Author |
최효선(Hyo Sun Choi),박정미(Jeong Mi Park),손형선(Hyeong Seon Sohn),정수교(Soo Kyo Chung),김춘열(Choon Yul Kim),박용휘(Yong Whee Bahk),신경섭(Kyung Sub Shinn), |
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 Tc-99m-methylene
diphosphonate (Tc-99m-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 Tc-99m-MDP bone scintigraphy is sensitive imaging
modality in leukemic patients with bone pain. |