[Does technetium scintigraphy in combination with gallium scintigraphy improve the differential diagnosis of aseptic and septic endoprosthesis loosening?].
In the majority of cases, 3-phase scintigraphy using Tc99m phosphate complexes is sufficient to diagnose a septic (infective) loosening of an endoprosthesis (hip or knee). Additional Ga 67 citrate scintigraphy should be considered only if technetium scintigraphy fails to supply an unequivocal finding. This is explained by the authors in detail.
Lütten
C
C
I. Orthopädische Abteilung, Allgemeines Krankenhaus Hamburg-Barmbek.
Thomas
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W
Dihlmann
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W
D000368:Aged; D000369:Aged, 80 and over; D002951:Citrates; D019343:Citric Acid; D003937:Diagnosis, Differential; D006622:Hip Prosthesis; D006801:Humans; D007239:Infections / Q000000981:diagnostic imaging*; D007720:Knee Prosthesis; D008875:Middle Aged; D011475:Prosthesis Failure; D011877:Radionuclide Imaging; D013667:Technetium
D002951:Citrates; D019343:Citric Acid; D013667:Technetium
Bringt die Technetium-Szintigraphie in Verbindung mit der Gallium-Szintigraphie eine verbesserte Aussage über die Differentialdiagnose der aseptischen und septischen Endoprothesenlockerung?