Whole-body and pinhole bone scintigraphic manifestations of Reiter's syndrome: distribution patterns and early and characteristic signs
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- 作者：Sung-Hoon Kim ; Soo-Kyo Chung ; Yong-Whee Bahk ; Young-Ha Park ; Sung-Yong Lee and Hyung-Sun Sohn
- 关键词：Key words ; ReiterR17 ; s syndrome ; Bone scintigraphy ; Pinhole bone scintigraphy
- 刊名：European Journal of Nuclear Medicine and Molecular Imaging
- 出版年：1999
- 出版时间：February 1999
- 年：1999
- 卷：26
- 期：2
- 页码：163-170
- 全文大小：585 KB
- 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Nuclear Medicine
Imaging and Radiology
Orthopedics
Cardiology
Oncology - 出版者：Springer Berlin / Heidelberg
- ISSN：1619-7089
文摘
The characteristic whole-body and pinhole scintigraphic manifestations of osteo-enthesopathy and arthropathy in ReiterR17;s syndrome (RS) are described, with an emphasis on early diagnosis. We analysed 59 sets of whole-body and pinhole bone scintigrams of 59 patients with RS. The population comprised 47 men and 12 women with an age range from 15 to 53 years (mean=29.4). Bone scintigraphy was carried out 2R11;2.5 h after intravenous injection of technetium-99m hydroxydiphosphonate using a single-head gamma camera (Siemens Orbiter Model 6601) with a low-energy high-resolution and a 4-mm pinhole collimator for whole-body and pinhole scintigraphy, respectively. In total 262 lesions of osteo-enthesopathy and arthritis were detected on 59 whole-body scintigrams, an incidence of 4.4 lesions per patient. As anticipated, the lesional distribution was asymmetrical: 68% were in the lower limb skeleton and 32% in the axial and upper limb skeleton. Pinhole bone scintigraphy, applied selectively to one region of interest in each case, enabled us to accurately diagnose arthritis and osteo-enthesopathy. It was noteworthy that osteo-enthesopathy, alone or in combination with arthritis, occurred in 78.9%, and had a strong predilection for the foot bones, especially the calcaneus (25.6%). Pinhole scintigraphy detected enthesopathy in the absence of radiographic alteration in 14.1% of cases and portrayed characteristic signs of RS in 6.9%. Whole-body bone scintigraphy augmented with pinhole scintigraphy was found to be useful in order to panoramically display the systemic involvement pattern, to assess the characteristic bone and articular alterations and to detect early signs of RS.