Combined Scintigraphic and Radiographic Diagnosis of Bone by Yong Whee Bahk MD, PhD, Professor (auth.)

By Yong Whee Bahk MD, PhD, Professor (auth.)

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Anterior and tunnel views of the knee. A Anterior pinhole scintigram of the right knee portrays increased tracer uptake in the medial (me) and lateral condyles (le), patella (p), intercondylar tubercles of the tibia (it), and tibial plateaus (arrowheads). The closed physeal lines in the distal femur and proximal tibia are indicated by transverse, linear tracer uptake (Iarge arrows) . B Anteroposterior radiogram identifies the medial (me) and lateral condyles (le), intercondylar tubercles of the tibia (it), tibial plateaus (arrowheads), and patella (p).

Springer, Berlin Heidelberg New York Fig. 44A,B. Dorsal view of the forefoot. A Dorsal pinhole scintigram of the right forefoot portrays the metatarsophalangeal joints in all five toes (mp, arrows). Tracer localizes more or less in the bases and heads of the metatarsals and phalanges. The two sesamoid bones of the first metatarsal head concentrate tracer intensely, reflecting their articular engagement (arrowheads). B Dorsoplantar radiogram identifies the metatarsophalangeal joints (mp, arrowheads) and the two first metatarsal sesamoids (s) 3 Infective and Inflammatory Diseases of Bone Bone infections and inflammations constitute one of the most common and important indications of bone scanning, the sensitivity of whieh has been firmly established (Duszynski et a!.

C Cranially tilted posterior pinhole scintigram of the knee (tunnel view) provides a bone-free view of the medial (me) and lateral condyles (le), intercondylar fossa (if) , tibial tubercle (it), and patella (p) Normal Skeletal Anatomy on Pinhole Scintigraphy 31 Fig. 39. Anterior view of the knee in child. Anterior pinhole scintigram of the knee in a 12-year-old boy shows prominent tracer uptake in the physes of the distal femur and the proximal tibia. The epiphyseal border of the intense physeal tracer uptake is weIl demarcated, whereas the metaphyseal border appears gradually to fade out toward the shaft, indicating that the ossification gradually becomes completed toward the diaphysis Fig.

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