Bone single-photon emission computed tomography-CT peak standardized uptake value for chronic osteomyelitis, osteoradionecrosis and medication-related osteonecrosis of the jaw.

J Med Imaging Radiat Oncol

Quantitative Diagnostic Imaging, Field of Oral and Maxillofacial Imaging and Histopathological Diagnostics, Course of Applied Science, The Nippon Dental University Graduate School of Life Dentistry at Niigata, Niigata, Japan.

Published: April 2021

AI Article Synopsis

  • This study examined the peak standardized uptake value (SUV) in SPECT-CT imaging to differentiate between chronic osteomyelitis, osteoradionecrosis, and medication-related osteonecrosis of the jaw (MRONJ).
  • A total of 65 patients were assessed, revealing that chronic osteomyelitis had a significantly higher peak SUV compared to the other conditions.
  • The findings suggest that peak SUV measurement can effectively aid in the evaluation and diagnosis of these jaw lesions.

Article Abstract

Introduction: Recently, standardized uptake value (SUV) has been applied for the evaluation of SPECT-CT. This study was performed to investigate the bone SPECT-CT peak SUV for chronic osteomyelitis, osteoradionecrosis and medication-related osteonecrosis of the jaw (MRONJ).

Methods: Sixty-five patients with jaw lesions (12 chronic osteomyelitis, 12 osteoradionecrosis and 41 MRONJ) underwent SPECT-CT after injection of technetium-99m hydroxymethylene diphosphonate. The peak SUV was compared for the chronic osteomyelitis with osteoradionecrosis and MRONJ using GI-BONE software. Statistical analyses for the peak SUV were performed by one-way repeated measures analysis of variance with Tukey's HSD test. A P-value lower than 0.05 was considered as statistically significant.

Results: Peak SUV for chronic osteomyelitis (15.6 ± 4.4) was significantly higher than those for osteoradionecrosis (6.7 ± 2.1, P = 0.000) and MRONJ (10.7 ± 6.1, P = 0.019).

Conclusion: The SPECT-CT peak SUV using GI-BONE software can be useful for the evaluation of jaw lesions, such as chronic osteomyelitis, osteoradionecrosis and MRONJ.

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Source
http://dx.doi.org/10.1111/1754-9485.13127DOI Listing

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