+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Bone single-photon emission tomography in recent meniscal tears: an assessment of diagnostic criteria

Bone single-photon emission tomography in recent meniscal tears: an assessment of diagnostic criteria

European Journal of Nuclear Medicine 20(8): 703-707

Bone single-photon emission tomography (SPET) was performed in 40 patients within 6 months of acute knee injury where internal derangement of the knee was suspected, and the results related to the arthroscopy findings. Scan features with high sensitivity, specificity, and predictive accuracy for a meniscal tear could not be obtained on planar imaging. However, a half-crescent or more of increased tibial plateau activity on transaxial SPET gave a sensitivity of 89%, a specificity of 76%, a positive predictive accuracy of 77% and a negative predictive value of 89%. For longitudinal (bucket handle) tears alone the optimum scan pattern was a full crescent of increased tibial plateau activity with adjacent femoral activity and increased blood pool activity which gave corresponding values of 78%, 94%, 78% and 93%. It is concluded that the inclusion of tibial plateau activity of less than a full crescent and the presence of femoral condyle and blood pool activity in the diagnostic criteria improves the ability of bone SPET to detect meniscal tears. The value of bone SPET in the diagnosis of meniscal tears suggests that it could have a significant role to play in the management of knee injuries.

(PDF emailed within 0-6 h: $19.90)

Accession: 045394334

Download citation: RISBibTeXText

PMID: 8404958

DOI: 10.1007/bf00181762

Related references

Bone injury associated with anterior cruciate ligament and meniscal tears: assessment with bone single photon emission computed tomography. Investigative Radiology 37(9): 521-527, 2002

Bone SPECT in recent meniscal tears An assessment of diagnostic criteria. Journal of Nuclear Medicine 34(5 SUPPL ): 144P, 1993

Images in cardiovascular medicine. Hybrid cardiac single photon emission computed tomography/computed tomography imaging with myocardial perfusion single photon emission computed tomography and multidetector computed tomography coronary angiography for the assessment of unstable angina pectoris after coronary artery bypass grafting. Circulation 114(6): E237-E239, 2006

Comparison of single photon emission computed tomography-computed tomography, computed tomography, single photon emission computed tomography and planar scintigraphy for characterization of isolated skull lesions seen on bone scintigraphy in cancer patients. Indian Journal of Nuclear Medicine 29(1): 22-29, 2014

A multicenter assessment of the use of single-photon emission computed tomography myocardial perfusion imaging with appropriateness criteria. Journal of the American College of Cardiology 55(2): 156-162, 2010

Assessment of skull base involvement in nasopharyngeal carcinoma: comparisons of single-photon emission tomography with planar bone scintigraphy and X-ray computed tomography. European Journal of Nuclear Medicine 22(6): 514-520, 1995

Assessment of left ventricular function by electrocardiogram-gated myocardial single photon emission computed tomography using quantitative gated single photon emission computed tomography software. Journal of Cardiology 33(5): 257-263, 1999

Diagnostic utility of planar bone and single photon emission computed tomography spect in spondylosis and spondylolisthesis. European Journal of Nuclear Medicine 14(5-6): 325, 1988

Neuroimaging in epilepsy: recent developments in MR imaging, positron-emission tomography, and single-photon emission tomography. Neurologic Clinics 11(4): 883-903, 1993

The diagnostic value of single photon-emission computed tomography bone scans combined with CT (SPECT-CT) in diseases of the foot and ankle. Foot and Ankle Surgery 19(2): 80-83, 2013

Diagnostic accuracy of myocardial perfusion imaging with single photon emission computed tomography and positron emission tomography: a comparison with coronary angiography. International Journal of Cardiovascular Imaging 24(5): 511-518, 2007

A comparison of multislice computerized tomography, cone-beam computerized tomography, and single photon emission computerized tomography for the assessment of bone invasion by oral malignancies. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics 112(3): 367-374, 2012

Simultaneous transmission/emission myocardial perfusion tomography. Diagnostic accuracy of attenuation-corrected 99mTc-sestamibi single-photon emission computed tomography. Circulation 93(3): 463-473, 1996

Diagnostic accuracy of cardiac positron emission tomography versus single photon emission computed tomography for coronary artery disease: a bivariate meta-analysis. Circulation. Cardiovascular Imaging 5(6): 700-707, 2013

Myocardial viability assessment and perioperative cardiovascular evaluation using single photon emission tomography and positron emission tomography. Kyobu Geka. Japanese Journal of Thoracic Surgery 60(8 Suppl): 627-634, 2007