SPECT/CT for foot and ankle pathologies

Author(s): Dr Luke Zhu, Dr Malavika Nathan

Hospital: West Midlands Deanery; Royal Free London NHS Foundation Trust

Reference: RAD Magazine, 49, 580, 19-20

Excerpt: 

Foot and ankle injuries are common, chronic pain is prevalent and many patients present with symptoms that cannot be fully explained by conventional imaging techniques. This article will explore the increasing role of SPECT/CT in the investigation of common foot and ankle pathologies.

Conventional diagnostic techniques such as plain radiography, ultrasound, CT and MRI currently form the mainstay of investigation for foot and ankle injuries. In most cases, these are sufficient to achieve an accurate diagnosis and meaningfully guide management. However, in some patients conventional techniques fail to detect symptoms that have yet to manifest anatomically, or provide incidental findings that create a diagnostic challenge.

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