ورود
مقالات فارسیISIکنفرانسهاژورنالها

Value of quantitative serial three phase bone scan for diagnosis of total knee arthroplasty loosening in case of initial equivocal findings

محل انتشار: مجله پزشکی هسته ای ایران، دوره: 31، شماره: 1
سال انتشار: 1402
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 156

فایل این مقاله در 9 صفحه با فرمت PDF قابل دریافت می باشد

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:
https://civilica.com/doc/1593696

شناسه ملی سند علمی:

JR_IRJNM-31-1_011

تاریخ نمایه سازی: 4 بهمن 1401

چکیده مقاله:

Introduction: The study goal was to determine whether serial quantitative three phase [۹۹mTc]Tc-MDP bone scintigraphy can provide additional information to accurately predict loosening in symptomatic patients after total knee arthroplasty (TKA) whose initial [۹۹mTc]Tc-MDP study was not diagnostic.Methods: We retrospectively include bone scans of ۱۲۵ patients suffering pain after knee arthroplasty. ۵۲ patients with equivocal image findings on three phase planar bone scintigraphy and inconclusive clinical parameters were candidate for follow up examination. Quantification was performed on delayed planar views of both image series and the ratio of pathological peri-prosthetic tracer uptake to normal bone was evaluated. The change in periprosthetic abnormal to normal bone uptake ratios was analyzed within ۶-months interval to assess. Interpretations were validated by clinical follow-ups or revision operation.Results: Initial quantitative planar analysis in periprosthetic region did not relevantly enhance the diagnostic performance of bone scanning in assessing knee prosthetic loosening. Six months follow-up images improve the diagnostic power of bone scan but it was not statistically significant. However, a threshold of ۳.۹% rise in periprosthetic abnormal to normal bone uptake ratio of the "tibial plateau" within ۶ months markedly improved the performance of three phase [۹۹mTc]Tc-MDP  for the detection of loosening (sensitivity ۸۷%, specificity ۸۹%, p value = ۰.۰۰۲). Conclusion: Equivocal scintigraphic findings are still a main challenge in management of TKA complications. Follow-up quantitative bone scan improves the diagnostic impact of bone scintigraphy for detection of loosening process in equivocal cases of TKA.

کلیدواژه ها:

Total knee arthroplasty ، Quantitative bone scan ، [۹۹mTc]Tc-MDP ، Loosening ، Serial bone scintigraphy

نویسندگان

Zeinab Paymani

Department of Nuclear Medicine, Children&#۰۳۹;s Medical Center Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Forough Kalantari

Department of Nuclear Medicine, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

Marzieh Ebrahimi

Department of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Dominic Mathis

Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland

Reinhold Ortmaier

Department of Orthopaedic Surgery, Ordensklinikum Barmherzige Schwestern Linz, Teaching Hospital of the Paracelsus Medical University Salzburg, Linz, Austria

Michael Hirschman

Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland

Mohsen Beheshti

Division of Molecular Imaging and Theranostics, Department of Nuclear Medicine, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria

مراجع و منابع این مقاله:

لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :
  • Inacio MCS, Paxton EW, Graves SE, Namba RS, Nemes S. ...
  • Carr AJ, Robertsson O, Graves S, Price AJ, Arden NK, ...
  • Clasbrummel B, Jettkant B, DeLuca N, Muhr G, Möllenhoff G. ...
  • Lavernia C, Lee DJ, Hernandez VH. The increasing financial burden ...
  • Rosso F, Cottino U, Dettoni F, Bruzzone M, Bonasia DE, ...
  • Mathis DT, Hirschmann MT. Why do knees after total knee ...
  • Vyskocil P, Gerber C, Bamert P. Radiolucent lines and component ...
  • Fernandez-Sampedro M, Salas-Venero C, Fariñas-Álvarez C, Sumillera M, Pérez-Carro L, ...
  • Traylor K, Jolepalem P, Mahajan P. Painful knee arthroplasty. J ...
  • Piscitelli P, Iolascon G, Innocenti M, Civinini R, Rubinacci A, ...
  • Spinarelli A, Patella V, Conserva V, Vicenti G, Pesce V, ...
  • Henkin RE, Bova D, Dillehay GL, Halama J, Karesh SM, ...
  • Nilsdotter AK, Lohmander LS. Age and waiting time as predictors ...
  • Beslic N, Heber D, Walter Lipp R, Sonneck-Koenne C, Knoll ...
  • Adesanya O, Sprowson A, Masters J, Hutchinson C. Review of ...
  • Adesanya OO, Hutchinson CE. Designing a New Molecular Probe: The ...
  • Klett R, Steiner D, Laurich S, Bauer R, Kordelle J. ...
  • Barnsley L, Barnsley L. Detection of aseptic loosening in total ...
  • Simonsen L, Buhl A, Oersnes T, Duus B. White blood ...
  • Murer AM, Hirschmann MT, Amsler F, Rasch H, Huegli RW. ...
  • Hirschmann MT, Iranpour F, Konala P, Kerner A, Rasch H, ...
  • Mathis DT, Tschudi S, Amsler F, Hauser A, Rasch H, ...
  • Awengen R, Rasch H, Amsler F, Hirschmann MT. Symptomatic versus ...
  • Hirschmann MT, Amsler F, Rasch H. Clinical value of SPECT/CT ...
  • Al-Nabhani K, Michopoulou S, Allie R, Alkalbani J, Saad Z, ...
  • Schweizer T, Schiapparelli FF, Rotigliano N, Rasch H, Amsler F, ...
  • Palestro CJ. Nuclear medicine and the failed joint replacement: Past, ...
  • Gallo J, Kamínek M, Myslivecek M, Zapletalová J, Spicka J. ...
  • Hofmann S, Seitlinger G, Djahani O, Pietsch M. The painful ...
  • Soininvaara T, Nikola T, Vanninen E, Miettinen H, Kröger H. ...
  • Barnsley L, Barnsley L. Detection of aseptic loosening in total ...
  • Arıcan P, Okudan Tekin B, Şefizade R, Naldöken S, Baştuğ ...
  • Ehrenheim C, Steinmetz M, Pohlemann T, Tscherne H. Aussagefähigkeit der ...
  • Pohlemann T, Steinmetz M, Ehrenheim C, Hundeshagen H, Tscherne H. ...
  • Mathis DT, Büel L, Rasch H, Amsler F, Hirschmann MT, ...
    • نمایش کامل مراجع