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Vascular Bone Disorders

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Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases

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Abstract

Vascularity-related bone disorders of scintigraphic interest include avascular necrosis, infarction, dysbaric necrosis, hyperemic or congestive osteoporosis, congestive periostitis, and periostitis in Bürger’s disease. 99mTc-MDP bone scintigraphy augmented with nuclear angiography and pinhole scanning appears to be the method of choice for dynamic biochemical study of these vascularity-related bone disorders because it is not only sensitive and often specific but also noninvasive, holistic, and easily repeatable in a day or two if necessary. In particular, pinhole bone scanning is highly valued for its ability to detect avascularity before radiography, and to subsequently assess the clinical course to revascularization (Fig. 14.1). On the other hand, nuclear angiography can diagnose regional osteoporosis or osteopenia that is related to hyperperfusion, hypoxia periostitis in Bürger’s disease, and chronic venous congestion.

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  1. Yong-Whee Bahk

    Present address: Depart. of Nuclear Med. and Radiology, Sun Ae General Hospital, Seoul, Korea, Republic of

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    © 2013 Springer-Verlag Berlin Heidelberg

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    Bahk, YW. (2013). Vascular Bone Disorders. In: Combined Scintigraphic and Radiographic Diagnosis of Bone and Joint Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-25144-3_14

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    • DOI: https://doi.org/10.1007/978-3-642-25144-3_14

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    • Print ISBN: 978-3-642-25143-6

    • Online ISBN: 978-3-642-25144-3

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