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- Intense and Diffuse Liver Uptake and Mild (Subtle) Multiple Skeletal Metastases on Bone Scintigraphy in A Patient with End-stage of Multiple Myeloma: Correlation with CT and MRI Findings
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題名 | Intense and Diffuse Liver Uptake and Mild (Subtle) Multiple Skeletal Metastases on Bone Scintigraphy in A Patient with End-stage of Multiple Myeloma: Correlation with CT and MRI Findings=骨骼掃描顯現肝臟瀰漫性高攝取及多發性微小骨轉移病灶於一位患有末期多發性骨體瘤之病患:與電腦斷層及磁振造影檢查發現之比對 |
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作者姓名(中文) | 陳慶元; 施維貞; | 書刊名 | 核子醫學雜誌 |
卷期 | 19:2 民95.06 |
頁次 | 頁119-125 |
分類號 | 416.26 |
關鍵詞 | 骨骼造影; 多發性骨髓瘤; 瀰漫性肝臟高度攝取; Bone scintigraphy; CT; MRI; Multiple myeloma; Diffuse hepatic uptake; 99mTc-HMDP; |
語文 | 英文(English) |
中文摘要 | 瀰漫性肝臟高攝取(diffuse hepatic uptake)核醫骨骼造影製劑,可經由許多不同的機轉造成,包括如,血中白蛋白升高所實施造成藥物不當的結合及呼吸衰竭所造成之血中缺氧。我們在此報告一位末期多發性骨髓瘤病例的核醫骨骼扫描發現,在第2及第21小時的影像呈現肝臟瀰漫性高攝取及多發性微小的骨骼轉移病灶;電腦斷層及磁振造影檢查以及其隨後的骨骼X光等影像檢查,均未見肝臟有異常發現,但卻發現在脊椎、肋骨、肩胛骨及骨盆骨等處有多發性噬骨性病變。 |
英文摘要 | Diffuse hepatic uptake of bone-imaging agent can be due to a variety of causes including radiopharmaceutical fault of elevation of serum albumin level and hypoxemia secondary to respiratory failure. We present the case of a patient with end-stage of multiple myeloma whose (superscript 99m)Tc-HMDP bone images at 2- and 21-h showed diffusely and intensely increased activity in the liver in addition to subtle skeletal metastases. Concurrent CT, MRI, and subsequent bone radiography survey demonstrated multiple osteolytic lesions in the vertebrae, ribs, scapulae, and pelvic bones without abnormality of the liver. |
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