류마티스성 관절염에서 전신 골 스캔의 유용성

Other Titles
The Value of Bone Scintigraphy in the Rheumatic Arthritis
Authors
박재호류종걸김순전석길김정만
Department
Dept. of Nuclear Medicine (핵의학); Dept. of Internal Medicine (내과학); Institute for Medical Science (의과학 연구소)
Issue Date
1999
Citation
Keimyung Medical Journal, Vol.18(1) : 134-145, 1999
Abstract
Purpose : To evaluate prospectively the possibility of 99m Tc-MDP bone scan to detect early involvement of peripheral joint in rheumatic arthritis. Materials and Methods : 588 joints in 42 patients with rheumatic arthritis, whole body bone scan with 99m Tc-MDP and static bone scan of multiple joints of extremities(Wrist & Ankle) were done. Additionally. in 24 patients with positive rheumatic factor is compared. Results : The overall sensitivity and specificity of bone scan based on physical findings are 76.2% and 85.2%, respectively. The sensitivity and specificity of radiographic finding based on physical findings are 37. 6% and 84%, respectively. In 24 patients with positive rheumatic factor, the sensitivity and specificity of bone scan based on physical findings are 71.7% and 84%, respectively. The sensitivity and specificity of radiographic finding based on physical findings are 54.5% and 87.4% respectively. Conclusion: The bone scintigraphy is more sensitive than radiograph, may antedate the development of physical finding, regardness of positive rheumatic factor. We conclude that bone scintigraphy with 99m Tc-MDP is a valuable tool in the prediction of early joint involvement and evaluation of rheumatic arthritic activity in rheumatic arthritis.
Keywords
99mTc-MDPRheumatic arthritisWhole body bone scan
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15131
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학)
1. Journal Papers (연구논문) > 3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
2. Keimyung Medical Journal (계명의대 학술지) > 1999
Keimyung Author(s)
전석길; 박재호
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