A prospective blinded evaluation of exercise thallium-201 SPET in patients with suspected chronic exertional compartment syndrome of the leg
| Autor: | Larissa Trease, Michael Kelly, Kim L Bennell, Jordi Rynderman, Peter Brukner, Bruce Van Every, Andrew Baldey, Alla Turlakow |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Sports medicine Physical exercise Blood Pressure Scintigraphy Compartment Syndromes Ischemia Internal medicine medicine Image Processing Computer-Assisted Humans Radiology Nuclear Medicine and imaging Prospective Studies Thallium Compartment (pharmacokinetics) Chronic exertional compartment syndrome Exercise Tomography Emission-Computed Single-Photon Leg medicine.diagnostic_test business.industry General Medicine medicine.disease Surgery Regional Blood Flow Orthopedic surgery Chronic Disease cardiovascular system Cardiology Intractable pain Female business Perfusion |
| Zdroj: | European journal of nuclear medicine. 28(6) |
| ISSN: | 0340-6997 |
| Popis: | This study compared the quantitative and qualitative results of leg thallium-201 single-photon emission tomography (SPET) imaging in patients with and without raised intracompartmental pressure associated with exercise-related leg pain. The purpose of this study was to clarify the aetiology of chronic exertional compartment syndrome (CECS), and to investigate the diagnostic applications of 201Tl SPET in CECS. Thirty-four study participants underwent compartment pressure testing (CPT) between March and August 2000. There were 25 positive CPT results (patient group), and nine negative CPT results (control group). All 34 participants underwent scintigraphy. Quantitative and qualitative assessments were performed for the anterolateral and deep posterior compartments of the lower leg. There was no significant difference in either quantitative or qualitative assessments of perfusion between those compartments with and those without CECS. In contrast, a marked effect of exercise type upon compartment perfusion pattern was noted. Results of this study indicate that there is no compartment perfusion deficit in those patients with raised intracompartmental pressure associated with CECS, and suggest a non-ischaemic basis for the pain associated with CECS. They also suggest no role for exercise perfusion scintigraphy in the diagnosis of this syndrome. |
| Databáze: | OpenAIRE |
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