Features | Partner Sites | Information | LinkXpress
Sign In
Schiller
ElsMed
Agfa Healthcare

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: Calyspo - GPS for the body (Photo courtesy of Varian).

Soft Tissue Radiotherapy Real-Time Tracking Device Receives Approval

New US clearance expands the indications for which clinicians will be able to use a real-time tracking device for monitoring motion during radiotherapy treatments for cancer. Varian Medical Systems... Read more

Ultrasound

view channel
Image: The Vivid T8 cardiovascular ultrasound system offers quantitative features such as stress echo and transesophageal echocardiography (TEE) capabilities (Photo courtesy of GE Healthcare).

Mobile, Cardiovascular Ultrasound Features Stress Echo and Transesophageal Echocardiography Capabilities

A 58.5-kg mobile cardiovascular ultrasound system features innovative quantitative features such as stress echo, and transesophageal echocardiography (TEE) capabilities, designed for healthcare providers... Read more

Nuclear medicine

view channel

Simplified Alzheimer’s Disease Diagnosis Using PET Imaging and More Effective Criteria

According to French investigators, over one-third of patients receive an incorrect diagnosis of Alzheimer’s disease (AD). To reduce the number of errors, the diagnostic criteria available must be the most reliable possible, especially at the very early stages of the disease. For the past 10 years, an international team... Read more

General/Advanced Imaging

view channel

Diagnostic Imaging Tests Ordered by General Practitioners in Australia Nearly Double in 10 Years

A 45% increase in diagnostic imaging tests ordered by Australian general practitioners (GPs) is being fueled by increasing GP visits, an escalating number of problems managed at doctor visits, and a higher probability that GPs order imaging tests for these problems, according to a new study. Based on a long-term national... Read more

Imaging IT

view channel

Virtual Finger Helps Study 3D Images Faster

A new digital navigation technology allows users to sift through three-dimensional (3D) images more efficiently and comprehensively than previous technology. The Virtual Finger (VF), developed at the Allen Institute for Brain Science (Seattle, WA, USA), aids scientists and researchers move through digital images of small... Read more

Industry News

view channel

Hosting and Distribution Collaboration Established to Provide Radiation Dose Monitoring

PHS Technologies Group, LLC (Scottsdale, AZ, USA), a unit of PACSHealth, LLC, and a developer of software that monitors patient exposure to ionizing radiation, reported that Dell Healthcare and Life Sciences (Round Rock, TX, USA) will become a marketing, distribution, and hosting partner for its DoseMonitor OnLine software.... Read more
 
Copyright © 2000-2014 Globetech Media. All rights reserved.