Manganaro MS, Millet JD, Brown RK, Viglianti BL, Wale DJ, Wong KK. The utility of bone scintigraphy with SPECT/CT in the evaluation and management of frostbite injuries.
Br J Radiol 2018;
92:20180545. [PMID:
30359097 DOI:
10.1259/bjr.20180545]
[Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVE:
Frostbite is a localized cold-thermal injury resulting from prolonged exposure of flesh to freezing and near freezing temperatures. The depth and extent of frostbite injuries are not easily assessed, from a clinical standpoint, at the time of injury making it challenging to plan appropriate management and treatment.
METHODS:
A review of the literature of management of cold-related injuries and retrospective case review of the imaging and clinical course of frostbite injury.
RESULTS:
Bone scintigraphy with single photon emission computed tomography (SPECT)/CT was performed in the acute and subacute course of frostbite injuries, subsequently leading to earlier definitive management and shorter hospital stay.
CONCLUSION:
Multiphase technetium-99m-methylenediphosphonate (99mTc-MDP) bone scintigraphy with SPECT/CT can expedite clinical management of frostbite injuries by determining the extent of injury and can accurately predict the level of amputation if needed.
ADVANCES IN KNOWLEDGE:
SPECT/CT is underutilized at many facilities but can have a profound and immediate impact on clinical management of patients with frostbite when used in combination with physiological bone scan imaging.
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