Wang K, Allen Li, Fung E, Chan C C, Chan J C S, Griffith J F
Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong SAR.
Clin Nucl Med. 2005 Oct;30(10):655-71. doi: 10.1097/01.rlu.0000178027.20780.95.
Osteolytic lesions are frequently encountered in clinical practice. Radionuclide bone scans with technetium-99m-labeled diphosphonates are often performed in the evaluation of both solitary and multiple osteolytic lesions. In this pictorial review, we critically evaluate the current role of bone scan in common osteolytic tumors including aneurysmal bone cyst, simple bone cyst, fibrous dysplasia, nonossifying fibroma, giant cell tumor, eosinophilic granuloma, enchondroma, chondrosarcoma, osteosarcoma, Ewing sarcoma, myeloma, and metastases. The merits and limitations of bone scanning are emphasized.
溶骨性病变在临床实践中经常遇到。在评估单发和多发溶骨性病变时,常进行锝-99m标记的二膦酸盐放射性核素骨扫描。在这篇影像综述中,我们批判性地评估了骨扫描在常见溶骨性肿瘤中的当前作用,这些肿瘤包括骨囊肿、单纯性骨囊肿、骨纤维异常增殖症、非骨化性纤维瘤、骨巨细胞瘤、嗜酸性肉芽肿、内生软骨瘤、软骨肉瘤、骨肉瘤、尤文肉瘤、骨髓瘤和转移瘤。文中强调了骨扫描的优点和局限性。