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Higashiyama, Shigeaki, Kawabe, Joji, Yoshida, Atsushi, Kotani, Kohei, Shiomi, Susumu. (1393). Usefulness of three-phase bone scintigraphy and SPECT/CT for the diagnosis of bone lesions of systemic sarcoidosis. , 2(1), 69-72. doi: 10.7508/aojnmb.2014.01.010
Shigeaki Higashiyama; Joji Kawabe; Atsushi Yoshida; Kohei Kotani; Susumu Shiomi. "Usefulness of three-phase bone scintigraphy and SPECT/CT for the diagnosis of bone lesions of systemic sarcoidosis". , 2, 1, 1393, 69-72. doi: 10.7508/aojnmb.2014.01.010
Higashiyama, Shigeaki, Kawabe, Joji, Yoshida, Atsushi, Kotani, Kohei, Shiomi, Susumu. (1393). 'Usefulness of three-phase bone scintigraphy and SPECT/CT for the diagnosis of bone lesions of systemic sarcoidosis', , 2(1), pp. 69-72. doi: 10.7508/aojnmb.2014.01.010
Higashiyama, Shigeaki, Kawabe, Joji, Yoshida, Atsushi, Kotani, Kohei, Shiomi, Susumu. Usefulness of three-phase bone scintigraphy and SPECT/CT for the diagnosis of bone lesions of systemic sarcoidosis. , 1393; 2(1): 69-72. doi: 10.7508/aojnmb.2014.01.010

Usefulness of three-phase bone scintigraphy and SPECT/CT for the diagnosis of bone lesions of systemic sarcoidosis

Asia Oceania Journal of Nuclear Medicine and Biology
مقاله 10، دوره 2، شماره 1، مرداد 2014، صفحه 69-72    اصل مقاله (450.92 K)
نوع مقاله: Case report
شناسه دیجیتال (DOI): 10.7508/aojnmb.2014.01.010
نویسندگان
Shigeaki Higashiyama* ؛ Joji Kawabe؛ Atsushi Yoshida؛ Kohei Kotani؛ Susumu Shiomi
Department of Nuclear Medicine, Graduate School of Medicine, Osaka City University, Osaka, Japan
چکیده
We report a three-phase bone scintigraphy for the diagnosis of a peripheral bone lesion caused by systemic sarcoidosis. A 32-year-old man with suspected osteomyelitis of the right forefinger underwent three-phase bone scintigraphy with Tc-99m hydroxymethylene diphosphonate (HMDP) and single-photon emission computed tomography/computed tomography (SPECT/CT). The lesion was rich in blood flow according to flow study and blood pool study on bone scintigraphy, and was associated with an osteolytic change on SPECT/CT imaging performed 3 hours after injection of a radioisotope (RI). Whole-body bone scintigraphy indicated multiple high levels of abnormal RI accumulation.
The findings of the three-phase bone scintigraphy and SPECT/CT suggested the presence of systemic sarcoidosis; however, a subsequent 18Ffluorodeoxyglucose positron emission tomography/CT (FDG-PET/CT) could not exclude the possibility of multiple metastases from testicular tumors. Therefore, testicular enucleation was performed, and the pathological examination confirmed the presence of sarcoidosis.
کلیدواژه‌ها
Sarcoidosis SPECT/CT Tc؛ 99m HMDP Three؛ phase bone scintigraphy
مراجع
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