SPECT/CT: Solving Unclear Bone Pain

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About the Course

This case collection demonstrates the value of SPECT/CT in evaluating patients with unexplained or persistent bone pain. The selected cases span a wide spectrum of musculoskeletal conditions, from subtle ligamentous injuries to rare inflammatory syndromes and highlight how hybrid imaging can localize pathology, clarify ambiguous findings, and guide targeted management.

Learning Objectives

By the end of this case collection, participants will be able to:

Recognize the characteristic SPECT/CT findings of common and uncommon causes of bone and joint pain.
Differentiate between mechanical, inflammatory, infectious, and neoplastic etiologies of musculoskeletal pain based on hybrid imaging patterns.
Correlate SPECT/CT findings with clinical presentation and other imaging modalities to improve diagnostic accuracy.
Identify subtle ligamentous and tendon pathologies that may be missed on conventional imaging.
Appreciate the role of SPECT/CT in guiding management decisions for patients with persistent or unexplained bone pain.

List of cases

Sinus tarsi syndrome
Possible Complex Regional Pain Syndrome type I
Osteoid osteoma with recurrent pain after treatment
Medial deltoid ligament persistent injury
Anterior ankle impingement
Anterior talofibular ligament (ATFL) injury
Bifurcate ligament injury
Tibialis posterior tenosynovitis, sustentaculum tali ganglion cyst
Multiple right foot pathologies
Humerus osteoid osteoma
Axial spondyloarthropathy
SAPHO syndrome
Osteomyelitis following Haglunds resection
Tibialis posterior tenosynovitis & possible sinus tarsi syndrome

Authors

Ziad Risheq

Dr. Ziad Risheq is a highly respected nuclear medicine physician in Amman, Jordan, and a Fellow of the European Board of Nuclear Medicine (FEBNM), a recognition of his advanced expertise and dedication to the field. With a deep commitment to advancing nuclear medicine, he has contributed to clinical practice, research, and education, establishing himself as a trusted professional in the discipline.

In addition to his professional achievements, Dr. Risheq actively engages with the broader medical community through social media. He shares insights, educational content, and updates about nuclear medicine on Instagram, where he has cultivated a following under his handle @nuclide.notes. His approachable style and dedication to sharing knowledge have made him a valuable presence in the online medical community.