Table 4

Relevant scan properties of [99mTc]Tc-HDP SPECT/CT or PET/CT versus MRI for initial evaluation of adult CNO

Feature[99mTc]Tc-HDP SPECT/CT or PET/CTMRI
Detection of new bone formationVery goodFair
Detection of bone inflammationFair (visualised through bone turnover)Good
Detection of soft tissue inflammationPoorGood
Ease of performanceGoodFair
Ease of interpretationFairPoor
Ionising radiationConsiderableNone
ContraindicationsFewMetal, claustrophobia
  • CNO, chronic non-bacterial osteitis; [99mTc]Tc-HDP SPECT/CT, technetium-labelled hydroxymethylene diphosphonate single positron emission CT; PET, positron emission tomography.