Orthopaedics and Trauma
Volume 23, Issue 2 , Pages 77-87, April 2009

(i) Radionuclide imaging of joint prostheses: established & emerging applications

Richard J Robinson MBChB MRCP FRCR is a Specialist Registrar Department of Radiology at St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, West Yorkshire, UK

Andrew F Scarsbrook BMedSci BMBS FRCR is a Consultant Radiologist & Nuclear Medicine Physician and Head of Department of Nuclear Medicine at St James’s University Hospital, Leeds Teaching Hospitals NHS Trust, West Yorkshire, UK

Abstract 

Bone and radiolabelled white blood cell scintigraphy are widely used in the evaluation of symptomatic joint prostheses. Emerging techniques including dual tracer scintigraphy, positron emission tomography - computed tomography (PET-CT) and immunoscintigraphy show promise as more specific tools for use in the assessment of prosthetic joint complications. This article will review the current and future role of radionuclide imaging in establishing the presence, and determining the cause of prosthetic joint complications.

Keywords: infection, joint replacement, PET-CT, prosthetic loosening, scintigraphy

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PII: S1877-1327(09)00022-0

doi:10.1016/j.mporth.2009.02.004

Orthopaedics and Trauma
Volume 23, Issue 2 , Pages 77-87, April 2009