title: Comparison of bone scans, parathyroid hormone levels and bone mineral densities in hemodialysis patients.
abstract: We have evaluated bone scans, parathyroid hormone (PTH) levels and bone mineral densities (BMDs) of hemodialysis (HD) patients. The bone scans were grouped into 4 types (type 1-4). Type 1 showed a diffusely high activity of the tracer in the whole skeleton especially in the skull: secondary hyperparathyroidism pattern. Type 2 showed high background activity, the same pattern as osteomalacia. Type 3 was a mixture of types 1 and 2. Type 4 was almost normal. The PTH levels of type 1 were higher and the radius BMDs were lower than those of the other types. The radius BMDs in one third of type-2 patients were lower than the normal range. A comparison of bone scans, PTH and BMDs helps to evaluate bone changes in HD patients.
authors.affiliation: Department of Radiology, Yodogawa Christian Hospital, Osaka, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kobashi
authors.forename: T
authors.initials: T
authors.lastname: Okamura
authors.forename: H
authors.initials: H
authors.lastname: Ochi
authors.forename: S
authors.initials: S
authors.lastname: Hagiwara
authors.forename: Y
authors.initials: Y
authors.lastname: Onoyama
mesh_terms: D000328:Adult; D000368:Aged; D015519:Bone Density / Q000502:physiology*; D016022:Case-Control Studies; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000000981:diagnostic imaging* / Q000209:etiology; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood*; D011877:Radionuclide Imaging; D006435:Renal Dialysis / Q000009:adverse effects*
chemical_list: D010281:Parathyroid Hormone