Koç Zehra Pınar, Balcı Tansel Ansal, Ozyurtkan M Oğuzhan
Department of Nuclear Medicine, Firat University, Medical Faculty, Elazığ, Turkey.
Department of Thoracic Surgery, Firat University, Medical Faculty, Elazığ, Turkey.
Mol Imaging Radionucl Ther. 2013 Dec;22(3):90-3. doi: 10.4274/Mirt.68077. Epub 2013 Dec 10.
The bone scintigraphy is indicated in patients with costochondral pain in order to identify the organic etiology. We aimed to investigate the local and projecting pain, or incidental findings in the three phase bone scintigraphy of the patients referred for costochondral pain.
We included 50 patients (36F, 24M; mean: 41±18 years-old) referred to our department for three phase bone scintigraphy for costochondral pain between January 2009-July 2012.
Among the 50 patients 22 had normal scintigraphy. An increased activity accumulation in the sternoclavicular joint was observed in 12 patients (right in 4, left in 4 and bilateral in 4) only in late phase and in 9 patients (right in 2, left in 1 and bilateral in 6) with increased vascularity. Among projecting pain causes, activity was present on sternum in 4 patients, on humerus in 2 patients and on the first costae in 2 patients. For the characterization of inflammatory pathology, the three phase bone scintigraphy showed sensitivity, specificity, accuracy, positive and negative predictive values of 43%, 94%, 78%, 77% and 78% respectively.
Bone scintigraphy is an effective diagnostic method for the identification of local or projecting pain, and additionally unexpected incidental pathologies ssociated with costochondral pain. However regarding the characterization of inflammatory process false negatives should be considered.
None declared.
对于患有肋软骨疼痛的患者，进行骨闪烁显像检查以确定器质性病因。我们旨在调查因肋软骨疼痛前来就诊的患者在三相骨闪烁显像中的局部和牵涉痛，或偶然发现的情况。
我们纳入了2009年1月至2012年7月间因肋软骨疼痛前来我科进行三相骨闪烁显像检查的50例患者（36例女性，24例男性；平均年龄：41±18岁）。
50例患者中，22例骨闪烁显像结果正常。12例患者（右侧4例，左侧4例，双侧4例）仅在晚期出现胸锁关节放射性活性增加，9例患者（右侧2例，左侧1例，双侧6例）伴有血管增多。在牵涉痛原因方面，4例患者胸骨出现放射性活性，2例患者肱骨出现放射性活性，2例患者第一肋骨出现放射性活性。对于炎症性病变的特征分析，三相骨闪烁显像的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为43%、94%、78%、77%和78%。
骨闪烁显像对于识别局部或牵涉痛以及与肋软骨疼痛相关的意外偶然病变是一种有效的诊断方法。然而，在炎症过程的特征分析方面，应考虑假阴性情况。
未声明。
