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99mTc-MIBI Scintigraphy in Musculoskeletal Tumors

Lena Pinkas, Dror Robinson, Nahum Halperin, Lilia Mindlin, Mehrzad Cohenpour, Michal Baumer and Tifha Horne

Departments of Nuclear Medicine and Orthopedics, Assaf Harofeh Medical Center, Zerifin; and Department of Statistics, Hebrew University of Jerusalem, Jerusalem, Israel



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  		FIGURE 1. In patient with enchondroma of right femur, MDP scan (A) shows increased tracer uptake, whereas MIBI scan (B) of same area shows no abnormal uptake.

 


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  		FIGURE 2. In patient with osteogenic sarcoma of lumbar spine, both MDP scan (A) and MIBI scan (B) show significantly increased tracer uptake.

 


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  		FIGURE 3. MDP (A) and MIBI (B) scans of patient with bone metastatic disease (posterior view). Total foci are fewer for MIBI scan than for bone scintigraphy.

 


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  		FIGURE 4. In patient with bone metastasis and pathologic fracture of right shoulder, MIBI scan shows increased lesion uptake (A). Increased concentration is also seen in right posterior pelvic region (B), where metastatic tumor was found.

 


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  		FIGURE 5. Comparison between MIBI uptake ratio of benign and malignant lesions. Mean uptake ratio of the two groups is 1.59 ± 0.85. Most uptake ratios of malignant tumors are greater than mean, whereas most uptake ratios of benign lesions are less than mean.

 




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