OSTEOARTICULAR PATHOLOGY PROCEDURES

OSTEOARTICULAR PATHOLOGY PROCEDURES

CAT trauma01

MACROPHAGIC MEDULAR SCINTIGRAPHY

DESCRIPTION

Evaluation of the distribution of the reticuloendothelial system at bone marrow, liver and spleen level.

PREPARATION

No preparation is needed.

INDICATIONS

Evaluation of the distribution of normal bone marrow in cases of endometrial prosthesis, osteosynthesis or spinal cord infiltration, as a complement to bone or labeled leukocytes scintigraphy.

DURATION OF
PROCEDURE

2 hours.

MACROPHAGIC MEDULAR SCINTIGRAPHY

DESCRIPTION

Evaluation of the distribution of the reticuloendothelial system at bone marrow, liver and spleen level.

INDICATIONS

No preparation is needed.

INDICACIONS

Evaluation of the distribution of normal bone marrow in cases of endometrial prosthesis, osteosynthesis or spinal cord infiltration, as a complement to bone or labeled leukocytes scintigraphy.

DURATION OF PROCEDURE

2 hours.

CAT trauma02

BONE SCINTIGRAPHY

FUSION BONE SPECT-CT

BONE TOMOSCINTIGRAPHY (SPET/SPET-CT)

DESCRIPTION

  • Evaluation of bone metabolism and affections implying the skeleton.
  • Detection of small-size or uncertain-location bone injuries difficult to evaluate in planar images (bone SPET: 33-197-PD 18).

PREPARATION

  • No previous preparation is needed.
  • No fasting required.

INDICATIONS

  • Detection of bone metastases.
  • Assessment of primitive bone tumors.
  • Bone repercussion of bone marrow alterations.
  • Evaluation of joint and osteoarticular affectations (inflammatory arthropathy, infections or degenerative diseases).
  • Metabolic bone disease.
  • Evaluation of musculoskeletal traumatic pathologies and sports injuries.
  • Evaluation of joint prostheses and bone grafts.
  • Evaluation of bone recovery in vascular disease (avascular bone necrosis, algodistrophy).

DURATION OF PROCEDURE

3 hours.

BONE SCINTIGRAPHY

FUSION BONE SPECT-CT

BONE TOMOSCINTIGRAPHY (SPET/SPET-CT)

DESCRIPTION

  • Evaluation of bone metabolism and affections implying the skeleton.
  • Detection of small-size or uncertain-location bone injuries difficult to evaluate in planar images (bone SPET: 33-197-PD 18).

PREPARATION

  • No previous preparation is needed.
  • No fasting required.

INDICACIONS

  • Detection of bone metastases.
  • Assessment of primitive bone tumors.
  • Bone repercussion of bone marrow alterations.
  • Evaluation of joint and osteoarticular affectations (inflammatory arthropathy, infections or degenerative diseases).
  • Metabolic bone disease.
  • Evaluation of musculoskeletal traumatic pathologies and sports injuries.
  • Evaluation of joint prostheses and bone grafts.
  • Evaluation of bone recovery in vascular disease (avascular bone necrosis, algodistrophy).

DURATION OF PROCEDURE

3 hours.

CAT infecto02

LABELED LEUKOCYTES SCINTIGRAPHY FOR THE STUDY OF BONE INFECTIONS

LABELED LEUKOCYTES SCINTIGRAPHIC SCAN FOR THE STUDY OF BONE INFECTIONS

LABELED LEUKOCYTES SPECT-TC TOMOGRAPHY FOR THE STUDY OF BONE INFECTIONS

DESCRIPTION

Evaluation of the distribution of labeled leukocytes in inflammatory and infectious processes.

PREPARATION

Fasting for a minimum of 6 hours is recommended.

INDICATIONS

  • Detection and localization of bone infections:

    • Abscesses at any location.
    • Osteoarticular, osteosynthesis or joint prostheses.
    • Vascular prostheses.
  • Diagnosis of fever of unknown origin.

