在骨扫描中,心脏扩散吸收被误诊为心脏粉症
Yeongjoo Lee1, Jaehyuk Jang2, Sae Jung Na1
1Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Diagnostics (Basel, Switzerland)
|November 14, 2023
概括
使用 technetium-99m-hydroxydiphosphonate (HDP) 进行的骨扫描显示了一名患者心脏意外吸收. 这一短暂的发现归因于最近的铁过载,而不是心脏粉症,防止了误诊.
科学领域:
- 核医学是一种核医学.
- 放射性药物 放射性药物 放射性药物
- 心血管成像 - 心血管成像
背景情况:
- 骨光学对诊断骨感染至关重要.
- 在骨扫描过程中偶然发现的东西需要仔细的解释.
- 骨扫描中的心脏吸收可以模仿心脏粉症.
研究的目的:
- 在骨扫描中报告一个暂时的心脏吸收病例.
- 为了区分药物诱导的吸收与实际的病理.
- 为了防止心脏氨基粉症的错误诊断.
主要方法:
- 一名77岁的妇女接受了99米的Tc-HDP骨扫描,以治疗膝关节疼痛.
- 偶然的扩散性心脏吸收被注意到.
- 随后进行了Tc-DPD扫描和SPECT.
- 进行了药物 anamnesis 的回顾性审查.
主要成果:
- 最初的99米Tc-HDP扫描显示了心脏扩散吸收.
- 随后的99mTc-DPD扫描显示没有心脏吸收.
- 患者在扫描之前已经接受了铁碳糖对贫血的治疗.
- 暂时的心脏吸收被归因于铁过载.
结论:
- 在Tc-HDP骨扫描中,铁碳酸可以引起暂时的心脏吸收.
- 这种吸收可以被误认为是心脏粉症.
- 意识到这种潜在的文物对于准确的诊断至关重要.
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