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Fig. 5 | European Journal of Hybrid Imaging

Fig. 5

From: Impact of metal implants on xSPECT/CT Bone reconstruction: the “shining metal artefact”

Fig. 5

xSPECT Bone “shining metal artefact” in the knee. SPECT/CT images of a 77-year-old female patient 17 years after insertion of a knee arthroplasty. MIP image with xSPECT Bone reconstruction (d), fused sagittal SPECT/CT (e) and fused 3D reconstruction (f) show high “pseudouptake” of the tibial and femoral arthroplasty components. Corresponding images (ac) with conventional Flash3D reconstruction show no such abnormal radiotracer uptake in and around the metal implants but only true increased uptake in the adjacent bone and patella. Conservative treatment with physiotherapy was initiated after the SPECT/CT

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