Advances in Imaging (Intraop Cone-Beam Computed Tomography, Synthetic Computed Tomography, Bone Scan, Low-Dose Protocols)

Neurosurg Clin N Am. 2024 Apr;35(2):161-172. doi: 10.1016/j.nec.2023.11.007. Epub 2023 Dec 29.

Abstract

Spine surgery has seen a rapid advance in the refinement and development of 3-dimensional and nuclear imaging modalities in recent years. Cone-beam CT has proven to be a valuable tool for improving the accuracy of pedicle screw placement. The use of synthetic CT and low-dose CT have also emerged as modalities which allow for little to no radiation while streamlining imaging workflows. Bone scans also serve to provide functional information about bone metabolism in both the preoperative and postoperative monitoring phases.

Keywords: Bone scan; Cone beam CT; Low-dose CT; Spine imaging; Synthetic CT.

Publication types

  • Review

MeSH terms

  • Cone-Beam Computed Tomography / methods
  • Humans
  • Pedicle Screws*
  • Radiation Dosage
  • Tomography, X-Ray Computed* / methods