Ryan P J, Fogelman I
Department of Nuclear Medicine, Guy's Hospital, London, UK.
Nucl Med Commun. 1994 May;15(5):341-60. doi: 10.1097/00006231-199405000-00006.
Patients with a wide variety of orthopaedic disorders can be usefully investigated by nuclear medicine techniques, mostly by bone scintigraphy. Overall this area of nuclear medicine activity is increasing which is a trend that can be expected to continue. The principal conditions that are imaged are fractures and their sequelae, sports medicine injuries and osteomyelitis. However, there are many other orthopaedic problems that are appropriately investigated including biomechanical stress lesions, enthesopathies, avascular necrosis, some bone tumours, arthritidies, metabolic bone disease and nonaccidental injury. Single photon emission computed tomography (SPECT) has provided new indications for bone scintigraphy such as spondylolysis and facet syndrome in the lumbar spine, and meniscal tears in the knee. A role for positron emission tomography (PET) in orthopaedic nuclear medicine has yet to be identified but applications can be expected.
患有各种骨科疾病的患者可通过核医学技术进行有效检查，主要是通过骨闪烁显像。总体而言，核医学这一领域的活动正在增加，预计这一趋势将持续下去。成像的主要病症是骨折及其后遗症、运动医学损伤和骨髓炎。然而，还有许多其他骨科问题也适合进行检查，包括生物力学应力损伤、附着点病、缺血性坏死、一些骨肿瘤、关节炎、代谢性骨病和非意外伤害。单光子发射计算机断层扫描（SPECT）为骨闪烁显像提供了新的适应症，如腰椎峡部裂和小关节综合征，以及膝关节半月板撕裂。正电子发射断层扫描（PET）在骨科核医学中的作用尚未明确，但有望得到应用。
