Prospective study of magnetic resonance imaging and SPECT bone scans in renal allograft recipients: Evidence for a self-limited subclinical abnormality of the hip

A. R. Siddiqui, K. K. Kopecky, H. N. Wellman, H. M. Park, E. M. Braunstein, K. D. Brandt, E. C. Klatte, William Capello, S. B. Leapman, R. S. Filo

Research output: Contribution to journalArticle

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Abstract

We recently reported that typical abnormalities of avascular necrosis (AVN) in magnetic resonance images (MRI) of the hips of asymptomatic renal transplant recipients whose plain radiographs are normal may improve spontaneously and even disappear completely. We present the results of serial bone scans, most of which were performed with single-photon emission computed tomography obtained over periods as long as 24 mo after transplantation in 72 of these patients. Three paired imaging studies (i.e., MR and bone scan performed within 30 days of each other) were available for each of these patients. In three patients, both the MR images and the bone scans showed changes consistent with bilateral AVN within 4 mo after transplantation. All three patients developed hip pain which was bilateral in two and unilateral in one. Two patients (three hips) required surgical intervention at which time AVN was found on pathologic examination of all three hips. None of the remaining 69 patients developed hip pain during the study. However, in nine patients whose MR studies were consistently normal, at least one bone scan was abnormal (13 hips). The presence of AVN was pathologically confirmed in each of the hips subjected to surgery. Where the imaging findings were identical to those in the asymptomatic patients as well as those in whom the imaging abnormality regressed, we suggest that the subclinical imaging abnormalities represent mild AVN, which is reversible in some cases. Since the process was identified in 10 hips by MRI and in 13 hips by bone scan, both studies are needed to detect subclinical AVN. This may be important if treatment of subclinical disease is clearly shown to prevent progression to symptomatic AVN.

Original languageEnglish
Pages (from-to)381-386
Number of pages6
JournalJournal of Nuclear Medicine
Volume34
Issue number3
StatePublished - 1993

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Single-Photon Emission-Computed Tomography
Allografts
Hip
Magnetic Resonance Imaging
Prospective Studies
Necrosis
Kidney
Bone and Bones
Magnetic Resonance Spectroscopy
Transplantation
Pelvic Bones
Pain

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Siddiqui, A. R., Kopecky, K. K., Wellman, H. N., Park, H. M., Braunstein, E. M., Brandt, K. D., ... Filo, R. S. (1993). Prospective study of magnetic resonance imaging and SPECT bone scans in renal allograft recipients: Evidence for a self-limited subclinical abnormality of the hip. Journal of Nuclear Medicine, 34(3), 381-386.

Prospective study of magnetic resonance imaging and SPECT bone scans in renal allograft recipients : Evidence for a self-limited subclinical abnormality of the hip. / Siddiqui, A. R.; Kopecky, K. K.; Wellman, H. N.; Park, H. M.; Braunstein, E. M.; Brandt, K. D.; Klatte, E. C.; Capello, William; Leapman, S. B.; Filo, R. S.

In: Journal of Nuclear Medicine, Vol. 34, No. 3, 1993, p. 381-386.

Research output: Contribution to journalArticle

Siddiqui, AR, Kopecky, KK, Wellman, HN, Park, HM, Braunstein, EM, Brandt, KD, Klatte, EC, Capello, W, Leapman, SB & Filo, RS 1993, 'Prospective study of magnetic resonance imaging and SPECT bone scans in renal allograft recipients: Evidence for a self-limited subclinical abnormality of the hip', Journal of Nuclear Medicine, vol. 34, no. 3, pp. 381-386.
Siddiqui, A. R. ; Kopecky, K. K. ; Wellman, H. N. ; Park, H. M. ; Braunstein, E. M. ; Brandt, K. D. ; Klatte, E. C. ; Capello, William ; Leapman, S. B. ; Filo, R. S. / Prospective study of magnetic resonance imaging and SPECT bone scans in renal allograft recipients : Evidence for a self-limited subclinical abnormality of the hip. In: Journal of Nuclear Medicine. 1993 ; Vol. 34, No. 3. pp. 381-386.
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