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. 2018 Jul 28;5(3):58. doi: 10.3390/bioengineering5030058

Table 2.

Advantages and disadvantages of the study types. The table includes also the relative frequency of the described method, when compared to the other ones.

Method Advantages Disadvantages Relative Frequency
Neural network analysis applied to planar bone scan
  • -

    Wide diffusion of bone scan

  • -

    Ease of use

  • -

    Reproducibility

  • -

    Prompt readability

  • -

    Overlap artifacts

  • -

    Lack of specificity

  • -

    Frequent need for manual corrections

  • -

    Need for local databases

  • -

    “Flare” responses

Common (prevalent diffusion of bone scan)
PET-based thresholding
  • -

    Relatively easy and prompt application

  • -

    3D volume definition

  • -

    High specificity using co-registered CT

  • -

    Need for threshold recalibration

  • -

    Need for active exclusion of non-bone and non-tumor uptakes

Uncommon
Hybrid CT- and PET/SPECT-based thresholding
  • -

    High accuracy thanks to dual segmentation

  • -

    High information output suitable for ‘big data’ research applications

  • -

    Computationally intensive

  • -

    Long elaboration times

  • -

    Not yet validated for clinical practice

Rare (presently only research application)
MR-based and other non-isotopic methods
  • -

    Excellent lesion-to-background contrast

  • -

    No radiation burden to the patient and to the general population

  • -

    Whole-body MRI still not diffusely utilized

  • -

    Need for long acquisition and elaboration time

Rare (presently only research application)