Musculoskeletal wrist/hand pain: Spectrum of 99mTc-MDP bone SPECT/CT clinical applications & appearances

Learning Objectives To review basic principles of 99mTc-MDP SPECT/CT & to review current literature on role of SPECT/CT in paints with wrist/hand pain To review the potential clinical indications of 99mTc-MDP SPECT/CT To illustrate lesion localisation, characterisation and accurate diagnosis using SPECT/CT Recognise common artefacts and pitfalls

Content Organisation 1. Illustrated review of the 99mTc-MDP SPECT/CT appearances in patients with trauma and its complications ( carpal bone fractures, non-union,AVN, post traumatic arthritis, cystic lesions, Accessory ossicle, Incidental indolent bone lesions etc) 2. Illustrated review of the 99mTc-MDP SPECT/CT appearances in infection (osteomyelitis, soft tissue infection)Illustrated review of the 99mTc-MDP SPECT/CT appearances in soft tissue injury(Wrist Impaction Syndromes, TFCC degeneration 3.Artefacts and technical challenges Summary - Major Teaching Points Radionuclide 99mTc-MDP SPECT/CT imaging is a useful diagnostic modality to localise and characterise painful wrist pain Radionuclide 99mTc-MDP SPECT/CT increases the diagnostic confidence and may be used as a one stop imaging modality

Research Support none