The Korean Journal of Nuclear Medicine (대한핵의학회지)

The Korean Society of Nuclear Medicine (대한핵의학회)
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Bone Scintigraphic Findings in Leukemic Patients

백혈병 환자의 골스캔 소견

  • Choi, Hyo-Sun (Department of Radiology, Catholic University Medical College) ;
  • Park, Jeong-Mi (Department of Radiology, Catholic University Medical College) ;
  • Sohn, Hyeong-Seon (Department of Radiology, Catholic University Medical College) ;
  • Chung, Soo-Kyo (Department of Radiology, Catholic University Medical College) ;
  • Kim, Choon-Yul (Department of Radiology, Catholic University Medical College) ;
  • Bahk, Yong-Whee (Department of Radiology, Catholic University Medical College) ;
  • Shinn, Byung-Sub (Department of Radiology, Catholic University Medical College)
  • 최효선 (가톨릭대학 의학부 방사선과학교실) ;
  • 박정미 (가톨릭대학 의학부 방사선과학교실) ;
  • 손형선 (가톨릭대학 의학부 방사선과학교실) ;
  • 정수교 (가톨릭대학 의학부 방사선과학교실) ;
  • 김춘열 (가톨릭대학 의학부 방사선과학교실) ;
  • 박용휘 (가톨릭대학 의학부 방사선과학교실) ;
  • 신경섭 (가톨릭대학 의학부 방사선과학교실)
  • Published : 1992.05.31
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Abstract

The leukemias represent diffuse lesions of the bone marrow and significant bony abnormalities are associated with the more aggressive varieties of leukemias and with the younger age groups. On plain film, several roentgenographic findings are observed such as diffuse osteopenia, radiolucent metaphyseal bands, osteolytic lesions and periostitis. We evaluated bone scintigraphic findings using $^{99m}Tc-methylene$ diphosphonate $(^{99m}Tc-MDP)$ in ten patients with proven leukemia. The scan is abnormal in 90%. We classified abnormal scintigraphic findings to 3 types and these are increased diffuse juxta-articular uptake, focal increase of uptake and combined type. The common sites of focal uptake were femur, humerus, tibia, spine, ribs, calvarium, scapula and mandible. We concluded that $(^{99m}Tc-MDP)$ bone scintigraphy is sensitive imaging modality in leukemic patients with bone pain.

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