title: Application of rhenium-186 radiosynovectomy in elbow diffuse pigmented villonodular synovitis. - a case report with multiple joint involvement.
abstract: After surgical therapy of diffuse pigmented villonodular synovitis (DPVNS), recurrence is seen in almost half of the patients. The effectiveness of radiosynovectomy (RSV) in preventing recurrence and complaints of DPVNS is well known. Elbow involvement in DPVNS is a very rare condition; therefore, RSV in elbow hasn't been experienced widely. The aim of this case report is to show the effectiveness of RSV with rhenium-186 (Re-186) sulfide colloid. We applied Re-186 sulfide colloid to the elbow joint of DPVNS patients six weeks after arthroscopic synovectomy. As a result, the patient did not have any complaints, and our findings are compatible with residue or recurrence on magnetic resonance imaging (MRI) in sixth and twentieth month controls after administration. We concluded that Re-186 is an effective adjuvant therapy for the prevention of recurrence and complaints.
authors.affiliation: Department of Nuclear Medicine, Ankara Training and Research Hospital, Ankara, Turkey.
authors.forename: Gokhan
authors.initials: G
authors.lastname: Koca
authors.affiliation: Department of Orthopedics and Traumatalogy, Ankara Training and Research Hospital, Ankara, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Ozsoy
authors.affiliation: Department of Nuclear Medicine, Ankara Training and Research Hospital, Ankara, Turkey.
authors.forename: Hasan Ikbal
authors.initials: HI
authors.lastname: Atilgan
authors.affiliation: Department of Nuclear Medicine, Ankara Training and Research Hospital, Ankara, Turkey.
authors.forename: Koray
authors.initials: K
authors.lastname: Demirel
authors.affiliation: Department of Orthopedics and Traumatalogy, Ankara Training and Research Hospital, Ankara, Turkey.
authors.forename: Veysel Ercan
authors.initials: VE
authors.lastname: Dincel
authors.affiliation: Department of Nuclear Medicine, Ankara Training and Research Hospital, Ankara, Turkey.
authors.forename: Meliha
authors.initials: M
authors.lastname: Korkmaz
keywords: Diffuse Pigmented Villonodular Synovitis (DPVNS); Elbow; Radiosynovectomy; Rhenium-186 (Re-186)