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KMID : 1148920120460030215
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Nuclear Medicine and Molecular Imaging
2012 Volume.46 No. 3 p.215 ~ p.217
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Application of Rhenium-186 Radiosynovectomy in Elbow Diffuse Pigmented Villonodular Synovitis. - A Case Report with Multiple Joint Involvement
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Koca Gokhan
Ozsoy Hakan
Atilgan Hasan Ikbal
Demirel Koray
Dincel Veysel Ercan
Korkmaz Meliha
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Abstract
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After surgical therapy of diffuse pigmented villonodular synovitis (DPVNS), recurrence is seen in almost half of the patients. The effectiveness of radiosynovectomy (RSV) in preventing recurrence and complaints of DPVNS is well known. Elbow involvement in DPVNS is a very rare condition; therefore, RSV in elbow hasn’t been experienced widely. The aim of this case report is to show the effectiveness of RSV with rhenium-186 (Re-186) sulfide colloid. We applied Re-186 sulfide colloid to the elbow joint of DPVNS patients six weeks after arthroscopic synovectomy. As a result, the patient did not have any complaints, and our findings are compatible with residue or recurrence on magnetic resonance imaging (MRI) in sixth and twentieth month controls after administration. We concluded that Re-186 is an effective adjuvant therapy for the prevention of recurrence and complaints.
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KEYWORD
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Rhenium-186 (Re-186), Radiosynovectomy, Elbow, Diffuse Pigmented Villonodular Synovitis (DPVNS)
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