Nuclear Medicine in the Assessment of Painful Joint Prostheses

2012 ◽  
pp. 561-581
Author(s):  
Erik Vegt ◽  
Wim Schreurs ◽  
Martin Gotthardt ◽  
Wim J. G. Oyen
Keyword(s):  
Nuclear Medicine ◽  
Painful Joint ◽  
Joint Prostheses

Radiologic Evaluation of Painful Joint Prostheses

1982 ◽  
Vol &NA; (170) ◽  
pp. 156???168
Author(s):  
ROBERT SCHNEIDER ◽  
ROBERT H. FREIBERGER ◽  
BERNARD GHELMAN ◽  
CHITRANJAN S. RANAWAT
Keyword(s):  
Painful Joint ◽  
Radiologic Evaluation ◽  
Joint Prostheses

Digital Arthrography in the Evaluation of Painful Joint Prostheses

1984 ◽  
Vol 19 (5) ◽  
pp. 432-437 ◽  
Author(s):  
DONALD RESNICK ◽  
ROGER KERR ◽  
MICHAEL ANDRÈ ◽  
JOSE GUERRA ◽  
ROBERT O. CONE ◽  
...  
Keyword(s):  
Painful Joint ◽  
Joint Prostheses

scholarly journals Designing a New Molecular Probe: The Potential Role for Tilmanocept (Lymphoseek®) in the Assessment of Patients with Painful Hip and Knee Joint Prostheses

2017 ◽  
Vol 11 (1) ◽  
pp. 212-224 ◽  
Author(s):  
O.O. Adesanya ◽  
C.E. Hutchinson
Keyword(s):  
Computed Tomography ◽  
Nuclear Medicine ◽  
Potential Role ◽  
Molecular Probe ◽  
Emission Computed Tomography ◽  
Joint Prosthesis ◽  
Prosthetic Joints ◽  
Pet Ct ◽  
Joint Prostheses

Background:There is a long history of nuclear medicine developments in orthopaedics beginning in the early 20thcentury. Technetium-99m (99mTc) has a short half-life of six hours, emits 140 keV gamma rays and is the most widely used isotope, imaged with the Anger (gamma) camera. Gamma image quality and test sensitivity in painful prosthetic joints can be improved with single photon emission computed tomography (SPECT) and SPECT/CT. Positron Emission Tomography-Computed Tomography (PET-CT) with Sodium Fluoride (18F-NaF) and18Fluorine-fluorodeoxyglucose (18F-FDG) PET have promising and limited roles respectively in the investigation of painful prosthetic joints. New SPECT/CT and PET-CT isotopes targeting activated macrophages with99mTc Tilmanocept (Lymphoseek®) and68Gallium labelled Tilmanocept respectively show potential as agents to demonstrate wear particles ingested by macrophages and multinucleated giant cells. An imaging algorithm using SPECT and/or PET agents is proffered as a cost effective way of speedily and accurately arriving a diagnosis.Methods:Review of the historical role of nuclear medicine in orthopaedics and research into the potential role of new radiopharmaceutical agents was undertaken. Guidelines and algorithms for the imaging of complicated joint prosthesis are provided.Results:There is an established role for nuclear medicine in orthopaedics and particularly in the investigation of complicated joint prostheses. Imaging with Tilmanocept provides new opportunities to shorten the time to diagnose loosened and infected joint prostheses.Conclusion:There is a potential new role for Tilmanocept, which can be utilised with both PET-CT and SPECT-CT technologies. Tilmanocept is a relatively new radiopharmaceutical which has a potential role in the imaging assessment of painful joint prosthesis.

60. DIGITAL ARTHROGRAPHY IN THE EVALUATION OF PAINFUL JOINT PROSTHESES

1984 ◽  
Vol 19 (5) ◽  
pp. S16
Author(s):  
Roger Kerr ◽  
Donald Resnick ◽  
Michael Andre ◽  
Jose Guerra ◽  
Robert O Cone ◽  
...  
Keyword(s):  
Painful Joint ◽  
Joint Prostheses

The role of bone SPECT/CT in the evaluation of painful joint prostheses

2015 ◽  
Vol 36 (9) ◽  
pp. 931-940 ◽  
Author(s):  
Pelin Arican ◽  
Berna Okudan Tekin ◽  
Riza Şefizade ◽  
Seniha Naldöken ◽  
Aliye Baştuğ ◽  
...  
Keyword(s):  
Painful Joint ◽  
Bone Spect ◽  
Joint Prostheses

Maximum image restoration in nuclear medicine

1990 ◽  
Vol 137 (3) ◽  
pp. 163 ◽  
Author(s):  
V.A. Oliveira ◽  
J.M. Nightingale
Keyword(s):  
Nuclear Medicine ◽  
Image Restoration

Impact of COVID-19 on Nuclear Medicine in Germany, Austria and Switzerland: An International Survey in April 2020

2020 ◽  
Vol 59 (04) ◽  
pp. 294-299 ◽  
Author(s):  
Lutz S. Freudenberg ◽  
Ulf Dittmer ◽  
Ken Herrmann
Keyword(s):  
Nuclear Medicine ◽  
Health Systems ◽  
Personal Protective Equipment ◽  
Large Scale ◽  
Diagnostic Procedures ◽  
Protective Equipment ◽  
Current Crisis ◽  
Web Based ◽  
Public Versus Private ◽  
The Impact

Abstract Introduction Preparations of health systems to accommodate large number of severely ill COVID-19 patients in March/April 2020 has a significant impact on nuclear medicine departments. Materials and Methods A web-based questionnaire was designed to differentiate the impact of the pandemic on inpatient and outpatient nuclear medicine operations and on public versus private health systems, respectively. Questions were addressing the following issues: impact on nuclear medicine diagnostics and therapy, use of recommendations, personal protective equipment, and organizational adaptations. The survey was available for 6 days and closed on April 20, 2020. Results 113 complete responses were recorded. Nearly all participants (97 %) report a decline of nuclear medicine diagnostic procedures. The mean reduction in the last three weeks for PET/CT, scintigraphies of bone, myocardium, lung thyroid, sentinel lymph-node are –14.4 %, –47.2 %, –47.5 %, –40.7 %, –58.4 %, and –25.2 % respectively. Furthermore, 76 % of the participants report a reduction in therapies especially for benign thyroid disease (-41.8 %) and radiosynoviorthesis (–53.8 %) while tumor therapies remained mainly stable. 48 % of the participants report a shortage of personal protective equipment. Conclusions Nuclear medicine services are notably reduced 3 weeks after the SARS-CoV-2 pandemic reached Germany, Austria and Switzerland on a large scale. We must be aware that the current crisis will also have a significant economic impact on the healthcare system. As the survey cannot adapt to daily dynamic changes in priorities, it serves as a first snapshot requiring follow-up studies and comparisons with other countries and regions.

Time-Dependent Characteristics of Sn-Complexes for Preparing 99mTc-Labelled Radiopharmaceuticals and their Bioavailabilities - a Review

1978 ◽  
Vol 17 (03) ◽  
pp. 110-125 ◽  
Author(s):  
O.P.D Noronha
Keyword(s):  
Nuclear Medicine ◽  
Time Dependent ◽  
Factors Affecting ◽  
99Mtc Radiopharmaceuticals

A review is made of some of the factors affecting bioavailability of diagnostic 99mTc-radiopharmaceuticals currently used in the practice of nuclear medicine.

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