Ryan P J, Fogelman I
Medway Hospital Trust, Gillingham, Kent, UK.
Baillieres Clin Rheumatol. 1996 Nov;10(4):589-613. doi: 10.1016/s0950-3579(96)80053-7.
Patients with a wide variety of rheumatological conditions can be usefully investigated by nuclear medicine techniques and particularly by bone scintigraphy. This aspect of nuclear medicine work is increasing and the trend can be expected to continue. The principal conditions that can be imaged are sports medicine injuries, osteomyelitis, avascular necrosis, reflex sympathetic dystrophy syndrome, enthesopathies and bio-mechanical stress lesions, inflammatory arthropathies, metabolic bone disease and miscellaneous bone conditions such as costo-chondritis. Single photon emission tomography (SPECT) has provided new indications for bone scintigraphy such as the evaluation of spondylolysis and facet syndrome in the spine and of meniscal tears and ligamental lesions.
患有各种风湿性疾病的患者可通过核医学技术，尤其是骨闪烁显像进行有效检查。核医学工作的这一方面正在增加，预计这一趋势将持续下去。可以成像的主要病症包括运动医学损伤、骨髓炎、缺血性坏死、反射性交感神经营养不良综合征、附着点病和生物力学应力损伤、炎性关节病、代谢性骨病以及诸如肋软骨炎等各种骨骼病症。单光子发射断层扫描（SPECT）为骨闪烁显像提供了新的应用指征，如评估脊柱的椎弓根峡部裂和小关节综合征，以及半月板撕裂和韧带损伤。
