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Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence
Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence
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Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence
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Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence
Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence

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Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence
Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence
Journal Article

Two decades of SPECT/CT – the coming of age of a technology: An updated review of literature evidence

2019
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Overview
PurposeSingle-photon emission computed tomography (SPECT) combined with computed tomography (CT) was introduced as a hybrid SPECT/CT imaging modality two decades ago. The main advantage of SPECT/CT is the increased specificity achieved through a more precise localization and characterization of functional findings. The improved diagnostic accuracy is also associated with greater diagnostic confidence and better inter-specialty communication.MethodsThis review presents a critical assessment of the relevant literature published so far on the role of SPECT/CT in a variety of clinical conditions. It also includes an update on the established evidence demonstrating both the advantages and limitations of this modality.ConclusionsFor the majority of applications, SPECT/CT should be a routine imaging technique, fully integrated into the clinical decision-making process, including oncology, endocrinology, orthopaedics, paediatrics, and cardiology. Large-scale prospective studies are lacking, however, on the use of SPECT/CT in certain clinical domains such as neurology and lung disorders. The review also presents data on the complementary role of SPECT/CT with other imaging modalities and a comparative analysis, where available.