Retrospective analysis of indication of bone scintigraphy performed in our clinic
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Tarih
2015
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kemik sintigrafisi sık kullanılan radyonüklid görüntüleme yöntemlerindendir ve birçok hastalığın tanı ve takibinde başarıyla kullanılmaktadır. Çalışmamızın amacı kliniğimizde yapılan kemik sintigrafisi çekimlerinin endikasyonlarını ve çekim protokollerini belirlemektir. Gereç ve Yöntem: Çalışmaya Aralık 2011 ve Haziran 2013 tarihleri arasında kliniğimizde kemik sintigrafisi çekimi yapılan 252 hasta (132 erkek, 120 kadın) dahil edildi. Hastaların yaş ortalaması 50.1±20.2 idi (yaş aralığı 6-84). Sintigrafik protokoller hastalığın çeşidine göre geç statik tüm vücut görüntüleme ve üç fazlı kemik sintigrafisi olmak üzere iki şekilde yapıldı. Çekim endikasyonları ve sintigrafik pro- tokoller tesbit edildi. Bulgular: 102 hastaya (% 40,5) metastatik kemik hastalıklarının tanı ve takibi amacıyla, 57 hastaya (% 22,6) ortopedik uygulamalar amacıyla, 29 hastaya (% 11,5) primer kemik tümörlerinin tanı ve takibi amacıyla, 17 hastaya (% 6,7) osteomyelit tanısı amacıyla, 12 hastaya (% 4,8) protez enfeksiyonu ve gevşemesi ayrıcı tanısının yapılması amacıyla, 14 hastaya (% 5,6) gref canlılığının araştırılması amacıyla, 9 hastaya (% 3,6) romatoid artrit-sakroileit gibi romatolojik hastalıklar nedeniyle, 4 hastaya (% 1,6) osteoporoz-vertebralarda patolojik kırık araştırılması amacıyla, 2 hastaya (% 0,8) metabolik kemik hastalığı nedeniyle, 5 hastaya (% 1,98) otitis eksterna tanısı amacıyla ve 1 hastaya (% 0,4) sedimantasyon-CRP yüksekliği gibi nedenlerden dolayı malignite şüphesi nedeniyle kemik sintigrafisi çekimi yapıldı. Hastaların 136’sına (% 54) geç statik tüm vücut görüntüleme, 116’sına (% 46) ise üç fazlı görüntüleme protokolü uygulandı. Tartışma: Kemik sintigrafisinin en sık kullanıldığı alan metastatik kemik hastalıklarının tanı ve takibidir. Bunu ortopedik uygulamalar, primer kemik tümörlerinin tanı-takibi ve oste- omyelit tanısı gibi nedenler takip etmektedir.
Aim: Bone scintigraphy is one of the commonly used radionuclide imaging and it is successfully used in the diagnosis and follow-up of many diseases. The aim of this study is to determine the indications and flming protocols of bone scintigraphy which was performed in our clinic. Material and Method: Two hundred and ffy two patients (132 male, 120 female) who was per- formed bone scintigprapy in our clinic between December 2011 and June 2013 included the study. Mean age was 50.1±20.2 years. Scintigraphic protocols were made in two ways as late static whole body imaging and three- phase bone scintigraphy according to the type of the diseases. Indications of scintigraphies and scintigraphic protocols were detected. Results: Bone scintigraphy was performed for diagnosis and monitoring of metastatic bone disease to 102 patients (40,5 %), for orthopedic applications to 57 patients (22,6 %), for diagnosis and monitoring of primary bone tumors to 29 patients (11,5 %), for diagnosis of osteomyelitis to 17 patients (6,7 %), for diferential diagnosis of infection and loosening of the prosthesis to 12 patients (4,8 %), investigate the viability of the graf in 14 patients (4,6 %), for rheu- matologic diseases to 9 patients (3,6 %), for investigate the pathological vertebral fractures and osteoporosis to 4 patients (1,6 %), for diagnosis the metabolic bone disease to 2 patients (0,8 %), for diagnosis of otitis externa to 5 patients (1,98 %) and for for suspicion of malignancy to 1 patient (0,4 %). Late static whole body imaging protocol was applied to 136 patients (54 %) and three-phase imaging protocol was applied to 116 patients (46 %). Discussion: The most common use of bone scintigraphy is the diagnosis and follow-up of metastatic bone disease. It is followed by reasons such as orthopedic applications, monitoring and diagnosis of primary bone tumors and diagnosis of osteomyelitis.
Aim: Bone scintigraphy is one of the commonly used radionuclide imaging and it is successfully used in the diagnosis and follow-up of many diseases. The aim of this study is to determine the indications and flming protocols of bone scintigraphy which was performed in our clinic. Material and Method: Two hundred and ffy two patients (132 male, 120 female) who was per- formed bone scintigprapy in our clinic between December 2011 and June 2013 included the study. Mean age was 50.1±20.2 years. Scintigraphic protocols were made in two ways as late static whole body imaging and three- phase bone scintigraphy according to the type of the diseases. Indications of scintigraphies and scintigraphic protocols were detected. Results: Bone scintigraphy was performed for diagnosis and monitoring of metastatic bone disease to 102 patients (40,5 %), for orthopedic applications to 57 patients (22,6 %), for diagnosis and monitoring of primary bone tumors to 29 patients (11,5 %), for diagnosis of osteomyelitis to 17 patients (6,7 %), for diferential diagnosis of infection and loosening of the prosthesis to 12 patients (4,8 %), investigate the viability of the graf in 14 patients (4,6 %), for rheu- matologic diseases to 9 patients (3,6 %), for investigate the pathological vertebral fractures and osteoporosis to 4 patients (1,6 %), for diagnosis the metabolic bone disease to 2 patients (0,8 %), for diagnosis of otitis externa to 5 patients (1,98 %) and for for suspicion of malignancy to 1 patient (0,4 %). Late static whole body imaging protocol was applied to 136 patients (54 %) and three-phase imaging protocol was applied to 116 patients (46 %). Discussion: The most common use of bone scintigraphy is the diagnosis and follow-up of metastatic bone disease. It is followed by reasons such as orthopedic applications, monitoring and diagnosis of primary bone tumors and diagnosis of osteomyelitis.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Journal of Clinical and Analytical Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
3
