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Combined Scintigraphic and Radiographic Diagnosis of Bone by Yong-Whee Bahk MD, PhD (auth.)

By Yong-Whee Bahk MD, PhD (auth.)

The 3rd version of mixed Scintigraphic and Radiographic analysis of Bone and Joint illnesses has been comprehensively rewritten and rearranged. as well as the bone and joint illnesses defined within the previous variants, it now encompasses hitherto unpublished novel purposes of pinhole scanning to the analysis of a broader spectrum of skeletal problems than ever prior to, together with these of the delicate tissues.

A huge variety of cutting-edge scans and corroboratory radiograms got utilizing CT, MRI and/or sonography are awarded facet via facet. The ebook has been significantly elevated to debate 5 new topics: common editions and Artifacts, Drug-Induced Osteoporosis, Soft-Tissue Tumors and Tumor-like stipulations, PET/CT in Bone and Joint illnesses and A Genetic attention of Skeletal issues.

Topical chapters on rheumatic skeletal issues, malignant tumors of bone, benign tumors of bone and anxious illnesses have additionally been completely rewritten and are complemented by means of the addition of a few ninety lately bought cases.

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Radiology 115:407–413 Davis MA, Jones AG (1976) Comparison of 99mTc labeled phosphate and phosphonate agents for skeletal imaging. Semin Nucl Med 6:19–31 Fleming WH, McIlraith ID, King R (1961) Photoscanning of bone lesions utilizing strontium 85. Radiology 77:635–636 Fogelman I, McKillop JH, Citrin DL (1977) A clinical comparison of 99mTc-hydroxyethylidene diphosphonate (HEDP) and 99mTc-pyrophosphate in the detection of bone metastases. Clin Nucl Med 2:364– 367 Francis MD, Ferguson DL, Tofe AJ, et al (1980) Comparative evaluation of three diphosphonates: in vivo adsorption (C-14 labeled) and in vivo osteogenic uptake (Tc-99m complexed).

Anterior pinhole scintigraph of the manubrium in an 11-year-old boy demonstrates a rounded, modest tracer uptake in the ossification center (arrow). The intense tracer uptake in the medial clavicular ends indicates active bone growth. The manubriosternal junction (msj) appears widened due to the relative abundance of cartilage at this age B C Fig. 12A–C Normal sternum in adults and children. A Anterior pinhole scintigraph of the manubrium sterni in a 42-year-old man shows tracer uptake in the sternoclavicular joints (sc), sternal notch, and manubriosternal junction (ms).

Tracer is accumulated more intensely in the iliac auricular surface than in the sacral because greater articular movement occurs in the former. It is to be underscored that, contrary to the traditional description, the lower compartment more avidly accumulates tracer than the upper. The upper and lower compartments of the sacroiliac joints are separated from each other by an oblique Normal Pinhole Scintigraphic Anatomy of Bone and Joint 41 Fig. 23A–C Posterior view of the sacroiliac joints. A Lower magnification, posterior pinhole scintigraph of the sacrum portrays intense, triangular tracer uptake symmetrically in both sacroiliac joints.

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