Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional study

Abstract Background The long time required for bone uptake of radiopharmaceutical material after injection for bone scintigraphy is a burden for patients with poor health. Thus, to assess whether the uptake time could be reduced for single-photon emission computed tomography (SPECT) of the jawbone,...

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Main Authors: Hironobu Hata, Satoshi Shimomura, Kenji Imamachi, Jun Sato, Takuya Asaka, Kenji Hirata, Kyousuke Funayama, Yoichi Mori, Masashi Matsuzaka, Toshikazu Nambu, Yoshimasa Kitagawa
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-024-04067-2
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author Hironobu Hata
Satoshi Shimomura
Kenji Imamachi
Jun Sato
Takuya Asaka
Kenji Hirata
Kyousuke Funayama
Yoichi Mori
Masashi Matsuzaka
Toshikazu Nambu
Yoshimasa Kitagawa
author_facet Hironobu Hata
Satoshi Shimomura
Kenji Imamachi
Jun Sato
Takuya Asaka
Kenji Hirata
Kyousuke Funayama
Yoichi Mori
Masashi Matsuzaka
Toshikazu Nambu
Yoshimasa Kitagawa
author_sort Hironobu Hata
collection DOAJ
description Abstract Background The long time required for bone uptake of radiopharmaceutical material after injection for bone scintigraphy is a burden for patients with poor health. Thus, to assess whether the uptake time could be reduced for single-photon emission computed tomography (SPECT) of the jawbone, this study evaluated differences in maximum standardized uptake values (SUVmax) within patients using SPECT imaging at 2 and 3 hours after radiopharmaceutical injection. Methods A total of 33 patients undergoing treatment or in post-treatment follow-up for medication-related osteonecrosis of the jaw, who visited our hospital between July 2020 and August 2021 and could receive SPECT twice on the same day, were enrolled in the study. Patients were injected with technetium-99 m hydroxymethylene diphosphonate (Tc-99 m HMDP) intravenously. The SUVmax for healthy parietal bones and jawbone lesions were calculated from the SPECT images using quantitative analysis software, and the SUVmax were compared between 2- and 3-hour uptake times. Results After exclusion, 30 patients were included in the study. In the 2-hour and 3-hour images, the median SUVmax of the parietal bones were 1.90 and 1.81, respectively, and those of the jawbone lesions were 9.25 and 9.39, respectively. The limits of agreement (LOA) ranged from − 0.33 to 0.25 in the parietal bones, and the %LOA ranged from − 9.8 to 17.3% in the jawbone lesions, showing high equivalence between the two uptake durations. The SUVmax showed no clinical differences between the 2- and 3-hour uptake durations for Tc-99 m HMDP SPECT of the jawbone. Conclusions The results of this study justify a 2–3-hour uptake window when performing quantitative SPECT of the jawbone. Therefore, the minimum uptake time can potentially be reduced to only 2 hours.
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spelling doaj.art-8a411c5b75a443e2ac319f96c63c6fb12024-03-05T20:33:12ZengBMCBMC Oral Health1472-68312024-03-0124111010.1186/s12903-024-04067-2Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional studyHironobu Hata0Satoshi Shimomura1Kenji Imamachi2Jun Sato3Takuya Asaka4Kenji Hirata5Kyousuke Funayama6Yoichi Mori7Masashi Matsuzaka8Toshikazu Nambu9Yoshimasa Kitagawa10Department of Dentistry and Oral Surgery, NHO Hokkaido Cancer CenterDepartment of Radiology, NHO Hokkaido Cancer CenterDepartment of Dentistry and Oral Surgery, NHO Hokkaido Cancer CenterOral Diagnosis and Medicine, Department of Oral Pathobiological Science, Faculty of Dental Medicine, Hokkaido UniversityOral Diagnosis and Medicine, Department of Oral Pathobiological Science, Faculty of Dental Medicine, Hokkaido UniversityDepartment of Diagnostic Imaging, Graduate School of Medicine, Hokkaido UniversityDepartment of Radiology, NHO Hokkaido Cancer CenterDepartment of Radiology, NHO Hokkaido Cancer CenterClinical Research Support Centre, Hirosaki University HospitalDepartment of Radiology, NHO Hokkaido Cancer CenterOral Diagnosis and Medicine, Department of Oral Pathobiological Science, Faculty of Dental Medicine, Hokkaido UniversityAbstract Background The long time required for bone uptake of radiopharmaceutical material after injection for bone scintigraphy is a burden for patients with poor health. Thus, to assess whether the uptake time could be reduced for single-photon emission computed tomography (SPECT) of the jawbone, this study evaluated differences in maximum standardized uptake values (SUVmax) within patients using SPECT imaging at 2 and 3 hours after radiopharmaceutical injection. Methods A total of 33 patients undergoing treatment or in post-treatment follow-up for medication-related osteonecrosis of the jaw, who visited our hospital between July 2020 and August 2021 and could receive SPECT twice on the same day, were enrolled in the study. Patients were injected with technetium-99 m hydroxymethylene diphosphonate (Tc-99 m HMDP) intravenously. The SUVmax for healthy parietal bones and jawbone lesions were calculated from the SPECT images using quantitative analysis software, and the SUVmax were compared between 2- and 3-hour uptake times. Results After exclusion, 30 patients were included in the study. In the 2-hour and 3-hour images, the median SUVmax of the parietal bones were 1.90 and 1.81, respectively, and those of the jawbone lesions were 9.25 and 9.39, respectively. The limits of agreement (LOA) ranged from − 0.33 to 0.25 in the parietal bones, and the %LOA ranged from − 9.8 to 17.3% in the jawbone lesions, showing high equivalence between the two uptake durations. The SUVmax showed no clinical differences between the 2- and 3-hour uptake durations for Tc-99 m HMDP SPECT of the jawbone. Conclusions The results of this study justify a 2–3-hour uptake window when performing quantitative SPECT of the jawbone. Therefore, the minimum uptake time can potentially be reduced to only 2 hours.https://doi.org/10.1186/s12903-024-04067-2SPECTQuantitative analysisMRONJUptake timeJawbone
spellingShingle Hironobu Hata
Satoshi Shimomura
Kenji Imamachi
Jun Sato
Takuya Asaka
Kenji Hirata
Kyousuke Funayama
Yoichi Mori
Masashi Matsuzaka
Toshikazu Nambu
Yoshimasa Kitagawa
Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional study
BMC Oral Health
SPECT
Quantitative analysis
MRONJ
Uptake time
Jawbone
title Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional study
title_full Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional study
title_fullStr Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional study
title_full_unstemmed Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional study
title_short Stability of standardized uptake values for quantitative bone SPECT for jawbone lesions: a single-center cross-sectional study
title_sort stability of standardized uptake values for quantitative bone spect for jawbone lesions a single center cross sectional study
topic SPECT
Quantitative analysis
MRONJ
Uptake time
Jawbone
url https://doi.org/10.1186/s12903-024-04067-2
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