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Bone stress: a radionuclide imaging perspective. [/sup 99m/Tc-pyrophosphate]

Journal Article · · Radiology; (United States)
OSTI ID:6137530

Thirty-five college athletes with lower leg pain underwent radiography and radionuclide studies to rule out a stress fracture. Their asymptomatic extremities and 13 pain-free athletes served as controls. Four main patterns were observed: (a) sharply marginated scintigraphic abnormalities and positive radiographs; (b) sharply marginated scintigraphic abnormalities and negatives radiographs; (c) ill-defined scintigraphic abnormalities and negative radiographs; and (d) negative radionuclide images and negative radiographs. Since the patients with the first two patterns were otherwise identical medically, the authors feel that this scintigraphic appearance is characterisic of bone stress in the appropriate clinical setting, regardless of the radiographic findings. A schema is proposed to explain the occurrence of positive radionuclide images and negative radiographs in the same patient, using a broad conceptual approach to the problem of bone stress.

Research Organization:
Presbyterian Uni. Hosptial, Pittsburgh, PA
OSTI ID:
6137530
Journal Information:
Radiology; (United States), Journal Name: Radiology; (United States) Vol. 132:2; ISSN RADLA
Country of Publication:
United States
Language:
English