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KMID : 0378019780210040057
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New Medical Journal
1978 Volume.21 No. 4 p.57 ~ p.62
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The Detection of Infectious Lesion in Orthopaedic Field using 99mTc Diphosphonate Scan
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Abstract
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Bone scanning with various radionuclides has made possible the early detection of metastatic skeletal disease. Recently it is widely accepted that a positive bone scan may be seen before radiographic studies reveal evidence of bony abnormalities in metastatic bony lesion and infectious disease of bone and joint. The technetium labeled compounds introduced a new group of bone scanning agents which have been shown to have important advantage over the older nuclides. Chung and Borns and Kemp et al have commented upon the difficulty in diagnosing osteomyelitis in the sacroiliac region. I have found 99mTc bone scanning to be of particular diagnostic value in such patients. 99mTc bone scanning is also value in those children who have been placed on antibiotics prior to being taken accurate diagnosis of acute osteomyelitis of bones. Accurate diagnosis in such patients is sometimes difficult. However 99mTc bone scanning accurately depicts the bone involvement in spite of the altered symptoms. Author presented 14 cases of bone and joint infection in whom bone scans were carried out to make early diagnosis of infection and focus the active lesion in the osteomyelitic shaft. Through his clinical experience of bone scan he stressed diagnostic value of the scan.
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KEYWORD
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