Clinical Applications

Chapter

Abstract

Understandably, the clinical use of bone scan was much restricted when first introduced in the early 1960s (Fleming et al. 1961). At that time bone scintigraphy was applied to the diagnosis of cancer metastasis (Fig. 1.2) and fracture (Fig. 3.1). Since then, its scope has been enormously expanded, indeed far beyond the scope originally envisaged. This expansion has been made possible basically by the availability of high-technology gamma camera systems and excellent radiopharmaceuticals, and developments in image interpretation science, which have led to ever-increasing clinical demands. Thus, bone scintigraphy has long been established as the most popular nuclear imaging modality, not only for the screening of acute and critical bone and joint disorders but also for standard diagnosis of most skeletal disorders. Lately, the combined use of nuclear angiography, SPECT, and pinhole techniques has greatly increased its diagnostic potential in terms of both sensitivity and specificity.

Keywords

Systemic Lupus Erythematosus Bone Scintigraphy Osteochondritis Dissecans Skeletal Disorder Increase Tracer Uptake 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References


  1. Bahk YW (1988) Pinhole scintigraphy as applied to bone and joint studies. In: Proceedings of Fourth Asia and Oceania Congress of Nuclear Medicine and Biology, Taipei, pp 93–95
Google Scholar
  2. Bahk YW (1992) Scintigraphic and radiographic imaging of inflammatory bone and joint diseases. Pre‑Congress Teaching Course of Fifth Asia and Oceania Congress of Nuclear Medicine and Biology, Jakarta, pp 19–35
Google Scholar
  3. Bahk YW, Kim OH, Chung SK (1987) Pinhole collimator scintigraphy in differential diagnosis of metastasis, fracture, and infections of the spine. J Nucl Med 28:447–451
PubMedGoogle Scholar
  4. Bahk YW, Chung SK, Kim SH, et al. (1992) Pinhole scintigraphic manifestations of sternocostoclavicular hyperostosis: report of a case. Korean J Nucl Med 26:155–159
Google Scholar
  5. Bahk YW, Park YH, Chung SK, et al. (1994) Pinhole scintigraphic sign of chondromalacia patellae in older subjects: a prospective assessment with differential diagnosis. J Nucl Med 35:855–862
PubMedGoogle Scholar
  6. Fleming WH, McIlraith ID, King R (1961) Photoscanning of bone lesions utilizing strontium 85. Radiology 77:635–636
PubMedGoogle Scholar
  7. Gillespie PJ, Alexander JL, Edelstyn GA (1975) Changes in 87mSr concentrations in skeletal metastases in patients responding to cyclical combination chemotherapy for advanced breast cancer. J Nucl Med 16:191–193
PubMedGoogle Scholar
  8. Hladik WB III, Nigg KK, Rhodes BA (1982) Drug‑induced changes in the biologic distribution of radio‑pharmaceuticals. Semin Nucl Med 12:184–218
PubMedCrossRefGoogle Scholar
  9. Kim JY, Chung SK, Park YH, et al. (1992) Pinhole bone scan appearance of osteoid osteoma. Korean J Nucl Med 26:160–163
Google Scholar
  10. Kim SH, Bahk YW, Chung SK, et al. (1993a) Pinhole scintigraphic appearance of infantile cortical hyperostosis: „Bumpy, segmental tracer uptake“. Korean J Nucl Med 27:319–320
Google Scholar
  11. Kim SH, Chung SK, Bahk YW (1993b) Photopenic metastases with septation from papillary thyroid carcinoma: a case report. Korean J Nucl Med 26:305–308
Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Depart. of Nuclear Med. and RadiologySun Ae General HospitalSeoulKorea, Republic of

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