Fig. 3
From: Impact of metal implants on xSPECT/CT Bone reconstruction: the “shining metal artefact”
xSPECT Bone “shining metal artefact” in the shoulder. SPECT/CT images of a 57-year-old male patient with pain in the left shoulder 3 years after osteosynthesis of a scapula fracture and two ribs. MIP image with xSPECT Bone reconstruction (d), fused coronal SPECT/CT (e) and fused 3D reconstruction (f) show high “pseudouptake” of the plates and screws in the scapula and increased uptake around the non-union. “Pseudouptake” of the screws and plate in the ribs. Corresponding images (a–c) with conventional Flash3D reconstruction show no increased uptake of the radiotracer around the screws but active remodelling in the adjacent scapular bone around the non-union and no uptake in the ribs. Besides non-union, the patient suffered from neuropathic pain and conservative therapy was initiated