| Japanese |
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| Title | 振動病における骨シンチグラフィの有用性について |
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| Subtitle | 原著 |
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| Authors | 木田利之*, 成田滋**, 樋口義典* |
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| Organization | *福島県立医科大学放射線科, **成田クリニック |
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| Journal | 核医学 |
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| Volume | 18 |
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| Number | 2 |
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| Page | 183-193 |
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| Year/Month | 1981/3 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」振動障害者17例に99mTc-MDPによる全身骨シンチグラフィを行い, 変化をきたし易い部位, すなわち頸椎, 肘関節, 手関節および手指骨についてスポット撮像を行い, 同一部位のレ線像と比較検討した. 頸椎:レ線像では17例中15例 (88%) になんらかの変化を認め, 骨シンチでは4例 (24%) に異常を認めたにすぎなかった. 肘関節:レ線像で9例 (53%) に異常を認め, 骨シンチで12例 (71%) に異常を認めた. 手関節:レ線像で異常を認めたもの3例 (17%) にすぎなかったが, 骨シンチでは13例 (76%) に異常集積を認めた. 手指骨:レ線像で異常を認めたもの6例 (35%) で, 骨シンチで9例 (53%) になんらかの異常を認め, 変化を認めた部位数からみるとレ線像で31ヵ所, 骨シンチで120ヵ所であった. 以上の結果より, 頸椎変化の検出はレ線像が優っており, 手関節および手指骨の変化の検出はシンチが優っている. |
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| Practice | 臨床医学：一般 |
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| Keywords | Vibration disease, 99mTc-methylene diphosphonate, Radionuclide bone imaging |
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| English |
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| Title | Usefullness of Bone Scintigraphy in Vibration Disease |
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| Subtitle | Original Articles |
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| Authors | Toshiyuki KIDA*, Shigeru NARITA**, Yoshisuke HIGUCHI* |
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| Organization | *Department of Radiology, Fukushima Medical College, **Narita Clinic |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 18 |
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| Number | 2 |
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| Page | 183-193 |
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| Year/Month | 1981/3 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] Bone imaging with Tc-99m-MDP was carried out in 17 patients with vibration disease. A comparison was made between bone scintigraphy and radiography in the most frequently involved regions: cervical spine, elbow joint, wrist joint and bone of hand. The results are as follows: Cervical spine: 15 of 17 patients (88%) had abnormality on radiography, while abnormal accumulation on scintigraphy was present in only 4 patients (24%) . Elbow joint: 9 patients (53%) had abnormality on radiography, while 12 patients (71%) on scintigraphy. Wrist joint: 13 patients (76%) had abnormal accumulation on the scintigrams. In Contrast radiographic abnormality was present in only 3 patients (17%) . Bone of the hand: 6 patients (35%) showed abnormality on roentgenograms, 9 patients (53%) on scintigrams. The number of abnormal sites found on roentgenograms was 31, while the number on scintigrams, 120. 1) These results suggest that radiography is superior to scintigraphy in the detection of osseous changes of cervical spine, while scintigraphy is superior to radiography in the case of wrist joint and bone of the hand. 2) Tc-99m-MDP joint imaging was found to be more sensitive in the detection of involvement in peripheral joints (esp. metacarpal, proximal interphalangeal and distal interphalangeal joints) than radiography, but it is non-specific. Therefore, regions of increased uptake should be radiographed to determine whether other causative factors exist. |
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| Practice | Clinical medicine |
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| Keywords | Vibration disease, 99mTc-methylene diphosphonate, Radionuclide bone imaging |
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