Use of Hybrid Imaging Techniques in Diagnosis of Facet Joint Arthropathy: A Narrative Review of Three Modalities

Yagiz Ugur Yolcu, Vance T. Lehman, Atiq ur Rehman Bhatti, Anshit Goyal, Mohammed Ali Alvi, Mohamad Bydon

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Facet joint osteoarthritis/arthropathy of the spine is a common cause of back and neck pain that frequently overlaps clinically with other diseases of the spine. Because of the possible overlap, it is crucial to have an accurate diagnostic strategy, especially when determining the management approach. Various strategies have been suggested and adopted, with several these still being used in clinics. Over the years, because of the disadvantages of single-modality imaging methods (computed tomography, magnetic resonance imaging, single-photon emission computed tomography), the interest in radiologic examination started to move toward hybrid imaging techniques. Although the data are mixed, many initial studies have shown promise. However, there are relatively few data with comparative medial branch blocks, and further investigation is needed. Given the advantages and disadvantages of these new techniques, the imaging results have to be interpreted within clinical context and with consideration of the current state of knowledge in the decision-making process.

Original languageEnglish (US)
Pages (from-to)201-210
Number of pages10
JournalWorld neurosurgery
Volume134
DOIs
StatePublished - Feb 2020

Keywords

  • Diagnosis
  • Facet arthropathy
  • Facet joint
  • PET/CT
  • PET/MRI
  • SPECT/CT
  • Spine surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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