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The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
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Medical Radiology and Radiation Safety. 2018. Vol. 63. No. 5. P. 26 –32
NUCLEAR MEDICINE
DOI: 10.12737/article_5bc8968bb9d9a3.36167944
SPECT/CT in the Assessment of the Jaw Autograft Viability
A.D. Ryzhkov1, L.P. Yakovleva1, A.S. Krylov1, S.V. Shiryaev1, M.A. Kropotov2, V.A. Sobolevsky1, Yu.Yu. Dikov1, R.B. Azimova1, V.Yu. Ivashkov1
1. N.N. Blokhin Medical Research Center of Oncology. Moscow, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ; 2. A.S. Loginov Moscow Clinical Scientific Center. Moscow, Russia
A.D. Ryzhkov – Leading Researcher, Dr. Sc. Med.; L.P. Yakovleva – Head of the Dep., PhD Med, Member of RUSSCO, Member of the Russian Association of Endocrine Surgeons, Member of the Society of Specialists in the Treatment of Head and Neck Tumors; A.S. Krylov – Radiologist, PhD Med., Member of the European Association of Nuclear Medicine and Molecular Imaging (EANMMI); S.V. Shiryaev – Head of Lab., Dr. Sc. Med., President of the OSMI, Member of EANMMI, Member of ACNMMI, Member of SNMMI; M.A. Kropotov – Leading Researcher, Dr. Sc. Med., Head of Dep., Member of RUSSCO, Member of the Russian Association of Endocrine Surgeons, Member of the Society of Specialists in the Treatment of Head and Neck Tumors; V.A. Sobolevsky – Head of Dep., Dr. Sc. Med.; Yu.Yu. Dikov – Research Worker, PhD Med.; R.B. Azimova – Research Worker, PhD Med.; V.Yu. Ivashkov – Research Worker
Abstract
Purpose: To evaluate the effectiveness of SPECT/CT for the assessment of graft viability following revascularized bone grafts in patients with mandibular (18) and maxilla (1) reconstruction.
Material and methods: We investigated 19 patients with revascularized grafts from the fibula (16 patients), iliac crest (2 patients) and shoulder blade graft (1). For the follow up of all these patients, 99mTc-MDP bone scintigraphy and SPECT/CT was performed between 4–5 days postoperatively. The evaluation of the grafts was based on a comparison of tracer uptake between graft and the cranium.
Results: 17 of 19 grafts had an uncomplicated clinical course. Complications in the graft occurred in two patients. In the analysis of planar scintigrams with uncomplicated healing were showed correct assessment in 10 of 17 patients and in 1of 2 patients with signs of necrosis of graft fragments. SPECT/CT was performed in addition to planar imaging.
The increased uptake grafts were showed with SPECT/CT in all patients with uncomplicated clinical course. In the failed 2 grafts, decreased uptake was observed in both patients. In the analysis of SPECT/CT images the correct results were showed in all clinical cases.
Conclusion: SPECT/CT performed within 6 days after the mandibular reconstruction is a useful tool to monitor the viability and early complications of revascularized mandibular and maxilla bone grafts. SPECT/CT is also recommended to interpretation of the bone scans and to precise assessment of graft viability.
Key words: maxilla and mandible reconstruction, autograft viability, bone scintigraphy, SPECT/CT
REFERENCES
- Plotnikov NA (ed.). Bone plastic of the lower jaw. Moscow; 2003. 136 p. Russian.
- Matyakin EG. Reconstructive plastic surgery for head and neck tumors. Head and neck tumors: European School of Oncologists. Moscow; 1993. Russian.
- Nerobeev AI, Verbo EV, Karayan AS, Drobot GV. Substitution of defects in the lower zone of the face after removal of the mandibular neoplasms. Annals of plastic, reconstructive and aesthetic surgery. 1997;(3):24-31. Russian.
- Imasato S, Fukunishi K. Potential efficacy of GTR and autogenous bone grafts for autotransplantation to recipient sites with osseous defects: evaluation by re-entry procedure. Dent Traumatol. 2006;20(1):42-7. DOI:10.1111/j.1600-4469.2004.00227.x.
- Bauss O, Fenske C, Schilke R, Schwestka-Polly R. Autotransplantation of immature third molare into edentulous and atrophied jam sections. Int J Oral Maxillofac Surg. 2007;33(6):558-63. DOI:10.1016/j.ijom.2003.10.008.
- Behrens P, Schwaninger M, Meiss L. Calcium phosfate bone substitutte materials: a long term follow up. J Jone Joint Surg (Br). 2007;79:161-7.
- Hervas I, Floria LM, Bello P, et al. Microvascularized fibular graft for mandibular reconstruction. Detection of viability by bone scintigraphy and SPECT. Clin Nucl Med. 2001;26:225-9.
- Malizos KN, Soucacos PN, Vragalas V, et al. Three phase bone scanning and digital arteriograms for monitoring vascularized fibular grafts in femoral head necrosis. Fotopoulos Ant Angiol. 1995;14(3):319-26.
- Acton CH, Layt C, Gwynne R, et al. Investigative modalities of mandibular invasion by squamous cell carcinoma. Laryngoscope. 2000;110(12):2050-5. DOI:10.1097/00005537-200012000-00014.
- Aydogan F, Akbay E, Cevik C, Kalender E. Blood-pool SPECT in addition to bone SPECT in the viability assessment in mandibular reconstruction. Eur Rev Med Pharmacol Sci. 2014;18(4):587-92.
- Van Cann E, Koole R, Oyen W, et al. Assessment of mandibular invasion of squamous cell carcinoma by various modes of imaging: constructing a diagnostic algorithm. Int J Oral Maxillofac Surg. 2008;37:535–41. DOI:10.1016/j.ijom.2008.02.009.
- Ryzhkov AD, Yakovleva LP, Krylov AS, et al. Single-photon emission computed tomography (SPECT / CT) in assessing the viability of maxillary autografts in patients with malignant tumors of the head and neck. In the book: Collection of scientific works of the III Petersburg International Cancer Forum «White Nights 2017» FGBU «NN Petrov Research Institute of Oncology» of the Ministry of Health of Russia; 2017. 38 p. Russian.
- Buyukdereli G, Guney IB, Ozerdem G, Kesikstas E. Evaluation of vascularized graft reconstruction of the mandible with Tc-99m MDP bone scintigraphy. Ann Nucl Med. 2006;20(2):89-93.
For citation: Ryzhkov AD, Yakovleva LP, Krylov AS, Shiryaev SV, Kropotov MA, Sobolevsky VA, Dikov YuYu, Azimova RB, Ivashkov VYu. SPECT/CT in the Assessment of the Jaw Autograft Viability. Medical Radiology and Radiation Safety. 2018;63(5):26-32. Russian.
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