Cardaci G, Surveyor I
Department of Nuclear Medicine, Royal Perth Hospital, Western Australia.
Nucl Med Commun. 1992 Jun;13(6):440-4. doi: 10.1097/00006231-199206000-00044.
Heterotopic calcification occurs commonly in spinal cord injured patients and following joint trauma or surgery. 99Tcm-methylene diphosphonate is useful in the detection of these lesions, many of which are subclinical. Three patients are presented with heterotopic calcification, one with severe hypoxic encephalopathy and two following major trauma. Intense 67Ga uptake within areas of heterotopic calcification was noted in all three patients. Two of the patients also underwent 99Tcm-methylene diphosphonate bone scanning and showed uptake of the bone agent corresponding to the areas of 67Ga uptake. In predisposed patients, heterotopic calcification should be considered in the differential diagnosis of a focal area of 67Ga uptake.
异位钙化常见于脊髓损伤患者以及关节创伤或手术后。锝-99m亚甲基二膦酸盐有助于检测这些病变,其中许多病变为亚临床病变。本文报告了3例异位钙化患者,1例患有严重缺氧性脑病,2例有严重创伤史。所有3例患者的异位钙化区域均显示镓-67摄取增强。其中2例患者还进行了锝-99m亚甲基二膦酸盐骨扫描,结果显示骨显像剂的摄取与镓-67摄取区域相对应。对于易患异位钙化的患者,在鉴别诊断镓-67摄取的局灶性区域时应考虑异位钙化。