Features Partner Sites Information LinkXpress
Sign In
Advertise with Us
Advantech Europe

Events

18 Feb 2016 - 20 Feb 2016
19 Feb 2016 - 21 Feb 2016
27 Feb 2016 - 03 Mar 2016

US Army Hospital Physicians Create Way to Detect Stress Fractures Faster

By Medimaging International staff writers
Posted on 03 Mar 2013
Print article
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



Print article
Radcal

Channels

Radiography

view channel

No Proof That X-ray Radiation Causes Cancer

The widespread belief that radiation from X-rays can cause cancer is based on an invalid paradigm for estimating low-dose radiation exposure risk, according to a new study. According to researchers at Loyola University Medical Center (Maywood, IL, USA), the linear no-threshold (LNT) model, which is constantly used today... Read more

Ultrasound

view channel
Image: The Verathon BladderScan Prime (Photo courtesy of Verathon).

Portable Ultrasound Device Quantifies Bladder Volume

A new portable three-dimensional (3D) ultrasound instrument helps reduce catheter-associated urinary tract infections (CAUTI) by reducing the use of catheters. The Verathon BladderScan Prime is a noninvasive... Read more

Nuclear medicine

view channel
Image: The SiPM detector (Photo courtesy of Volkmar Schultz, Aachen University).

New Hybrid PET/MRI System Developed for Enhanced Breast Cancer Imaging

A novel imaging technique is being developed that can improve breast cancer detection and characterization, and help clinicians evaluate the response of the cancer to treatment. The 4-year project,... Read more

General/Advanced Imaging

view channel

Healthcare IT Manufacturer and Teleradiology Interoperability Expert Introduce New FHIR System

A new interoperability system that was launched at the 2015 Radiological Society of North America (RSNA) annual meeting in Chicago, USA, in November, 2015, is now being introduced into the market. The system enables seamless integration of third party enterprise imaging systems using the latest Fast Healthcare Interoperability... Read more

Imaging IT

view channel
Image: Photo of the virtual reality device mobile diagnostic imaging (Photo courtesy of RSNA).

Prototype of Virtual Reality Device with Potential for Diagnostic Imaging Presented

A prototype of a high-resolution mobile Virtual Reality (VR) diagnostic imaging device for radiologists was presented at the annual Radiological Society of North America (RSNA 2015) meeting in Chicago (IL, USA).... Read more

Industry News

view channel

Radiology Oncology Surgical Robot Devices Sector Could Reach USD 7.3 Billion by 2022

A new report has been published indicating that worldwide market for radiology oncology surgical robots market is growing mainly due to an aging world population, and the benefits the new technology can offer. Radiology oncology surgical robot technology provides opportunities to change cancer treatment methods, including... Read more
Copyright © 2000-2016 Globetech Media. All rights reserved.