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

Figure 4

Breast cancer patient. Planar scintigraphy (a) showed artifactual uptake in a subclavian catheter, focal uptake at the 8th rib costochondral junction considered as a fracture, and heterogeneity of the thoracic spine without any focal uptake. MIP-SPECT (b) shows 3 additional areas of focal uptake: in L5-S1 corresponding to degenerative changes on the sagittal SPECT/CT (c), in the vertebral body of T9 (c), and in the right scapula (d) without lesion seen on CT, classified as “metastatic.”

(a)

(b)

(c)

(d)