학술논문

Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence.
Document Type
Article
Source
European Journal of Nuclear Medicine & Molecular Imaging. Sep2019, Vol. 46 Issue 10, p1990-2012. 23p. 13 Color Photographs.
Subject
*SINGLE-photon emission computed tomography
*COMING of age
*LITERATURE reviews
*COMPUTED tomography
Language
ISSN
1619-7070
Abstract
Purpose: Single-photon emission computed tomography (SPECT) combined with computed tomography (CT) was introduced as a hybrid SPECT/CT imaging modality two decades ago. The main advantage of SPECT/CT is the increased specificity achieved through a more precise localization and characterization of functional findings. The improved diagnostic accuracy is also associated with greater diagnostic confidence and better inter-specialty communication. Methods: This review presents a critical assessment of the relevant literature published so far on the role of SPECT/CT in a variety of clinical conditions. It also includes an update on the established evidence demonstrating both the advantages and limitations of this modality. Conclusions: For the majority of applications, SPECT/CT should be a routine imaging technique, fully integrated into the clinical decision-making process, including oncology, endocrinology, orthopaedics, paediatrics, and cardiology. Large-scale prospective studies are lacking, however, on the use of SPECT/CT in certain clinical domains such as neurology and lung disorders. The review also presents data on the complementary role of SPECT/CT with other imaging modalities and a comparative analysis, where available. [ABSTRACT FROM AUTHOR]