Imaging Atlas of Osseous Pathology in the Ankle and Foot

Document Type : PERSPECTIVE

Authors

1 Nuclear Medicine Research Center, Mashhad University of Medical Science, Mashhad, Iran

2 Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/abjs.2026.93807.4233

Abstract

This study aimed to characterize the imaging patterns of osseous pathologies of the ankle and foot using bone scintigraphy and 99mTc-MDP SPECT/CT.  Illustrative cases of traumatic, degenerative, infectious, metabolic, and neoplastic lesions were evaluated. The findings of bone scintigraphy and SPECT/CT were compared with those of radiography, CT, and MRI. SPECT/CT improved the localization and characterization of lesions in the anatomically complex ankle–foot region. Distinguishing normal from abnormal uptake patterns helped reduce potential misdiagnoses. 99mTc-MDP bone scintigraphy and SPECT/CT are valuable imaging modalities for detecting and characterizing ankle and foot pathologies, enhancing diagnostic confidence and guiding clinical management.
        Level of evidence: V

Keywords

Main Subjects

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The Archives of Bone and Joint Surgery
Volume 14, Issue 4
April 2026
Pages 321-328

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History

  • Receive Date: 11 January 2026
  • Accept Date: 02 February 2026

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