1. A retrospective study of SPECT/CT scans using SUV measurement of the normal pelvis with Tc-99m methylene diphosphonate
- Author
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Xiaotong Xu, Xiaoyi Duan, Zhang Zhaoguo, Ruifeng Wang, Dong Han, Shi Weihua, Junchao Ma, Youmin Guo, Hulin Wu, Qin Tao, Cong Shen, and Qiuju Fan
- Subjects
Male ,Methylene diphosphonate ,Coefficient of variation ,Anterior superior iliac spine ,Computed tomography ,Standardized uptake value ,Technetium Tc 99m Medronate ,Pelvis ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Tc-99m Methylene Diphosphonate ,Medicine ,Radiology, Nuclear Medicine and imaging ,Electrical and Electronic Engineering ,Instrumentation ,Aged ,Pelvic Neoplasms ,Retrospective Studies ,Tomography, Emission-Computed, Single-Photon ,Radiation ,medicine.diagnostic_test ,Phantoms, Imaging ,business.industry ,Body Weight ,Retrospective cohort study ,Middle Aged ,Condensed Matter Physics ,Sacrum ,Ischial tuberosity ,medicine.anatomical_structure ,Normal pelvis ,030220 oncology & carcinogenesis ,Female ,Tomography ,Tomography, X-Ray Computed ,Nuclear medicine ,business ,Posterior superior iliac spine - Abstract
Objective To perform quantitative measurement based on the standardized uptake value (SUV) of Tc-99m methylene diphosphonate (MDP) in the normal pelvis using a single-photon emission tomography (SPECT)/computed tomography (CT) scanner. Material and methods This retrospective study was performed on 31 patients with cancer undergoing bone SPECT/CT scans with 99mTc-MDP. SUVmax and SUVmean of the normal pelvis were calculated based on the body weight. SUVmax and SUVmean of the bilateral anterior superior iliac spine, posterior superior iliac spine, facies auricularis ossis ilii, ischial tuberosity, and sacrum were also calculated. Furthermore, the correlation of SUVmax and SUVmean of all parts of pelvis with weight, height, and CT was assessed. Results The data for 31 patients (20 women and 11 men; mean age 58.97±9.12 years; age range 37-87 years) were collected. SUVmax and SUVmean changed from 1.65±0.40 to 3.8±1.0 and from 1.15±0.25 to 2.07±0.58, respectively. The coefficient of variation of SUVmax and SUVmean ranged from 0.22 to 0.31. SUVmax and SUVmean had no statistically significant difference between men and women. SUVmax and SUVmean also showed no significant correlation with weight and height. However, part of SUVmax and SUVmean showed a significant correlation with CT. In addition, SUVmax and SUVmean of the bilateral ischial tuberosity showed a significant correlation with CT values. Conclusions Determination of the SUV value of the normal pelvis with 99m Tc-MDP SPECT/CT is feasible and highly reproducible. SUVs of the normal pelvis showed a relatively large variability. As a quantitative imaging biomarker, SUVs might require standardization with adequate reference data for the participant to minimize variability.
- Published
- 2018