Fukunaga M, Otsuka N, Sone T
Department of Nuclear Medicine, Kawasaki Medical School.
Kaku Igaku. 1999 Jan;36(1):7-14.
Bone scintigraphy using 99mTc-labeled phosphorous compounds was found to be the most frequently ordered nuclear medicine examination in a nationwide survey in Japan, and has been used for the detection of lesions and the evaluation of disease progression and response to therapy in various skeletal diseases. In this article, we review improvement of the diagnostic sensitivity and specificity for bone metastasis of not only nuclear medicine techniques, such as planar imaging, SPECT, early flow phase imaging and quantification of bone scintigraphy, and bone marrow scintigraphy but also such recently developed methods as bone mineral measurement, and bone metabolic marker assays. In addition, radionuclide therapy of intractable bone pain due to bone metastasis is also addressed.
在日本的一项全国性调查中,使用99mTc标记的磷化合物进行的骨闪烁显像被发现是最常被要求进行的核医学检查,并且已被用于各种骨骼疾病中病变的检测、疾病进展的评估以及对治疗的反应评估。在本文中,我们不仅回顾了核医学技术(如平面显像、单光子发射计算机断层显像、早期血流相显像和骨闪烁显像定量以及骨髓闪烁显像),还回顾了诸如骨矿物质测量和骨代谢标志物检测等最近开发的方法在骨转移诊断敏感性和特异性方面的改进。此外,还讨论了骨转移引起的顽固性骨痛的放射性核素治疗。