The voice of medical imaging and clinical oncology

orthopaedic

Orthopaedic oncology interventional services: opportunities and challenges

Orthopaedic oncology is the management of musculoskeletal tumours using a plethora of techniques aimed at improving survival rate and enhancing quality of life for patients. Orthopaedic oncology interventional services are a branch of interventional radiology that are integral to diagnosis and management, using image-guided minimally invasive procedures. Interventional services play an essential role in oncology […]

Zainab Tambuwal Bello, Dr (Professor) Rajesh Botchu, Dr Rajashekar Gowni, Stella Lewis

Royal Orthopaedic Hospital, Birmingham

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Clinical applications of SPECT/CT

SPECT/CT has established itself as a powerful diagnostic tool in nuclear medicine. The combined advantages of high sensitivity SPECT imaging with high specificity CT imaging has been shown to be superior to planar and SPECT imaging for many clinical indications. The CT component of SPECT/CT improves image quality through attenuation correction (AC), precise anatomical localisation […]

Dr Malavika Nathan

Royal Free London NHS Foundation Trust

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Young adult hip imaging – what the surgeon wants to know

Until recently, the management of hip pain in young adults has been largely conservative. A minority of patients had established osteoarthritis, inflammatory arthritis, avascular necrosis or fractures, and their care sometimes included surgery. But the majority had no specific diagnosis and received multidisciplinary non-operative care, provided by a combination of physiotherapists (probably the largest contribution), […]

Mr Marcus Bankes, Mr Peter Wall

Guy's and St Thomas' NHS Foundation Trust

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Ultrasound of the hindfoot

Pain is the most common reason for orthopaedic foot and ankle referral. The prevalence is quoted as 20-25% in population based studies. Hindfoot pain can be complex. In our previous article, we considered the role of ultrasound scans in the diagnosis of disorders the forefoot. In this article we review those common, as well as […]

Nicki Delves, Andrew Carne, Matthew Solon, Emma Wood

Royal Surrey County Hospital

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Radionuclide bone SPECT/CT in orthopaedics

Radionuclide 99mTc-MDP planar bone scan is the most commonly performed nuclear medicine procedure and may aid diagnosis of benign and malignant bone pathologies. 99mTc-MDP is injected intravenously and subsequently taken up by osteoblasts and incorporated into the bone matrix. In the process it acts as a marker for new bone formation, bone turnover and local […]

Dr Kanhaiyalal Agrawal, Dr Alexis Corrigan, Dr Sanjay Vijaynathan, Dr Gopinath Gnanasegaran

Guy's and St Thomas' Hospital NHS Foundation Trust

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