Features | Partner Sites | Information | LinkXpress
Sign In
Ampronix
GLOBETECH PUBLISHING LLC
Schiller

US Army Hospital Physicians Create Way to Detect Stress Fractures Faster

By Medimaging International staff writers
Posted on 03 Mar 2013
Image: Sgt. Christopher Funke, noncommissioned officer-in-charge of Nuclear Medicine at General Leonard Wood Army Community Hospital, injects Pfc. Sara Reagers, C Company, 84th Chemical Battalion, with a radiopharmaceutical agent (Photo courtesy of John Brooks).
Image: Sgt. Christopher Funke, noncommissioned officer-in-charge of Nuclear Medicine at General Leonard Wood Army Community Hospital, injects Pfc. Sara Reagers, C Company, 84th Chemical Battalion, with a radiopharmaceutical agent (Photo courtesy of John Brooks).
Image: Three to four hours later after the substance has worked its way through the body, the single photon emission computed tomography (SPECT) system can detect the low-level radiation absorbed by stress-injured bone (Photo courtesy of John Brooks).
Image: Three to four hours later after the substance has worked its way through the body, the single photon emission computed tomography (SPECT) system can detect the low-level radiation absorbed by stress-injured bone (Photo courtesy of John Brooks).
Image: Evaluating the scan (Photo courtesy of John Brooks).
Image: Evaluating the scan (Photo courtesy of John Brooks).
A new imaging protocol developed by the US Army radiologists can now find stress fractures in soldiers much earlier than traditional X-rays.

Single photon emission computed tomography (SPECT) is typically used for nonmusculoskeletal imaging studies, such as cardiac, parathyroid, and adrenal gland imaging. But this ground breaking use of SPECT imaging, in conjunction with a low-dose computed tomography scan, allows General Leonard Wood Army Community Hospital (GLWACH; Lenard Wood, MO, USA) radiologists to optimally rank stress injuries for severity.

With this information, providers return about two thirds more Soldiers back to training after rehabilitation, long before injuries would normally progress to career-ending injuries and incurring large training losses. “SPECT-CT fusion forms a more anatomically-precise image to allow radiologists to pinpoint the exact location of a stress change,” explained Maj. Mustafa Ali-Khan, GLWACH radiology chief. “SPECT-CT is typically not employed in the manner it is here at Fort Leonard Wood. The use of SPECT fusion imaging, although not unique to Army medicine, is unique to its application in its dedicated capacity in musculoskeletal imaging at a Training and Doctrine Command facility, in the manner employed here at Fort Leonard Wood.”

This innovative imaging process was developed in 2010 by the GLWACH radiology department as the result of needs identified through the combined effort of GLWACH staff members in the Musculoskeletal Athletic Team, Orthopedics, Podiatry, and Combined Troop Medical Clinic. “After looking at our training population and our basic training missions, we realized that we could use this technology to our advantage,” Maj. Ali-Khan said.

The technology worked effectively and the numbers are incredible, according to Maj. Ali-Khan. GLWACH’s radiology department used their SPECT-CT fusion imaging technique about 300 times in 2011. “We expect to top 500 studies this year,” Maj. Ali-Khan said.

Typically, injured soldiers in training are given an X-ray and sent back to continue training if an injury is not visible. Missed stress injuries then progress and are discovered at a later date as a more serious insufficiency fracture, or stress fracture. “We have seen a dramatic increase in identification of early stress injuries here at GLWACH, which has led to better outcomes for our Soldier population and less patients who have progressed to more advanced stress injuries and [Medical Evaluation Board] cases,” Maj. Ali-Khan said. “Fewer patients end up with serious stress fractures due to the early intervention. SPECT-CT fusion imaging has worked well in the training environment to mitigate the overall number of bad outcomes with respect to evolving stress injuries. We have every reason to believe that other installations with SPECT equipment, as well as other branches of the military with high training populations subject to bone stress injuries could use our SPECT-CT fusion imaging protocol with a high success rate as well.”

Dr. Ali-Khan reported that the GLWACH medical department activity is fortunate to have this technology, which is typically only available at the Medical Center level at facilities such as Madigan Army Medical Center at Joint Base Lewis-McChord (WA, USA), Walter Reed National Military Medical Center (Bethesda, MD, USA), or Brooke Army Medical Center (San Antonio, TX, USA). “We all feel great to be a part of something so big at such a comparatively small facility,” he said.

It is hard to determine how many training losses will be prevented at GLWACH with SPECT-CT fusion imaging this year, according to Dr. Ali-Khan said. “But we can determine how many stress injuries the technology allows radiologists to catch, and then treat early,” he concluded.

Related Links:

General Leonard Wood Army Community Hospital



Channels

Radiography

view channel
Image: Carestream DRX-Excel Plus Fluoroscopy Imaging System (photo courtesy of Carestream).

Carestream Enters Radiography/Fluoroscopy Sector with Two Systems

Carestream has entered the radiography/fluoroscopy market with two new imaging systems and an optional flat panel detector that can also be used for general radiography. The systems can be used to perform... Read more

Ultrasound

view channel

New Ultrasound System Enhances Patient Care and User Experience

A new ultrasound system with innovative specialized transducers and improved image quality, intended for general imaging, women’s health, and shared service applications, has been announced. The system features improved accuracy, performance, assessment tools, advanced automation, and an enhanced user experience.... Read more

Nuclear medicine

view channel

New Imaging Collaboration Could Improve Treatment and Quality of Life of Prostate Cancer Patients

A development agreement between a large medical imaging vendor and smaller medical device company promises to help promote a unique minimally invasive treatment that can ablate the prostate gland. The agreement will give the device developer access to a large installed base of Magnetic Resonance Imaging (MRI) systems,... Read more

General/Advanced Imaging

view channel
Image: Illustration of a new technique using Optical Coherence Tomography that could help surgeons differentiate a human brain tumor, red, from surrounding noncancerous tissue, green (Photo courtesy of  Carmen Kut, Jordina Rincon-Torroella, Xingde Li and Alfredo Quinones-Hinojosa/Johns Hopkins Medicine).

Imaging Technique Helps Safer and More Effective Removal of Brain Tumors

Researchers at the Johns Hopkins University have demonstrated a new imaging technology that could enable neurosurgeons to better differentiate between healthy and cancerous brain tissue and perform safer... Read more

Imaging IT

view channel
Image: The Arbor Solution M2150 medical workstation with 21.5\

Multifunction Workstation Screen Meets Critical Certification Standards for Medical Environments

A medical imaging equipment vendor has unveiled a new workstation with a 54.61 cm true flat screen designed for operating rooms, clinical stations, and Picture Archiving and Communications Systems (PACS).... Read more

Industry News

view channel

Partnership Forged Between Toshiba America Medical Systems and Merge Healthcare

Merge Healthcare (Chicago, IL, USA), a leader in clinical systems and healthcare innovations has announced that it has formed a strategic partnership with Toshiba America Medical Systems (Tustin, CA, USA). The agreement will enable Toshiba America Medical Systems to provide a turnkey solution for customers, and offer... Read more
 
Copyright © 2000-2015 Globetech Media. All rights reserved.