Beta
359935

The Role Of Whole-Body SPECT/CT Using Tc-99m MDP In Characterization Of Osseous Lesions In Breast Cancer Patients

Article

Last updated: 23 Dec 2024

Subjects

-

Tags

-

Abstract

Introduction: breast cancer is the second greatest cause of death in women, affecting women of all ages, races, and geographical locations [1]. Bone, lungs, and liver are the most common locations of distant metastases [2]. The most extensively used approach for detecting bone metastases is whole-body bone scintigraphy with technetium99m tagged diphosphonates [4]. Objectives: Compare the rate of detectability of bone metastases in breast cancer patients utilizing whole body single photon emission computed tomography/ computed tomography against planar conventional bone scintigraphy. Material and methods: prospective study included 50 female patients diagnosed with breast cancer, with an average age of 46.9 ± 15 years. Planar bone scintigraphy was performed on the patients, followed by whole body SPECT/CT scans by administering 1110 MBq of Tc99m MDP intravenously. Full body scan was performed (table rate 12 cm/min). A total of 32 frames with 15 seconds per frame were used to collect SPECT and CT images of the entire body over a 360-degree arc with a 128*128 matrix and iterative filtration (four iterations, four subsets, and Gaussian filter 8). Both modalities were read independently by two competent nuclear medicine experts. Results: The sensitivity, specificity, positive predictive value, and negative predictive value of Planar bone scintigraphy and W.B. SPECT/CT images were 52.2 % Vs 87 %, 92.6 % Vs 96.3 %, 85.7 % Vs 95.2 %, and 69.4 % Vs 89.7 %, respectively. The difference in sensitivity between the two modalities was statistically significant (P-value = 0.001), whereas the difference in specificity was statistically inconsequential (P-value = 0.5). Conclusions: whole-body SPECT/CT bone scintigraphy improves the sensitivity of the bone scan for detecting osseous metastases and minimizes the number of equivocal lesions.

DOI

10.21608/egyjnm.2022.126177.1051

Keywords

Keywords: Bone metastases, Planar bone scintigraphy, Whole-body SPECT/CT bone

Authors

First Name

Mohammed

Last Name

Osman

MiddleName

O

Affiliation

Oncology and nuclear medicine department, Kasr Alainy, Cairo University

Email

m.omarosman@yahoo.com

City

Giza

Orcid

0000-0002-0974-0481

First Name

Eman

Last Name

Eltahry

MiddleName

Ashraf

Affiliation

Nuclear Medicine Department Kasr Alainy Cairo University

Email

dr.eman.ashraf@hotmail.com

City

-

Orcid

-

First Name

Ashraf

Last Name

Fawzy

MiddleName

Mohy El Din

Affiliation

Nuclear Medicine Department, Kasr Alainy Cairo University

Email

drashraffawzy@yahoo.com

City

-

Orcid

-

First Name

Nahla

Last Name

El-Sayed

MiddleName

Dessouki

Affiliation

Nuclear Medicine Kasr Alainy Cairo University

Email

drnahladessoki1984@yahoo.com

City

-

Orcid

-

Volume

24

Article Issue

1

Related Issue

46771

Issue Date

2022-06-01

Receive Date

2022-03-08

Publish Date

2022-06-01

Page Start

52

Page End

64

Print ISSN

1687-4994

Online ISSN

2536-9113

Link

https://egyjnm.journals.ekb.eg/article_359935.html

Detail API

https://egyjnm.journals.ekb.eg/service?article_code=359935

Order

359,935

Type

Original Paper, Diagnostic NM

Type Code

384

Publication Type

Journal

Publication Title

Egyptian Journal Nuclear Medicine

Publication Link

https://egyjnm.journals.ekb.eg/

MainTitle

The Role Of Whole-Body SPECT/CT Using Tc-99m MDP In Characterization Of Osseous Lesions In Breast Cancer Patients

Details

Type

Article

Created At

23 Dec 2024