（99m）锝-亚甲基二膦酸盐单光子发射计算机断层扫描/计算机断层扫描作为诊断早期月骨无菌性坏死的一站式成像方式。

(99m)Tc-MDP SPECT/CT as the one-stop imaging modality for the diagnosis of early setting of Kienbock's disease.

作者信息

Arora S, Singh Dhull V, Karunanithi S, Kumar Parida G, Sharma A, Shamim S A

机构信息

Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Rev Esp Med Nucl Imagen Mol. 2015 May-Jun;34(3):185-7. doi: 10.1016/j.remn.2014.10.005. Epub 2015 Mar 29.

DOI:10.1016/j.remn.2014.10.005

PMID:25824583

Abstract

(99m)Tc-Methylene diphosphonate (MDP) triple phase bone scintigraphy (BS) has a role in early diagnosis of Kienbock's disease, especially when the X-ray is negative. Early diagnosis can result in prompt management of the patient since wrist pain in older individuals due to aging may go unnoticed or be due to other diagnoses with the production of greater damage and eventually a worse prognosis. Herein, we present a case report of a 29-year-old female with Kienbock's disease in whom the X-ray was negative and MRI incorrect. The (99m)Tc-MDP SPECT/CT BS helped the diagnosis of the disease in an early stage (stage 1) and had a clinical impact on the patient's management.

摘要

锝-99m亚甲基二膦酸盐（MDP）三相骨显像（BS）在月骨无菌性坏死的早期诊断中具有重要作用，尤其是在X线检查结果为阴性时。早期诊断有助于及时对患者进行治疗，因为老年人因衰老导致的腕部疼痛可能未被注意到，或者被误诊为其他疾病，从而造成更大的损害，最终导致更差的预后。在此，我们报告一例29岁患有月骨无菌性坏死的女性病例，该患者X线检查结果为阴性，MRI诊断错误。锝-99m MDP单光子发射计算机断层扫描/计算机断层扫描（SPECT/CT）骨显像有助于早期（1期）诊断该疾病，并对患者的治疗产生了临床影响。