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류마티스성 관절염에서 전신 골 스캔의 유용성

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Affiliated Author(s)
전석길박재호
Alternative Author(s)
Zeon, Seok KilPark, Jae Ho
Journal Title
Keimyung Medical Journal
Issued Date
1999
Keyword
99mTc-MDPRheumatic arthritisWhole body bone scan
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.
Alternative Title
The Value of Bone Scintigraphy in the Rheumatic Arthritis
Department
Dept. of Nuclear Medicine (핵의학)
Dept. of Internal Medicine (내과학)
Institute for Medical Science (의과학 연구소)
Publisher
Keimyung University School of Medicine
Citation
박재호 et al. (1999). 류마티스성 관절염에서 전신 골 스캔의 유용성. Keimyung Medical Journal, 18(1), 134–145.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15131
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1999
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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