'Brien C, Sheikh M, Feeney J, Torreggiani W, Thornhill JA.Ir J Med Sci. 2016 Feb;185(1):101-5. doi: 10.1007/s11845-014-1228-7.
• Fournel, L., Rapicetta, C., Fraternali, A., Bellafiore, S., Paci, M., & Lococo, F. (2018). Fibrous Dysplasia of the Rib Mimicking a Malignant Bone Tumor at SPECT/CT with 99mTc-MDP. Clinical nuclear medicine, 43(5), 346–348. https://doi.org/10.1097/RLU.0000000000002015
• Li, Q., Chen, Z., Zhao, Y., Li, X., Pan, H., Xia, T., Chen, L., Xu, Z., Zhou, W., & Liu, X. (2015). Risk of metastasis among rib abnormalities on bone scans in breast cancer patients. Scientific reports, 5, 9587. https://doi.org/10.1038/srep09587