Clinical Use of Whole Body Scanning
10.4055/jkoa.1979.14.1.147
- Author:
Sung Keun SOHN
;
Soo Bong HAHN
;
In Hee CHUNG
;
John C SHAW
;
Sun NAMGOONG
- Publication Type:Original Article
- MeSH:
Arthritis;
Cellulitis;
Humans;
Neoplasm Metastasis;
Skeleton;
Whole Body Imaging
- From:The Journal of the Korean Orthopaedic Association
1979;14(1):147-157
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The skeleton is a frequent site of bone tumor metastasis. Radiographic examination Is not sufficiently reliable in early detection since an abnormality is unlikely to be observed until more than 50% of the bone material has been lost. Therefore there was much effort to discover radiographic materials for use in scanning. At the present tirne, 99m Tc-labeled diphosphonate is the best available material for bone scanning. We applied whole body scanning with 99m Tc-to 40 patients who had bone tumors (primary or secondary), infection and other cases. The results obtained are as follow: 1. The scan can detect the extensiveness of the tumor better than plain X-ray in the early stage. 2. In metastatic disease, 60% of all patients were positive in the scan and all of there were negative in X-ray. 3. In cases of cancer, definitive treatment planning can be facilitated by the information obtained from whole body scanning. 4. In inflammatory disease, we can differentiate osteomyelltis from cellulitis or pyogenic arthritis in the early stage. 5. In fibrous dysplasia, it was possible to differentiate monostatic from polyostotic disease. 6. In nonunion of bone, scan was positive but X-ray was eouivocal.
