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Online Published: 28 Sep 2024
 


Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia

Farkhanda Gillani, Shagufta Kanwal, Warda Ahmad, Nayyar Rubab, Mariha Aslam, Muhammad Babar Imran, Muhammad Shahzad Afzal.


Abstract
Background: Condylar hyperplasia (CH) is excessive growth of either mandibular condyle leading to facial asymmetry [1]. The aim of this study was to access the condylar growth by 99mTc-MDP SPECT-CT bone scan, and compared the results with age matched control groups.
Methods: 57 patients of age 10-30 years were enrolled, 26/57 were diseased with CH and 31/57 belong to control group. Both groups were divided into group A (10-20 years) and group B (21-30years). All underwent 99mTc-MDP SPECT-CT bone scan of head region. The condyle to L4 vertebra ratio on planner and condyle to clivus ratio on summed SPECT images were measured. The mandibular deviation was measured in diseased group on the coronal view of 3D CT reconstruction image of the head. Results: Both SPECT and planner parameters classified 17/26 patients as active CH. The mean condyle to clivus ratio and condyle to L4 vertebra ratio of active condyles is higher than control group, (p = <0.005). The mean condyle to L4 ratio and condyle to clivus ratio among the control group A and B showed significant difference among age decade groups (P value <0.05) with moderate negative correlation with age. The amount of mandibular deviation among the active and inactive cases showed no significant difference. Conclusion: Both planner and SPECT images showed comparable results with higher mean condylar ratios in active cases compared to age matched control groups. The condylar ratios decrease with increasing age in control group, and found to be significantly different among two age decade groups. The amount of mandibular deviation is not predictive of active or inactive cases of CH.

Key words: Condylar hyperplasia, bone scan, SPECT-CT, Condyle to clivus ratio.


 
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How to Cite this Article
Pubmed Style

Gillani F, Kanwal S, Ahmad W, Rubab N, Aslam M, Imran MB, Afzal MS. Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia. Pak J Nucl Med. 2024; 14(1): 08-16. doi:10.24911/PJNMed.175-1670480418

Web Style

Gillani F, Kanwal S, Ahmad W, Rubab N, Aslam M, Imran MB, Afzal MS. Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia. https://www.pjnmed.com/?mno=93204 [Access: June 27, 2026]. doi:10.24911/PJNMed.175-1670480418

AMA (American Medical Association) Style

Gillani F, Kanwal S, Ahmad W, Rubab N, Aslam M, Imran MB, Afzal MS. Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia. Pak J Nucl Med. 2024; 14(1): 08-16. doi:10.24911/PJNMed.175-1670480418


Vancouver/ICMJE Style

Gillani F, Kanwal S, Ahmad W, Rubab N, Aslam M, Imran MB, Afzal MS. Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia. Pak J Nucl Med. (2024), [cited June 27, 2026]; 14(1): 08-16. doi:10.24911/PJNMed.175-1670480418


Harvard Style

Gillani, F., Kanwal, . S., Ahmad, . W., Rubab, . N., Aslam, . M., Imran, . M. B. & Afzal, . M. S. (2024) Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia. Pak J Nucl Med, 14 (1), 08-16. doi:10.24911/PJNMed.175-1670480418


Turabian Style

Gillani, Farkhanda, Shagufta Kanwal, Warda Ahmad, Nayyar Rubab, Mariha Aslam, Muhammad Babar Imran, and Muhammad Shahzad Afzal. 2024. Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia. Pakistan Journal of Nuclear Medicine, 14 (1), 08-16. doi:10.24911/PJNMed.175-1670480418


Chicago Style

Gillani, Farkhanda, Shagufta Kanwal, Warda Ahmad, Nayyar Rubab, Mariha Aslam, Muhammad Babar Imran, and Muhammad Shahzad Afzal. "Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia." Pakistan Journal of Nuclear Medicine 14 (2024), 08-16. doi:10.24911/PJNMed.175-1670480418


MLA (The Modern Language Association) Style

Gillani, Farkhanda, Shagufta Kanwal, Warda Ahmad, Nayyar Rubab, Mariha Aslam, Muhammad Babar Imran, and Muhammad Shahzad Afzal. "Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia." Pakistan Journal of Nuclear Medicine 14.1 (2024), 08-16. Print. doi:10.24911/PJNMed.175-1670480418


APA (American Psychological Association) Style

Gillani, F., Kanwal, . S., Ahmad, . W., Rubab, . N., Aslam, . M., Imran, . M. B. & Afzal, . M. S. (2024) Tc99m-MDP SPECT-CT Bone Scintigraphy in the Diagnosis of Unilateral Condylar Hyperplasia. Pakistan Journal of Nuclear Medicine, 14 (1), 08-16. doi:10.24911/PJNMed.175-1670480418




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