| Japanese |
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| Title | 前立腺癌の骨転移における骨髄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 | 大塚信昭*, 福永仁夫*, 森田陸司*, 曽根照喜*, 米田正也*, 斉藤典章**, 田中啓幹**, 友光達志*, 柳元真一*, 村中明* |
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| Authors(kana) | |
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| Organization | *川崎医科大学核医学科, **泌尿器科 |
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| Journal | 核医学 |
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| Volume | 22 |
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| Number | 2 |
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| Page | 169-176 |
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| Year/Month | 1985/2 |
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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」25例の前立腺癌患者に, 99mTc-MDPによる骨シンチと99mTc-sulfur colloidによる骨髄シンチを併せ施行し, シンチグラフィの所見と骨X線所見を比較し, 骨転移の診断におけるその有用性を検討した. 骨シンチ上, 下部腰椎または骨盤骨のhot-spotを示した18例のうち骨髄シンチで欠損像を認めなかった8例は老人性変化によるものと診断された. 一方, 骨髄シンチで欠損像を示した10例では9例が骨X線像で骨転移が確認された. 骨シンチ上super bone scanを示した6例は, 骨髄シンチ上でも, 全例欠損像が認められた. このように, 骨髄シンチは老人性変化に基づく, 下部腰椎の良性骨疾患を除外したり, 骨シンチの際, 膀胱部のRI集積と重なる骨盤骨への転移の範囲をより明瞭に把握できる利点が認められた. したがって前立腺癌の骨転移の検出および診断には骨シンチだけでは不十分であり, 骨髄シンチを併せて施行することの有用性が示された. |
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| Practice | 臨床医学：一般 |
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| Keywords | Bone marrow scintigraphy, Bone metastasis, Prostatic cancer |
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| English |
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| Title | The Usefulness of Bone Marrow Scintigraphy in the Detection of Bone Metastasis from Prostatic Cancer |
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| Subtitle | Original Articles |
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| Authors | Nobuaki OTSUKA*, Masao FUKUNAGA*, Rikushi MORITA*, Teruki SONE*, Masaya YONEDA*, Noriaki SAITO**, Hiroyoshi TANAKA**, Tatsushi TOMOMITSU*, Shinichi YANAGIMOTO*, Akira MURANAKA* |
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| Authors(kana) | |
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| Organization | *Department of Nuclear Medicine, Kawasaki Medical School, **Department of Urology, Kawasaki Medical School |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 22 |
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| Number | 2 |
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| Page | 169-176 |
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| Year/Month | 1985/2 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] A combination study of bone and bone marrow scintigraphy was performed on 25 pts with prostatic cancer, and, in order to study the usefulness in the diagnosis of bone metastasis, the findings of 2 scintigraphies were compared with those of skeletal roentgenography. Out of the 18 cases with the hot spots of 99mTc-MDP in the lower lumbar spine or/and the pelvic bone, 8 showed normal bone marrow scintigrams which were eventually proved to have degenerative changes of the spine accompanied by aging. On the other hand, nine cases of the ten, who had accumulation defects on the bone marrow scintigrams were finally proved having bone metastasis. All six cases with extensive bone metastases shown by bone scintigraphy with 99mTc-MDP, demonstrated multiple accumulation defects on bone marrow scintigraphy with 99mTc-sulfur colloid. In conclusion, bone marrow scintigraphy was thought to be helpful in distinguishing the metastatic lesions from the benign spinal degenerative changes in the cases with suspicions bone involvement and in evaluating equivocal lesions in the pelvis. Therefore, it was shown that, in the detection and diagnosis of bone metastasis from prostatic cancer, bone scintigraphy alone was insufficient, and that combination with bone marrow scintigraphy was found to be useful. |
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| Practice | Clinical medicine |
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| Keywords | Bone marrow scintigraphy, Bone metastasis, Prostatic cancer |
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