Fig. 4
From: Impact of metal implants on xSPECT/CT Bone reconstruction: the “shining metal artefact”
xSPECT Bone “shining metal artefact” in the cervical spine. SPECT/CT images of a 48-year-old female patient 10 months after operation of cervical spine with insertion of disc replacement devices. MIP image with xSPECT Bone reconstruction (d), fused sagittal SPECT/CT (e) and fused 3D reconstruction (f) show high “pseudouptake” of the disc replacements. Corresponding images (a–c) with conventional Flash3D reconstruction show no such increased uptake in the metal implants but increased uptake in the proximal vertebral bodies and facet joint osteoarthritis. Facet joint infiltration was performed as a consequence of the SPECT/CT results