Wioland M, Sergent-Alaoui A
Service de Médecine Nucléaire, Hôpital d'Enfants Armand-Trousseau, 26, Avenue du Docteur Arnold-Netter, F-75012 Paris, France.
Eur J Nucl Med. 1996 Aug;23(8):1003-11. doi: 10.1007/BF01084380.
The complete removal of a lesion which resembles, or is covered by adjacent tissue may be difficult. Therefore, the capacity of certain lesions to specifically concentrate a radiopharmaceutical has been used to orient progress during surgery. Usually, the measurements of radioactivity in the operative field are carried out by means of small, handy radiation-detecting probes which can be sterilized. "Intra-operative nuclear medicine" or "radionuclide-guided surgery" has steadily gained in importance. However, this technique is not being taught. Our study, based on radionuclide-guided surgery of 175 orthopaedic patients suspected of having osteoid osteoma, is well suited to teach the particularities of intra-operative radiation detection, as well as the collaboration between the nuclear physician and the surgeon in the operating theatre.
完全切除一个类似或被相邻组织覆盖的病变可能很困难。因此，某些病变特异性浓聚放射性药物的能力已被用于指导手术进程。通常，手术区域的放射性测量是通过小型、便于使用且可消毒的辐射探测探头进行的。“术中核医学”或“放射性核素引导手术”的重要性一直在稳步提高。然而，这项技术并未纳入教学内容。我们对175例疑似骨样骨瘤的骨科患者进行了放射性核素引导手术的研究，非常适合用于教授术中辐射检测的特殊性，以及核医学医师与外科医生在手术室中的协作。
