Craniosynostosis: Correlation of Bone Scans, Radiographs, and Surgical Findings

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Abstract
Skull scintigraphy was performed in 68 children with suspected craniosynostosis after injection of 99mTc methylene diphosphonate. The scans demonstrated 4 patterns of sutural activity: normal, absent, increased and wide. When correlated with surgical findings, absent indicated fused sutures, increased indicated fusing hyperactive sutures or sutures reacting to fusion elsewhere and wide indicated split sutures. Upon correlation with the radiographs, it was found that when the radiograph was normal, the scan contributed little. When the radiograph was abnormal or equivocal, the scan was often of great assistance in confirming fused sutures and detecting other abnormal sutures.

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