[Skeletal scintigraphic findings in spinal diseases].
Bone scanning and X-ray imaging are complementary diagnostic procedures providing different information on morphology and function. This is true for diseases of the spine. For further evaluation of lesions that have already been localized, bone scanning should be performed after X-ray examinations if any questions are still open (e.g., extent of disturbed bone metabolism, viability, age of a spine fracture, response to therapy). Typical scintigraphic patterns specific for few bone diseases are exceptional, being confined to Paget's diseases and degenerative changes in the cervical spine. As a first imaging modality, however, bone scanning should be employed in the follow-up of patients with malignancies and the probability of bone metastases. In a second step, bone lesions identified by scintigraphy should be checked by X-ray imaging. In this order and context, the high sensitivity of bone scanning and the high specificity of X-ray imaging optimize the accuracy of the diagnoses achieved with the different radiological modalities.
Moser
E
E
Nuklearmedizinische Abteilung, Radiologische Universitätsklinik, Freiburg.
D001842:Bone and Bones / Q000000981:diagnostic imaging*; D004164:Diphosphonates; D012968:Etidronic Acid; D006801:Humans; D009942:Organometallic Compounds; D015609:Organotechnetium Compounds; D011877:Radionuclide Imaging; D013122:Spinal Diseases / Q000000981:diagnostic imaging*; D013124:Spinal Injuries / Q000000981:diagnostic imaging; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging; D013166:Spondylitis / Q000000981:diagnostic imaging; D013667:Technetium; D013669:Technetium Tc 99m Medronate; D014915:Whole-Body Counting
D004164:Diphosphonates; D009942:Organometallic Compounds; D015609:Organotechnetium Compounds; C033905:technetium Tc 99m 1,1-diphosphonopropane-2,3-dicarboxylic acid; C019561:technetium Tc 99m etidronate; D013667:Technetium; D012968:Etidronic Acid; D013669:Technetium Tc 99m Medronate
Skelettszintigraphische Befunde bei Erkrankungen der Wirbelsäule.