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[单侧膝关节骨关节炎关节腔内注射高锝[99mTc]酸盐后膝关节滑膜炎的闪烁成像]

[Scintigraphic imaging of knee synovitis in osteoarthritis after intra-articular injection of technetium-99m pertechnetate in the unilateral knee].

作者信息

Chatzopoulos Dimitrios, Markou Pavlos, Iakovou Ioannis

机构信息

G. Papageorgiou General Hospital, N. Efkarpia, 56403 Thessaloniki, Macedonia, Greece.

出版信息

Hell J Nucl Med. 2006 Jan-Apr;9(1):69-71.

Abstract

A case of left knee synovitis scintigraphic imaging is presented in a 66-year-old patient with bilateral knee osteoarthritis and a right knee Baker's cyst, who had undergone a 74 MBq (99m)Tc-pertechnetate intra-articular injection in the right knee. The findings in this case were compared with the intravenously injected methylene disphosphonate technetium-99m ((99m)Tc-MDP) scintigraphic findings and could be interpreted as the result of (99m)Tc-pertechenate through blood communication from the right to the left knee. This case implies that (99m)Tc-pertechnetate may be useful in imaging the synovitis in multiple arthroses even up to 60 min after its administration, instead of the 5 min imaging after the injection of (99m)Tc-MDP.

摘要

本文介绍了一例66岁双膝骨关节炎伴右膝腘窝囊肿患者的左膝滑膜炎闪烁成像病例,该患者右膝曾接受74 MBq的(99m)锝过锝酸盐关节内注射。将该病例的检查结果与静脉注射亚甲基二膦酸盐锝-99m((99m)Tc-MDP)闪烁成像结果进行比较,可解释为(99m)锝过锝酸盐通过从右膝到左膝的血液流通所致。该病例表明,(99m)锝过锝酸盐在成像多关节滑膜炎方面可能有用,甚至在给药后60分钟内,而不是像注射(99m)Tc-MDP后5分钟成像那样。

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