CAJ | 학술논문

放射性核素骨显像是诊断骨和软组织感染的选择性检查方法,不但有助于隐匿性骨折(X射线诊断阴性)的诊断,在评定小儿可疑非意外损伤方面起重要的补充作用,还可为无法解释的小儿骨痛或跛行提供诸如外伤、肿瘤、或炎症性病变的诊断依据.小儿核素骨显像要求精确的操作才能获得较清晰的诊断图像,常规全身骨显像、缩放比例、附加视图及单光子发射型计算机体层摄影术的使用等都是小儿检查的常规内容,联合CT的融合图像更进一步提高诊断的灵敏度、可信度和精确度.新的放射性药物如Na18F可能在不断更新变化的儿科骨显像技术中起重要作用.
방사성핵소골현상시진단골화연조직감염적선택성검사방법,불단유조우은닉성골절(X사선진단음성)적진단,재평정소인가의비의외손상방면기중요적보충작용,환가위무법해석적소인골통혹파행제공제여외상、종류、혹염증성병변적진단의거.소인핵소골현상요구정학적조작재능획득교청석적진단도상,상규전신골현상、축방비례、부가시도급단광자발사형계산궤체층섭영술적사용등도시소인검사적상규내용,연합CT적융합도상경진일보제고진단적령민도、가신도화정학도.신적방사성약물여Na18F가능재불단경신변화적인과골현상기술중기중요작용.
Radionuclide bone imaging is used as the diagnostic procedure of choice for diagnosis of bone and soft-tissue infection and can aid in the diagnosis of occult trauma without radiographic findings.There is a complimentary role in the assessment of a child with suspected non accidental injury.It also may provide a diagnosis that could be related to trauma,tumor,or inflammation in a child with unexplained bone pain or limp.Radionuclide bone imaging in children require careful attention to technique to obtain high quality diagnostic images.Routine whole-body imaging,magnification,additional views,and the use of single-photon emission computed tomography also are a routine part of this examination in children.Correlation with conventional radiographs is mandatory,and the judicious use of hybrid imaging with the addition of computed tomography may further improve diagnostic acumen,confidence and accuracy.New radiopharmaceuticals such as Na18F may also play a role in changing techniques for pediatric radionuclide bone imaging