Table

Sensitivity, specificity, and diagnostic accuracy of BS compared with SPECT.

VariableEstimate95% CI
Cervical spine (n = 48)
 Sensitivity (%)41.5(27.8, 56.6)
 Specificity (%)100.0(64.6, 100.0)
 Diagnostic accuracy (%)50.0(36.4, 63.6)
Thoracic spine (n = 34)
 Sensitivity (%)50.0(29.0, 71.0)
 Specificity (%)100.0(80.6, 100.0)
 Diagnostic accuracy (%)73.5(56.9, 85.4)
Lumbar spine (n = 91)
 Sensitivity (%)72.9(61.5, 81.9)
 Specificity (%)100.0(84.5, 100.0)
 Diagnostic accuracy (%)79.1(69.7, 86.2)
Sacroiliac joint (n = 91)
 Sensitivity (%)38.2(23.9, 55.0)
 Specificity (%)96.5(88.1, 99.0)
 Diagnostic accuracy (%)74.7(64.9, 82.5)
  • Abbreviations: BS, bone scan; SPECT, single photon emission computed tomography.

  • Note: Elevated uptakes identified on BS were consistently observed on SPECT, but only about half of the uptakes detected on SPECT were visible on BS alone.