INTRODUCTION: Conventional radiologic modalities provide details only about the anatomic aspect of the various structures of the spine. Frequently the structures that show abnormal morphology may not be the cause of @entity1643 ( @entity1643 ). Functional imaging in the form of bone scan along with single photon emission computerized tomography (SPECT/CT) may be helpful in identifying structures causing @entity158 , whether morphologically normal or not. The objective of this study is to evaluate the role of bone scan with SPECT/CT in management of @entity1 with @entity1643 . METHODS: This is randomized double-blinded controlled study performed on 80 @entity1 with @entity1643 aged 20 to 80 years, ASA physical status I to III. @entity1 were randomized into bone scan and control groups consisting of 40 @entity1 each. On the basis of the clinical features and radiologic findings a clinical diagnosis was made. After making a clinical diagnosis, the @entity1 in bone scan group were subjected to bone scan with SPECT/CT. On the basis of the finding of the bone scan and SPECT/CT, a new working diagnosis was made and intervention was performed according to the new working diagnosis. @entity616 in the control group were given based on clinical diagnosis. Controlled comparative diagnostic blocks were performed with local anesthetic. The @entity158 score just after the diagnostic block and at the time of discharge (approximately 4 h later) was recorded; the @entity158 relief was recorded in percentage. RESULTS: In both the groups, sacroilitis was the most common diagnosis followed by facet joint @entity2720 . The number of @entity1 obtaining @entity158 relief of >50% was significantly higher in the bone scan-positive group as compared with the control group. Three new clinical conditions were identified in the bone scan group. These conditions were @entity1582 , @entity2530 of the @entity2738 , and @entity1691 . CONCLUSIONS: Bone scan with SPECT/CT was found to complement the clinical workup of @entity1 with @entity1643 . Inclusion of bone scan with SPECT/CT in @entity1643 management protocol can help in making a correct diagnosis. At times it might bring out some new information that may be vital for further management of the @entity1 with @entity1643 .

Evaluation of Efficacy of Bone Scan With SPECT/CT in the Management of Low Back XXXX : A Study Supported by Differential Diagnostic Local Anesthetic Blocks.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1643 :: ('MESH:D017116', 'Disease') :: ['low back pain', 'LBP'] @entity1582 :: ('MESH:D009101', 'Disease') :: ['multiple myeloma'] @entity1691 :: ('MESH:D013167', 'Disease') :: ['ankylosing spondylitis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity2720 :: ('MESH:D007592', 'Disease') :: ['arthropathy'] @entity2738 :: ('MESH:D005271', 'Disease') :: ['femoral head'] @entity616 :: ('MESH:D006327', 'Disease') :: ['Diagnostic blocks'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity158 :: (MESH:D010146,Disease) :: ['Pain']
