BACKGROUND: *Equal @entity79 ( @entity79 ) is often advocated for diagnosing occult scaphoid @entity174 . @entity79 is a sensitive diagnostic modality, but lacks specificity, which may result in over-diagnosis. PURPOSE: To examine, in a pilot study, the potential additional value of single photon emission computed tomography (SPECT) combined with low dose computed tomography (CT) for the diagnosis of an @entity174 . MATERIAL AND METHODS: Ten @entity1 that underwent combined @entity79 and SPECT/CT for a clinically suspected @entity174 , where radiographs could not detect a @entity174 , were included in this pilot study. The @entity79 and SPECT/CT results were independently and separately evaluated by a nuclear physician for scaphoid @entity174 and other injuries. RESULTS: @entity79 was positive for a @entity174 in four @entity1 and diagnosed three other @entity174 . SPECT/CT showed five scaphoid @entity174 and one other @entity174 . SPECT/CT - @entity79 had discrepant results in three @entity1 . In two @entity1 @entity79 diagnosed a trapezoid @entity174 where SPECT/CT showed a @entity174 . The other @entity1 was diagnosed with a @entity174 on @entity79 , whereas SPECT/CT showed @entity79 of other carpal bones. CONCLUSION: SPECT/CT has the potential to be more accurate than @entity79 as it uses anatomical information of the CT to discriminate between the scaphoid, other carpal bones, and @entity79 . Larger studies with an independent reference standard are needed for confirmation of these preliminary data.

Initial experience of SPECT/CT in the diagnosis of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity79 :: ('MESH:D001847', 'Disease') :: ['contributors.Planar bone scintigraphy', 'PBS', 'bone bruise', 'bone bruises'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'occult scaphoid fracture', 'fracture', 'scaphoid fracture']
@entity174 :: (MESH:D050723,Disease) :: ['occult scaphoid fracture']