DURATION OF
PROCEDURE

4 to 8 hours. The labeling process is lengthy (4 hours). Images must be made after a waiting period (30 minutes for early images and 2 to 6 hours for late images).

LABELED-LEUKOCYTES SCINTIGRAPHY
FOR THE STUDY OF BONE INFECTIONS

LABELED-LEUKOCYTES SCINTIGRAPHIC SCAN
FOR THE STUDY OF BONE INFECTIONS

LABELED-LEUKOCYTES SPECT-TC TOMOGRAPHY
FOR THE STUDY OF BONE INFECTIONS

DESCRIPTION

Evaluation of the distribution of labeled leukocytes in inflammatory and infectious processes.

PREPARATION

Fasting for a minimum of 6 hours is recommended.

INDICATIONS

  • Detection and localization of bone infections:

    • Abscesses at any location.
    • Osteoarticular, osteosynthesis or joint prostheses.
    • Vascular prostheses.
  • Diagnosis of fever of unknown origin.

DURATION OF PROCEDURE

4 to 8 hours. The labeling process is lengthy (4 hours). Images must be made after a waiting period (30 minutes for early images and 2 to 6 hours for late images).

CAT trauma03

MONOCLONAL ANTIBODIES SCINTIGRAPHY

IMMUNOSCINTIGRAPHIC SCAN

MONOCLONAL ANTIBODIES SCINTIGRAPHIC SCAN

DESCRIPTION

Evaluation of the distribution of granulocytes labeled with antigranulocytic antibodies in bone and osteoarthritic infectious processes.

PREPARATION

No preparation is needed.

INDICATIONS

Evaluation of bone and osteoarticular infectious processes.

DURATION OF
PROCEDURE

4 hours.

MONOCLONAL ANTIBODIES SCINTIGRAPHY

IMMUNOSCINTIGRAPHIC SCAN

MONOCLONAL ANTIBODIES SCINTIGRAPHIC SCAN

DESCRIPTION

Evaluation of the distribution of granulocytes labeled with antigranulocytic antibodies in bone and osteoarthritic infectious processes.

PREPARATION

No preparation is needed.

INDICATIONS

Evaluation of bone and osteoarticular infectious processes.

DURATION OF PROCEDURE

4 hours.

CAT infecto04

67Ga BONE SCINTIGRAPHY

67Ga FUSION BONE SPECT-CT

67Ga BONE TOMOSCINTIGRAPHY (SPET/SPET-CT)

DESCRIPTION

Evaluation of inflammatory/infectious/tumoral activity.

PREPARATION

  • When the detection involves abdominal organs, the use of laxatives is recommended, to reduce the traffic to the colon.
  • It is advisable to suppress iron (Fe) administration 48 hours before the radiopharmaceutical administration and up to 48 hours afterward.
  • As long as the procedure is in progress, the administration of gadolinium should be avoided if an MR is practiced.

INDICATIONS

  • Evaluation of patients with Hodgkin’s disease and non-Hodgkin lymphomas, both in the assessment of pretreatment tumor uptake, control of therapeutic response (differential diagnosis of tumor activity versus residual mass), detection of recurrences and evaluation of the extent of the disease.
  • Detection and localization of other tumors (sarcomas).
  • Evaluation of patients with AIDS.
  • Evaluation of sarcoidosis, fibrosis and chronic infections (chronic osteomyelitis).
  • Diagnosis and localization of pulmonary infections.
  • Evaluation of pulmonary interstitial diseases (specifically sarcoidosis and fibrosis).

67Ga BONE SCINTIGRAPHY

67Ga FUSION BONE SPECT-CT

67Ga BONE TOMOSCINTIGRAPHY (SPET/SPET-CT)

DESCRIPTION

Evaluation of inflammatory/infectious/tumoral activity.

PREPARATION

  • When the detection involves abdominal organs, the use of laxatives is recommended, to reduce the traffic to the colon.
  • It is advisable to suppress iron (Fe) administration 48 hours before the radiopharmaceutical administration and up to 48 hours afterward.
  • As long as the procedure is in progress, the administration of gadolinium should be avoided if an MR is practiced.

