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KMID : 0376219850220040747
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Chonnam Medical Journal
1985 Volume.22 No. 4 p.747 ~ p.751
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Diagnostic Observation of Acute Osteomyelitis by ^(99m)Tc-MDP Bone Scan
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Abstract
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Bone scan is easy to perform, needs no premeditation or patient preparation, offers its diagnostic information in 2 hours after the intravenous injection of
99mTc-MDP(Ethylene Diphosphonate) and provides a safe, accurate, noninvasive technique for the early diagnosis of acute osteomyelitis.
There is a latent period of 7 to 10 days between the time of onset of clinical symptom of acute osteomyelitis and the development of conventional radiographic bone change. But, recognition of acute osteomyelititis by 99mTc-MDP bone scan is far more rapid than by conventional radiographic examination.
This is a observation of 12 cases of acute osteomyelitis with negative finding on simple x-ray bone film and hot area on 99mTc-MDP bone scan, which were experienced at Chonnam National University Hospital from Feb. 1983 to Aug. 1985.
The results were as follows.
1. The period between the of clinical system and the time of detection of hot area on bone scan was 3 to 8 days.
2. In all cases, hot area on bone scan included metaphysics of affected bone.
3. The most commonly affected bone was femur(50%) and the lesions around the knee were 5 cases(42%).
4. The 99mTc-MDP bone scan provides a safe, accurate, accurate, noninvasive screening test for the early diagnosis of acute osteomyelitis.
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