Japanese
Title炎症部位不明患者における白血球シンチグラフィの有用性について
Subtitle原著
Authors内田佳孝*, 蓑島聡**, 久山順平**, 松野典代**, 宇野公一**, 北方勇輔***, 北原宏*
Authors(kana)
Organization*千葉大学医学部放射線部, **放射線科, ***君津中央病院放射線科
Journal核医学
Volume33
Number5
Page485-491
Year/Month1996/5
Article原著
Publisher日本核医学会
Abstract「要旨」臨床所見や他の画像診断では困難な炎症部位の明確な特定を目的とした場合の白血球シンチグラフィの有用性を検討したので報告する. 対象は腹部手術後持続発熱20例, 外傷後骨髄炎疑い5例, 不明熱22例で, 全例臨床所見や他の画像診断で炎症部位特定が困難な症例であった. 腹部手術後持続発熱症例では65%で炎症部位の描出が可能で, 臨床的にも有用な情報を付加できた. 外傷後骨髄炎疑いの症例では1例(20%)で骨髄炎の部位を特定できたのみであった. 不明熱の症例では18%の症例で発熱の原因を指摘できたのみで, 陽性を呈すれば臨床的にも有用であったが, 全体的には臨床的に有用な情報を付加できる可能性は低いと思われた. 白血球シンチグラフィは腹部手術後発熱症例では炎症部位を高率に描出できたが, 骨髄炎や不明熱の症例では臨床所見や他の画像診断で十分な検索がなされている場合にはその原因を描出できる可能性は低いと思われた.
Practice臨床医学：一般
KeywordsLeukocyte scintigraphy, Fever of unknown origin, Abscess.
English
Title111In - Labeled Leukocyte Scintigraphy in Patients with Inflammation of Unknown Focus
SubtitleOriginal Articles
AuthorsYoshitaka UCHIDA*, Satoshi MINOSHIMA*, Junpei KUYAMA*, Noriyo MATSUNO*, Kimiichi UNO*, Yuusuke KITAKATA**, Hiroshi KITAHARA*
Authors(kana)
Organization*Department of Radiology, Chiba University School of Medicine, **Department of Radiology, Kimitsu Central Hospital
JournalThe Japanese Journal of nuclear medicine
Volume33
Number5
Page485-491
Year/Month1996/5
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]This study evaluates the usefulness of 111In-labeled leukocyte scintigraphy to localize inflammatory foci that cannot be determined by clinical symptoms and other imaging studies. Patients with persistent fever following abdominal surgery(n=20), suspected post-traumatic osteomyelitis associated with multiple fractures(n=5), and fever of unknown origin(n=22)were recruited. In all patients, the exact location of inflammatory foci could not be determined by clinical symptoms and conventional imaging studies. In patients with post-surgical fever, leukocyte scintigraphy localized responsible foci in 65% of patients and provided clinically useful information for the treatment. In patients with multiple fractures, the location of osteomyelitis was diagnosed confidently in only one case(20%). In patients with fever of unknown origin, responsible foci were detected in 18% of patients. Although in those patients Positive leukocyte studies provided clinically useful information, overall usefulness seemed to be limited. Leukocyte scintigraphy is able to detect inflammatory foci in patients with post-surgical fever, but less likely to localize responsible foci for post-traumatic osteomyelitis or fever of unknown origin when patients have been examined carefully by clinical symptoms and conventional imaging studies.
PracticeClinical medicine
KeywordsLeukocyte scintigraphy, Fever of unknown origin, Abscess.

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