Technetium-99m-methyl diphosphonate bone scintigraphy may be helpful in preoperative planning for vertebroplasty in multiple myeloma: two cases.
Favorable vertebroplasty outcomes reflect accurate preoperative identification of vertebral fracture targets, operator proficiency, and assiduous fracture aftercare. Conventional teaching is that nuclear bone scintigraphy is not helpful in the management of osteolytic myeloma bone disease. Nuclear bone scintigraphy in two patients with multiple myeloma and vertebral fracture pain convincingly identified the fracturing vertebral level and provided confidence that synchronous vertebral fractures were not missed, whereas neither had been appreciated by either radiography or magnetic resonance imaging.
McKiernan
Fergus E
FE
Center for Bone Diseases, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA. mckiernan.fergus@marshfieldclinic.org
D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery; D049268:Positron-Emission Tomography; D011237:Predictive Value of Tests; D011300:Preoperative Care; D019275:Radiopharmaceuticals; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D013669:Technetium Tc 99m Medronate; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery; D054854:Vertebroplasty
D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate