Buckley Orla, O'Keeffe Sylvia, Geoghegan Tony, Lyburn Ian D, Munk Peter L, Worsley Dan, Torreggiani William C
AMNCH, Tallaght, Dublin 24, Ireland.
Nucl Med Commun. 2007 Jul;28(7):521-7. doi: 10.1097/MNM.0b013e3281744440.
Whole-body bone scintigraphy (bone scan) using a (99m)Tc-labelled pharmaceutical is one of the most commonly performed radionuclide examinations. In the normal patient, both the osseous components of the skeletal system as well as the kidneys and bladder are visualized. A superscan is defined as a bone scan which demonstrates markedly increased skeletal radioisotope uptake relative to soft tissues, in association with absent or faint genito-urinary tract activity. While a superscan is relatively uncommon, its recognition is important, as it is associated with a number of important underlying diseases. The purpose of this review article is to describe the causes and variable features of a superscan and depict patterns which may aid in defining the underlying cause for the scan. In addition, we will discuss other investigations that may help further to identify the underlying disease in such cases.
使用（99m）Tc标记药物的全身骨闪烁显像（骨扫描）是最常用的放射性核素检查之一。在正常患者中，骨骼系统的骨成分以及肾脏和膀胱均可显影。超级骨显像定义为骨扫描显示相对于软组织，骨骼放射性同位素摄取明显增加，同时泌尿生殖系统活动缺失或微弱。虽然超级骨显像相对不常见，但认识到它很重要，因为它与许多重要的潜在疾病有关。这篇综述文章的目的是描述超级骨显像的病因和可变特征，并描绘有助于确定扫描潜在病因的模式。此外，我们将讨论在这些情况下可能有助于进一步识别潜在疾病的其他检查。
