Imaging Atlas of Osseous Pathology in the Ankle and Foot.

Sahafi, Pegah; Samadi, Mohammad Hadi; Mousavian, Alireza; Dabbagh Kakhki, Vahid Reza; Sadeghi, Ramin · Arch Bone Jt Surg · 2026

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Abstract

This study aimed to characterize the imaging patterns of osseous pathologies of the ankle and foot using bone scintigraphy and 99mTc-MDP SPECT/CT. Illustrative cases of traumatic, degenerative, infectious, metabolic, and neoplastic lesions were evaluated. The findings of bone scintigraphy and SPECT/CT were compared with those of radiography, CT, and MRI. SPECT/CT improved the localization and characterization of lesions in the anatomically complex ankle-foot region. Distinguishing normal from abnormal uptake patterns helped reduce potential misdiagnoses. 99mTc-MDP bone scintigraphy and SPECT/CT are valuable imaging modalities for detecting and characterizing ankle and foot pathologies, enhancing diagnostic confidence and guiding clinical management.