TY - JOUR
T1 - Clinical utility of three-dimensional SPECT/CT imaging as a guide for the resection of medication-related osteonecrosis of the jaw
AU - Miyashita, Hidetaka
AU - Shiba, Hideyuki
AU - Kawana, Hiromasa
AU - Nakahara, Tadaki
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Abstract In recent years, proactive surgical treatment has been reported to be effective for medication-related osteonecrosis of the jaw (MRONJ). However, an uncertain resection entails the risk of recurrence, whereas an extensive surgical procedure may lead to a marked reduction in quality of life as a result of reduced masticatory function and poor cosmesis. Therefore, radiological assessment can be helpful to accurately localize MRONJ before surgery. The integrated single-photon emission computed tomography and computed tomography system (SPECT/CT) allows oral and maxillofacial surgeons to identify an area of MRONJ, especially when three-dimensional (3D) SPECT and CT fusion images are offered. A patient for whom 3D SPECT and CT image fusion (as developed in the radiology department of the study institution) contributed to determining the extent of the lesion, thereby leading to a favourable patient prognosis, is reported herein. There was exact correlation between the histological and radiological results.
AB - Abstract In recent years, proactive surgical treatment has been reported to be effective for medication-related osteonecrosis of the jaw (MRONJ). However, an uncertain resection entails the risk of recurrence, whereas an extensive surgical procedure may lead to a marked reduction in quality of life as a result of reduced masticatory function and poor cosmesis. Therefore, radiological assessment can be helpful to accurately localize MRONJ before surgery. The integrated single-photon emission computed tomography and computed tomography system (SPECT/CT) allows oral and maxillofacial surgeons to identify an area of MRONJ, especially when three-dimensional (3D) SPECT and CT fusion images are offered. A patient for whom 3D SPECT and CT image fusion (as developed in the radiology department of the study institution) contributed to determining the extent of the lesion, thereby leading to a favourable patient prognosis, is reported herein. There was exact correlation between the histological and radiological results.
KW - dental implantation
KW - medication-related osteonecrosis of the jaw
KW - quality of life
KW - three-dimensional SPECT/CT
KW - two-stage operation
UR - http://www.scopus.com/inward/record.url?scp=84938747551&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938747551&partnerID=8YFLogxK
U2 - 10.1016/j.ijom.2015.05.002
DO - 10.1016/j.ijom.2015.05.002
M3 - Article
C2 - 26008732
AN - SCOPUS:84938747551
VL - 44
SP - 1106
EP - 1109
JO - International Journal of Oral and Maxillofacial Surgery
JF - International Journal of Oral and Maxillofacial Surgery
SN - 0901-5027
IS - 9
M1 - 3160
ER -