Didactic review of 175 radionuclide-guided excisions of osteoid osteomas.
The complete removal of a lesion which resembles, or is covered by adjacent tissue may be difficult. Therefore, the capacity of certain lesions to specifically concentrate a radiopharmaceutical has been used to orient progress during surgery. Usually, the measurements of radioactivity in the operative field are carried out by means of small, handy radiation-detecting probes which can be sterilized. "Intra-operative nuclear medicine" or "radionuclide-guided surgery" has steadily gained in importance. However, this technique is not being taught. Our study, based on radionuclide-guided surgery of 175 orthopaedic patients suspected of having osteoid osteoma, is well suited to teach the particularities of intra-operative radiation detection, as well as the collaboration between the nuclear physician and the surgeon in the operating theatre.
Wioland
M
M
Service de Médecine Nucléaire, Hôpital d'Enfants Armand-Trousseau, 26, Avenue du Docteur Arnold-Netter, F-75012 Paris, France.
Sergent-Alaoui
A
A
D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D005266:Femoral Neoplasms / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D008159:Lumbar Vertebrae / Q000601:surgery; D010017:Osteoma, Osteoid / Q000000981:diagnostic imaging* / Q000601:surgery*; D011835:Radiation Protection; D011877:Radionuclide Imaging / Q000295:instrumentation; D013125:Spinal Neoplasms / Q000601:surgery; D013669:Technetium Tc 99m Medronate / Q000031:analogs & derivatives; D013977:Tibia / Q000601:surgery
C024226:technetium Tc 99m hydroxymethylene diphosphonate; D013669:Technetium Tc 99m Medronate