INDICATIONS

  • Evaluation of patients with Hodgkin’s disease and non-Hodgkin lymphomas, both in the assessment of pretreatment tumor uptake, control of therapeutic response (differential diagnosis of tumor activity versus residual mass), detection of recurrences and evaluation of the extent of the disease.
  • Detection and localization of other tumors (sarcomas).
  • Evaluation of patients with AIDS.
  • Evaluation of sarcoidosis, fibrosis and chronic infections (chronic osteomyelitis).
  • Diagnosis and localization of pulmonary infections.
  • Evaluation of pulmonary interstitial diseases (specifically sarcoidosis and fibrosis).
CAT terapia01

TREATMENT OF SYNOVITIS IN CHRONIC INFLAMMATORY ARTHROPATHIES

RADIOISOTOPIC ENDOCAVITARY TREATMENT

DESCRIPTION

Treatment of synovitis in chronic inflammatory arthropathies.

PREPARATION

The treatment is done after consulting the prescribing doctor (rheumatologist, traumatologist, systemic illnesses specialist, etc.) and once he/she has established that there is no local contraindication characteristic (supported by X-rays, MR or CT if necessary).

INDICATIONS

  • Treatment of the synovitis of chronic inflammatory arthropathies:

    • Rheumatoid arthritis
    • Other treatment-resistant arthropathies such as seronegative arthropathy, hemophilia, villonodular synovitis.
  • Assessing the possibility of treating chronic degenerative arthropathy.

DURATION OF
PROCEDURE

30 minutes.

TREATMENT OF SYNOVITIS IN CHRONIC
INFLAMMATORY ARTHROPATHIES

RADIOISOTOPIC ENDOCAVITARY TREATMENT

DESCRIPTION

Treatment of synovitis in chronic inflammatory arthropathies.

PREPARATION

The treatment is done after consulting the prescribing doctor (rheumatologist, traumatologist, systemic illnesses specialist, etc.) and once he/she has established that there is no local contraindication characteristic (supported by X-rays, MR or CT if necessary).

INDICATIONS

  • Treatment of the synovitis of chronic inflammatory arthropathies:

    • Rheumatoid arthritis
    • Other treatment-resistant arthropathies such as seronegative arthropathy, hemophilia, villonodular synovitis.
  • Assessing the possibility of treating chronic degenerative arthropathy.

DURATION OF PROCEDURE

30 minutes.

CAT pet03

18F-SODIUM FLUORIDE (18F-NaF) PET-CT

DESCRIPTION

Study of bone metabolism.

PREPARATION

  • No previous preparation is needed.
  • No fasting required.

INDICATIONS

  • Study of:

    • Primary bone tumors.
    • Bone viability.
    • Bone necrosis.
    • Other benign bone disorders.
  • Bone staging of:

    • Prostate cancer.
    • Breast cancer.
    • Other neoplastic diseases with blastic bone metastases.

DURATION OF
PROCEDURE

1 hour.

18F-SODIUM FLUORIDE (18F-NaF) PET-CT

DESCRIPTION

Study of bone metabolism.

PREPARATION

  • No previous preparation is needed.
  • No fasting required.

INDICATIONS

  • Study of:

    • Primary bone tumors.
    • Bone viability.
    • Bone necrosis.
    • Other benign bone disorders.
  • Bone staging of:

    • Prostate cancer.
    • Breast cancer.
    • Other neoplastic diseases with blastic bone metastases.

DURATION OF PROCEDURE

1 hour.

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Logo-SIMM-Largo

Josep Irla & Bosch Street, 5-7, Basement, Barcelona 08034, Catalonia, Spain
(+34) 93 204 6439, (+34) 93 205 7708 Fax (+34) 93 204 8641 info@simm.barcelona

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Logo-SIMM-Largo

Josep Irla & Bosch Street, 5-7, Basement, Barcelona 08034, Catalonia, Spain
Phones (+34) 93 204 6439 & (+34) 93 205 7708 Fax (+34) 93 204 8641
E-mail info@simm.barcelona

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