Evaluation of polytrauma

"Optima 640 allows us to achieve a low dose CT acquisition and 3FOV NM in only 15 min which gives us a comprehensive view of different bone and joint injuries"

Clinical Case

Patient History
Woman aged 40 involved in a traffic accident. Pain in the pelvis, the lower back and left foot, mainly at stress.

Acquisition
740 MBq 99mTc   age and weight adjusted
LEHR collimator,
Whole Body   16 cm/min   

SPECT/CT Acquisition:
360° tomo 60 steps of 10 sec 128x128 zoom 1.0   

CT 120 kv, 20 mA,
DLP=226 mGy*cm for 3FOV, 2.7 mSv CTDI=2.01 mGy

Results


     




     

     
   
   
Highly increased activity in R hemi-sacrum and processus articularis superior of S1, left para-symphyseal, the base of the ilio-pubic right branch and the interapophyseal joint R L5-S1. Hyperactivity in the posterior border of the R + L calcaneus

Conclusion
Recent fractures in the R hemi-sacrum, the R processus articularis superior of S1, the L symphysis pubis and the base of the R iliopubic branch. 
Post-traumatic facet arthritis R L5-S1.
No fractures in the feet.
Posterior calcaneal enthesopathy or tendinosis.

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References