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Superscan Pattern on Bone Scintigraphy: A Comprehensive Review Publisher



Askari E1 ; Shakeri S1 ; Roustaei H1, 2 ; Fotouhi M3 ; Sadeghi R1 ; Harsini S4 ; Vali R5
Authors
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Authors Affiliations
  1. 1. Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, 13944-91388, Iran
  2. 2. Division of Molecular Imaging and Theranostics, Department of Nuclear Medicine, University Hospital, Paracelsus Medical University, Salzburg, 5020, Austria
  3. 3. Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, 1419733141, Iran
  4. 4. BC Cancer Research Institute, Vancouver, V5Z 1LL3, BC, Canada
  5. 5. Department of Nuclear Medicine, The Hospital for Sick Children, University of Toronto, Toronto, M4N 3M5, ON, Canada

Source: Diagnostics Published:2024


Abstract

Background/Objectives: The superscan pattern is a characteristic finding on bone scintigraphy, associated with a variety of metabolic bone diseases, malignancies, and other conditions. This pattern is characterized by a diffuse and intense uptake of radiotracer throughout the entire skeleton. Despite being a relatively rare finding, the superscan pattern can have significant clinical implications. Methods: This comprehensive review summarizes the available literature on the superscan pattern, focusing on its pathophysiology, clinical significance, and differential diagnoses. Relevant studies and case reports were analyzed to outline the diagnostic challenges associated with the interpretation of bone scintigraphy featuring the superscan pattern. Results: The literature highlights the clinical significance of the superscan pattern in various metabolic and oncologic conditions. Misinterpretation of this pattern can lead to diagnostic challenges, especially in distinguishing it from other pathologic conditions. Differential diagnosis remains crucial in the accurate interpretation and subsequent management of patients with this finding. Conclusions: This review provides a comprehensive overview of the superscan pattern on bone scintigraphy, aiming to assist clinicians in recognizing and managing this rare yet clinically important finding. © 2024 by the authors.