Bone SPECT scans in PP?

How much are people using Bone SPECT scans in private practice? In my fellowship they are used quite a bit to isolate active facet inflammation. I generally only use them for cervicals because, to be honest, I have a hard time distinguishing facet synovitis in the cervical region unless there is a huge difference between levels. But in a couple months I will be going to start job in a smaller town (pop ~50k) where it might be a hassle to get a SPECT done. What would be the the other... Bone SPECT scans in PP?
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