Rapid diagnosis of impending spinal cord compression using SPECT-CT: A case review
| Autor: | S. Rasul, J.B. Neilly |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Early detection Planar scintigraphy Single-photon emission computed tomography medicine.disease Case review Bone scintigraphy Spinal cord compression Medicine Radiology Nuclear Medicine and imaging Tomography Radiology business Paraplegia Nuclear medicine |
| Zdroj: | European Journal of Radiology Extra. 67:e1-e3 |
| ISSN: | 1571-4675 |
| DOI: | 10.1016/j.ejrex.2008.04.013 |
| Popis: | Single photon emission computed tomography (SPECT) is a nuclear medicine tomographic imaging technique using gamma rays with dual camera planar acquisition providing a 3D image. SPECT-CT is a hybrid system which coregisters functional data from SPECT with anatomical data from computerised tomography (CT). It provides single session characterisation of abnormalities noted on planar scintigraphy, increasing specificity. Malignant spinal cord compression (MSCC) is a common oncological emergency and early detection and treatment relieves pain and preserves neurological function improving quality of life [Bucholtz JD. Metastatic epidural spinal cord compression. Semin Oncol Nurs 1999;15(3):150–9] . Previous work by the Clinical Resource and Audit Group (CRAG) showed that diagnosis was frequently delayed often leading to paraplegia [Levack P, Graham J, Collie D, et al. A prospective audit of the diagnosis, management and outcome of malignant spinal cord compression Clinical Resource and Audit Group (CRAG) 97/08, 2001] . We present a case where bone scintigraphy followed by SPECT-CT aided in the rapid diagnosis and treatment of MSCC resulting in relief of pain and preservation of neurological function. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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