Krumme John W, Lauer Madelyn F, Stowell Justin T, Beteselassie Nebiyu M, Kotwal Suhel Y
Orthopedics. 2019 Jan 1;42(1):e14-e24. doi: 10.3928/01477447-20181120-05. Epub 2018 Nov 28.
Due to its high sensitivity, low cost, accessibility, and ease of use, bone scintigraphy is used in orthopedic surgery for the diagnosis and management of varied pathology. It is commonly used for insufficiency fractures, metastatic neoplasia, staging and surveillance of sarcoma, and nonaccidental trauma. It augments diagnoses, including stress or occult fractures, musculoskeletal neoplasia or infection, and chronic regional pain syndrome, in patients presenting with normal results on radiographs. Bone scan images are resistant to metal-based implant artifact, allowing effective evaluation of failed total joint prostheses. Bone scintigraphy remains an underused tool in the evaluation and management of orthopedic patients. [Orthopedics. 2019; 42(1):e14-e24.].
由于骨闪烁扫描具有高灵敏度、低成本、可及性高和使用便捷等特点，其在骨科手术中用于多种病理情况的诊断和管理。它常用于应力性骨折、转移性肿瘤、肉瘤的分期和监测以及非意外性创伤。对于X线片结果正常的患者，它有助于诊断应力性或隐匿性骨折、肌肉骨骼肿瘤或感染以及慢性区域疼痛综合征等。骨扫描图像对金属植入物伪影具有抗性，能够有效评估全关节假体失败情况。在骨科患者的评估和管理中，骨闪烁扫描仍是一种未得到充分利用的工具。[《骨科》。2019年；42(1):e14 - e24。]
