ClinicalTrials.gg
Not yet recruitingNCT07784257Updated Sep 2, 2026

Diagnostic Accuracy of Triphasic Bone Scan and SPECT/CT in Foot and Ankle Osteoarthritis

An observational study in Osteoarthritis, Foot Osteoarthritis and Joint Diseases, sponsored by Assiut University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Assiut University · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
40
Ages
18 Years and older
Sex
All
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Study summary

This cross-sectional study aims to assess the diagnostic accuracy of triphasic bone scintigraphy and SPECT/CT in evaluating foot and ankle osteoarthritis, using magnetic resonance imaging (MRI) as the reference standard, and to determine the affected joints.

Read the detailed description

Osteoarthritis of the foot and ankle is a significant cause of chronic pain and functional impairment. Conventional radiography has limited sensitivity for early changes, while magnetic resonance imaging (MRI) is considered the reference standard for evaluating cartilage, bone marrow edema, and soft tissue structures.

Nuclear medicine techniques provide functional information about bone metabolism. Triphasic bone scan using technetium-99m methylene diphosphonate (99mTc-MDP) assesses perfusion, blood pool, and delayed skeletal uptake. However, planar imaging has limited spatial resolution and anatomical localization in the complex anatomy of the foot and ankle.

Hybrid SPECT/CT combines the functional data of SPECT with the precise anatomical localization of CT, improving diagnostic confidence and specificity. This study will evaluate the diagnostic accuracy of triphasic bone scan and SPECT/CT compared with MRI in patients with suspected foot and ankle osteoarthritis.

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Conditions studied

  • Osteoarthritis
  • Foot Osteoarthritis
  • Joint Diseases
  • Ankle Osteoarthritis

Keywords

  • SPECT/CT
  • Triphasic bone scan
  • Diagnostic accuracy
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In context

Osteoarthritis

2,974 studies on the registry are indexed under Osteoarthritis; 438 are open to participants now.

This study's planned enrollment of 40 is below the median of 100 across 601 observational studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

Assiut University is the lead sponsor of 5,078 studies on the registry; 2,178 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients with chronic foot and/or ankle pain suspected of osteoarthritis referred to the Nuclear Medicine Unit at Assiut University Hospital who meet the eligibility criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Age ≥ 18 years

  • Patients presenting with chronic foot and/or ankle pain suspected to be due to osteoarthritis
  • Clinical and/or radiographic suspicion of foot or ankle osteoarthritis

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Previous surgery or joint replacement of the affected foot or ankle
  • Bone tumors or bone disease
  • Active osteomyelitis or septic arthritis
  • Inflammatory arthropathies (e.g., rheumatoid arthritis, psoriatic arthritis, gout)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
40 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes
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What researchers measure

Primary outcomes

  1. Diagnostic accuracy of triphasic bone scan and SPECT/CT

    Sensitivity, specificity, positive predictive value, and negative predictive value of triphasic bone scintigraphy and SPECT/CT for detecting foot and ankle osteoarthritis, using MRI as the reference standard.

    Time frame: Baseline

Secondary outcomes

  1. Identification of affected joints

    Determination of the specific joints affected by osteoarthritis in the foot and ankle based on SPECT/CT and MRI findings.

    Time frame: Baseline

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Freeman LM, Donald Blaufox M. Seminars in Nuclear Medicine March 2019. Semin Nucl Med. 2019 Mar;49(2):83-84. doi: 10.1053/j.semnuclmed.2018.11.003. Epub 2018 Dec 6. No abstract available. PubMed 30819397 ↗
  • Expert Panel on Musculoskeletal Imaging; Tafur M, Bencardino JT, Roberts CC, Appel M, Bell AM, Gyftopoulos S, Metter DF, Mintz DN, Morrison WB, Small KMS, Subhas N, Weissman BN, Yu JS, Kransdorf MJ. ACR Appropriateness Criteria(R) Chronic Foot Pain. J Am Coll Radiol. 2020 Nov;17(11S):S391-S402. doi: 10.1016/j.jacr.2020.09.015. PubMed 33153552 ↗
  • van Hasselt AJ, de Vries AJ, de Zwart AD, Reininga IHF, Jutte PC, van Raaij TM. Diagnostic accuracy of 99mTc-HDP SPECT/CT and MRI for foot and ankle osteoarthritis (ProSPECT-trial): Study protocol. Foot Ankle Surg. 2025 Jul;31(5):443-447. doi: 10.1016/j.fas.2025.01.008. Epub 2025 Jan 19. PubMed 39837711 ↗
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2026; primary completion for Aug 2027, 12 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 20, 2026
First posted
Aug 25, 2026
StartEst.
Aug 20, 2026
Primary completionEst.
Aug 20, 2027
CompletionEst.
Jan 20, 2028
Last update
Sep 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07784257
Lead sponsor
Assiut University
Responsible party
Amira Adel Ebraheem Abdelhameed (Resident, Assiut University) — Principal investigator
First posted
Aug 25, 2026
Start date
Aug 20, 2026 (estimated)
Primary completion
Aug 20, 2027 (estimated)
Completion
Jan 20, 2028 (estimated)
Last update
Sep 2, 2026

Study contacts

Amira A Ebraheem, resident
Contact
aaabbb10121999@gmail.com
01212838177 ext. 01212838177
Mohamed A Mekawy, prof
Contact
M_mekkay51@yahoo.com
01223196777 ext. 01223196777
Mohamed A Mekawy, prof
study chair · assiut

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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