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Titolo:
CAN (99M)TECHNETIUM METHYLENE DIPHOSPHONATE BONE SCANS OBJECTIVELY DOCUMENT COSTOCHONDRITIS
Autore:
MENDELSON G; MENDELSON H; HOROWITZ SF; GOLDFARB CR; ZUMOFF B;
Indirizzi:
BETH ISRAEL MED CTR,DEPT MED,1ST AVE & 16TH ST NEW YORK NY 10003 BETH ISRAEL MED CTR,DEPT MED NEW YORK NY 10003 BETH ISRAEL MED CTR,DEPT NUCL MED NEW YORK NY 10003
Titolo Testata:
Chest
fascicolo: 6, volume: 111, anno: 1997,
pagine: 1600 - 1602
SICI:
0012-3692(1997)111:6<1600:C(MDBS>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHEST PAIN;
Keywords:
BONE SCANS; COSTOCHONDRITIS; TECHNETIUM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
G. Mendelson et al., "CAN (99M)TECHNETIUM METHYLENE DIPHOSPHONATE BONE SCANS OBJECTIVELY DOCUMENT COSTOCHONDRITIS", Chest, 111(6), 1997, pp. 1600-1602

Abstract

Study objectives: To determine whether bone imaging with Tc-99m methylene diphosphonate is a specific method of making the diagnosis of costochondritis in patients with chest pain who rule out for myocardial infarction. Design: Nonblinded prospective controlled study in 20 patients and 10 control subjects, Setting: Inpatient medical service of a tertiary teaching hospital. Patients: Two hundred consenting patients admitted to the hospital with chest pain and suspected myocardial infarction were examined. Those in whom acute myocardial infarction mas ruled out were evaluated for the clinical signs of costochondritis, ie, tenderness other one or more costochondral junctions, Twenty patients who met the clinical criterion gave informed consent and were subjectedto bone imaging, Ten control subjects with cancer who did not have clinical signs of costochondritis underwent bone imaging to rule out metastatic disease (normal in all cases). Interventions: Bone imaging with IV Tc-99m methylene diphosphonate. Measurements: Bone scans of the investigative patients and the control subjects were read by two independent nuclear medicine specialists, Results: Sixteen of the 20 patients with clinically diagnosed costochondritis showed increased technetium uptake at all costochondral junctions bilaterally; six of them also had increased uptake elsewhere on the chest mall (sternum, manubrium, or first rib), All 10 of the control patients likewise showed increased technetium uptake at all costochondral junctions bilaterally. Conclusions: Bone imaging with Tc-99m methylene diphosphonate is not a specific method of making the diagnosis of costochondritis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/07/20 alle ore 07:07:34