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Using SPECT/CT to diagnose MSK problems

About this Video Lesson

This lecture explores the role of nuclear medicine in musculoskeletal imaging, with a focus on the diagnostic advantages of SPECT/CT. The session covers the evolution of bone scintigraphy, from early planar imaging to hybrid techniques, and demonstrates how SPECT/CT integrates functional and anatomical assessment in a single study. Clinical applications, imaging protocols, and illustrative case examples highlight its value in oncology, spine imaging, and the evaluation of prosthetic complications.

Learning Objectives

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

  • Describe the technical evolution from planar scintigraphy to hybrid SPECT/CT imaging.
  • Outline the phases and diagnostic value of planar and three-phase bone scans.
  • Recognize how SPECT/CT improves lesion characterization and localization in MSK imaging.
  • Apply SPECT/CT findings to differentiate benign from malignant or infectious pathology.
  • Identify key clinical scenarios where SPECT/CT changes management, particularly in oncology, spine disorders, and prosthetic evaluation.

Authors

Risheq, Ziad

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.

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Using SPECT/CT to diagnose MSK problems
Using SPECT/CT to diagnose MSK problems

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Using SPECT/CT to diagnose MSK problems

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