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Relevance of SPECT-CT in Complex Cases of Foot and Ankle Surgery: A Comparison With MRI.

Leif ClaassenDaiwei YaoSarah EttingerMatthias LerchKiriakos DaniilidisChristina Stukenborg-ColsmanChristian Plaass
Published in: Foot & ankle specialist (2019)
We found a higher interrater and intrarater reliability for SPECT-CT compared with MRI alone for diagnosing complex foot and ankle pathologies. SPECT-CT has a high impact on final treatment decision. The main indications are bony pathologies with diagnostic uncertainty especially in closely adjacent structures as the joints of the midfoot, occult coalitio, stress fractures, verification or exclusion of nonfusion, periprosthetic disorders after total ankle replacement and osteochondral lesion in cases of combined pathologies.Levels of Evidence: Level IV: Retrospective study.
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