Craniosynostosis: correlation of bone scans, radiographs, and surgical findings

Skull scintigraphy was performed in 68 children with suspected craniosynostosis after injection of technetium-99m methylene diphosphonate. The scans demonstrated four patterns of sutural activity: normal, absent, increased, and wide. When correlated with surgical findings, "absent" indicat...

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Bibliographic Details
Published inRadiology Vol. 133; no. 3 Pt 1; p. 615
Main Authors Tait, M V, Gilday, D L, Ash, J M, Boldt, D J, Harwood-Nash, D C, Fitz, C R, Barry, J
Format Journal Article
LanguageEnglish
Published United States 01.12.1979
Subjects
Child, Preschool
Craniosynostoses - diagnostic imaging
Craniosynostoses - pathology
Diagnosis, Differential
Diphosphonates
Humans
Infant
Radiography
Radionuclide Imaging
Skull - diagnostic imaging
Skull - pathology
Technetium
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Summary:Skull scintigraphy was performed in 68 children with suspected craniosynostosis after injection of technetium-99m methylene diphosphonate. The scans demonstrated four patterns of sutural activity: normal, absent, increased, and wide. When correlated with surgical findings, "absent" indicated fused sutures, "increased" indicated fusing hyperactive sutures or sutures reacting to fusion elsewhere, and "wide" indicated splite sutures. Upon correlation with the radiographs, it was found that when the radiograph was normal, the scan contributed little; when the radiograph was abnormal or equivocal, the scan was often of great assistance in confirming fused sutures and detecting other abnormal sutures.
ISSN:0033-8419
DOI:10.1148/133.3.615