Indikationen und Wertigkeit der Skelettszintigraphie im Vergleich zur Magnetresonanztomographie (MRT)

Zusammenfassung

Mit zunehmender Verbreitung der radiologischen Schnittbilddiagnostik (CT/MRT) und der nuklearmedizinischen PET und PET/CT stellt sich die Frage nach den verbleibenden Indikationen für die klassische Skelettszintigraphie. Insbesondere die kürzlich eingeführte Ganzkörper-MRT stellt eine attraktive Alternative zur Skelettszintigraphie dar, da sie in der Lage ist, auch isolierte Knochenmarksherde und extraossäre Läsionen zu detektieren. Im Rahmen dieser Übersicht werden indikationsbezogen die Stärken und Limitationen von MRT und Skelettszintigraphie vorgestellt und diskutiert. Ferner wird auf den komplementären Einsatz beider Modalitäten bei speziellen Fragestellungen hingewiesen.

Abstract

With increasing use of cross-sectional imaging (CT/MRI) in radiology as well as PET and PET/CT in nuclear medicine, remaining indications for bone scintigraphy are in question. Recently introduced whole-body MRI represents an attractive alternative to bone scintigraphy, as MRI is additionally able to assess lesions that are limited to bone marrow and are located extraosseously. In this overview, indication-related strengths and limitations of MRI and bone scintigraphy are presented and discussed. Furthermore, complementary use of both modalities for special clinical questions is demonstrated.

Schlüsselwörter

Skelettszintigraphie - MRT - Indikationen

Key words

bone scintigraphy - MRI - indications

Literatur

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