Can (99m)technetium methylene diphosphonate bone scans objectively document costochondritis?
| Autor: | Helen Mendelson, Steven F. Horowitz, Barnett Zumoff, Gad Mendelson, C. Richard Goldfarb |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Chest Pain Sternum Costochondritis Bone Neoplasms Technetium Tc 99m Medronate Critical Care and Intensive Care Medicine Chest pain Scintigraphy Bone and Bones Diagnosis Differential medicine Humans Myocardial infarction Prospective Studies Prospective cohort study Radionuclide Imaging Observer Variation Rib cage medicine.diagnostic_test business.industry Middle Aged medicine.disease Surgery Tietze's Syndrome Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Technetium-99m |
| Zdroj: | Chest. 111(6) |
| ISSN: | 0012-3692 |
| Popis: | Study objectives To determine whether bone imaging with 99m Tc methylene diphosphonate is a specific method of making the diagnosis of costochondritis in patients with chest pain who rule out for myocardial infarction. Design Nonblinded prospective controlled study in 20 patients and 10 control subjects. Setting Inpatient medical service of a tertiary teaching hospital. Patients Two hundred consenting patients admitted to the hospital with chest pain and suspected myocardial infarction were examined. Those in whom acute myocardial infarction was ruled out were evaluated for the clinical signs of costochondritis, ie , tenderness over one or more costochondral junctions. Twenty patients who met the clinical criterion gave informed consent and were subjected to bone imaging. Ten control subjects with cancer who did not have clinical signs of costochondritis underwent bone imaging to rule out metastatic disease (normal in all cases). Interventions Bone imaging with IV 99m Tc methylene diphosphonate. Measurements Bone scans of the investigative patients and the control subjects were read by two independent nuclear medicine specialists. Results Sixteen of the 20 patients with clinically diagnosed costochondritis showed increased technetium uptake at all costochondral junctions bilaterally; six of them also had increased uptake elsewhere on the chest wall (sternum, manubrium, or first rib). All 10 of the control patients likewise showed increased technetium uptake at all costochondral junctions bilaterally. Conclusions Bone imaging with 99m Tc methylene diphosphonate is not a specific method of making the diagnosis of costochondritis. |
| Databáze: | OpenAIRE |
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