| Japanese |
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| Title | 骨SPECTによる脊椎骨転移と変形性脊椎症の鑑別診断 - 集積分布パターンによる解析 - |
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| Subtitle | 技術報告 |
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| Authors | 小須田茂*, 新井眞二*, 横山久朗*, 片山通章*, 和田陽一*, 草野正一* |
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| Organization | *防衛医科大学校放射線医学講座 |
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| Journal | 核医学 |
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| Volume | 31 |
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| Number | 6 |
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| Page | 613-618 |
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| Year/Month | 1994/6 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」骨SPECT像が脊椎骨転移と変形性脊椎症の鑑別診断に有用であるかどうかを評価するため, 骨シンチグラフィにて異常集積を認めた43例(転移巣25, 圧迫骨折4病巣を含む変形性脊椎病巣28)に骨シンチグラフィおよび骨SPECT検査を行った. Transaxial像の集積分布から各病巣は5つの集積パターン(Mosaic, Large hot, Diffuse, Peripheral, Articular)に分類された. Mosaic, Large hot, Diffuse patternは転移巣に多く, それぞれ82%, 67%, 62%が転移巣であった. 一方, Peripheral, Articular patternはそれぞれ80%, 70%が変形性脊椎症であった. 骨SPECT像を追加することにより集積部位の解剖学的位置関係が明らかとなり, 骨転移と変形性脊椎症との鑑別診断能が向上するものと思われた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Bone SPECT, Vertebra, Bone metastasis, Degenerative joint disease. |
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| English |
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| Title | Differential Diagnosis between Osseous Metastasis and Degenerative Joint Disease of the Vertebrae by Bone SPECT : Analysis by Accumulation Pattern |
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| Subtitle | Technical Reports |
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| Authors | Shigeru KOSUDA, Shinji ARAI, Hisao YOKOYAMA, Michiaki KATAYAMA, Yoichi WADA, Shoichi KUSANO |
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| Authors(kana) | |
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| Organization | Department of Radiology, National Defense Medical College |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 31 |
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| Number | 6 |
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| Page | 613-618 |
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| Year/Month | 1994/6 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] To find whether or not bone SPECT can differentiate osseous metastasis from degenerative joint disease (DJD) of the vertebrae, 43 patients with increased vertebral uptake on bone scan, including 25 lesions with bone metastasis, 24 with DJD, and 4 with compression fractures due to osteoporosis, underwent bone planar scanning and SPECT. Increased accumulation in the vertebral lesions on bone SPECT transaxial images was classified into five accumulation patterns; mosaic, large hot, diffuse, peripheral and articular pattern. Mosaic, large hot and diffuse patterns were more frequently noted in patients with osseous metastasis (82%, 67% and 62%, respectively). On the other hand, 80% of the lesions with peripheral pattern and 70% of those with articular pattern were ascribed to DJD. In conclusion, bone SPECT provided much better anatomic information on the extent of 99mTc-MDP. Differential diagnosis between osseous metastasis and DJD of the vertebrae may be improved by bone SPECT. |
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| Practice | Clinical medicine |
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| Keywords | Bone SPECT, Vertebra, Bone metastasis, Degenerative joint disease. |
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