Whole-Body SPECT/CT versus Planar Bone Scan with Targeted SPECT/CT for Metastatic Workup

Figure 3

Prostate cancer patient with a history of carcinoma of the larynx. Markedly increased uptake relative to soft tissue, with absence of the urinary tract activity, consistent with Super Bone Scan on planar scintigraphy (a). MIP-SPECT (b) shows heterogeneous radiotracer uptake. Sagittal SPECT/CT (c) revealed diffuse metastases based on multiple areas of focal uptake and corresponding areas of sclerosis. The tracheotomy, in relationship with the treatment of the carcinoma of the larynx, is also visible on the images.

(a)

(b)

(c)