Abstract
Over the last 5 years, the diagnostic value of combined single-photon emission computerised tomography and conventional computerised tomography (SPECT/CT) has been increasingly recognised in particular in the diagnostics of painful total knee replacement (TKR). Here, the combined assessment of mechanical/anatomical alignment, anatomy, pathologies and remodelling of the bone after TKR is highlighted. Currently, SPECT/CT is not commonly available in every hospital, but the availability of SPECT/CT systems will increase in the next years. Then, SPECT/CT could become an important diagnostic player in the diagnostics of unhappy patients after TKR.
In this chapter, we aim to give you an introduction into the SPECT/CT methodology, the clinical application and its clinical value in patients with pain after TKR. Other nuclear imaging modalities such as PET/CT are only rarely helpful. There is only scarce evidence for its use, and hence it is not covered here.
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Hirschmann, M.T., Rasch, H. (2015). 31 Nuclear Medicine Imaging (SPECT/CT) in the “Unhappy” Total Knee Replacement: A Potential for Better Diagnosis!. In: Hirschmann, M., Becker, R. (eds) The Unhappy Total Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-08099-4_37
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DOI: https://doi.org/10.1007/978-3-319-08099-4_37
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