柠檬酸镓Ga 67闪烁显像检测白血病患儿的慢性骨髓炎

Gallium citrate Ga 67 scintigraphic detection of chronic osteomyelitis in children with leukemia.

作者信息

Miller J H, Ettinger L J

出版信息

Am J Dis Child. 1986 Mar;140(3):230-2. doi: 10.1001/archpedi.1986.02140170056028.

DOI:10.1001/archpedi.1986.02140170056028

Abstract

Chronic osteomyelitis producing unexplained fevers without localizing symptomatology may present difficulty in detection and differentiation in patients with leukemia. Gallium citrate Ga 67 scintigraphy offers a method of detection and localization of both the osseous and extraosseous manifestations of such a process. Once identified, further evaluation by conventional radiographic or sectional imaging techniques may further define the process. We describe three patients with leukemia and unexplained fever in whom occult chronic osteomyelitis was diagnosed by 67Ga scintigraphy, which offers an ideal screening procedure and should be utilized in this clinical setting.

摘要

慢性骨髓炎可导致不明原因发热且无局部症状，这可能给白血病患者的检测和鉴别带来困难。枸橼酸镓Ga 67闪烁扫描术提供了一种检测和定位此类病变骨内及骨外表现的方法。一旦确诊，通过传统放射学或断层成像技术进行进一步评估，可进一步明确病变情况。我们描述了3例患有白血病且有不明原因发热的患者，他们通过67Ga闪烁扫描术被诊断为隐匿性慢性骨髓炎，该扫描术提供了一种理想的筛查方法，应在这种临床情况下加以应用。