Avtor/Urednik		Fettich, Jure
Naslov		Scintigrafija skeleta - indikacije, ki so v rokah zdravnika družinske medicine
Prevedeni naslov		Bone scintigraphy: what general practitioners should know about clinical indications
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 40, št. Suppl 1
Leto izdaje		2001
Obseg		str. 159-62
Jezik		slo
Abstrakt		Bone scintigraphy is a very sensitive test and is therefore frequently used as one of the first methods, and sometimes even a screening method, in patients in whom the skeleton is suspected of having been affected. Indications for this investigation belong in primary patient care and should be known and used by general practitioners. The most common indications for outpatient bone scintigraphy are: pain in the bones which cannot be differentiated by regular bone radiography (normal or nonspecific bone X-rays), determination of the osteoblastic activity of asymptomatic lesion found accidentally on bone X-rays, and planned follow-up of a known bone disease. Since bone scintigraphy is highly sensitive, its specificity is low. Therefore additional more specific scintigraphic methods (e. g. the use of tumor-seeking agents) or complementary radiological investigations, including CT and MRI are frequently necessary to arrive at a final diagnosis.
Izvleček		Scintigrafija skeleta je pogosta in zelo občutljiya preskavna metoda, zato jo uporabljamo kot eno prvih, pogosto presejevalnih metod pri bolnikih, kjer sumimo na prizadetost skeleta. Indikacije za to preiskavo so zato nedvomno pomembea del primarnega zdravstvenega varstva v rokah družinskega zdravnika. Najpomembnejše splošne indikacje, za ambulantno scintigrafijo skeleta so: skeletna bolečina, ki je s kliničnim pregledom in običajnim rentgenskim slikanjem ne moremo opredeliti (normalna ali nespecifična RTC-slika okostja), opredelitev presnovne (osteoblastne) aktivnosti asimptomatske, naključno odkrite spremembe na rentgenogramu okostja in usmerjeno opredeljevanje ter spremljanje znane bolezni. Ker je scintigrafija skeleta visoko občutljiva metoda, je seveda le malo specifična, zato so pogosto potrebne dodatne, bolj specifične scintigrafske metode (npr. scintigrafije s tumorotropnimi radiofarmaki) ali komplementarne morfološke preiskave (predvsem radiološke), da lahko postavimo končno diagnozo.
Deskriptorji		BONE DISEASES FAMILY PRACTICE