Localization of osteoid osteomas--use of radionuclide scanning and autoimaging in identifying the nidus

Journal Article · Tue Feb 01 04:00:00 EST 1983 · Am. J. Clin. Pathol.; (United States)

DOI:https://doi.org/10.1093/ajcp/79.2.223· OSTI ID:6257303

Vigorita, V J; Ghelman, B

Surgical excision of osteoid osteomas is curative, but intraoperative localization and pathologic identification in submitted fragments may be difficult. We used preoperative /sup 99m/Tc methylene diphosphonate injection and intraoperative probing to localize the nidus of three clinically suspected cases of osteoid osteoma. Then in the pathology department, fine grain specimen x-rays and specimen autoimaging on undeveloped film were utilized. In all cases, technetium radioactivity localized within the lesion. Although the nidus was identified by fine grain specimen x-rays in only one case, the subsequent histologically proved osteoid osteoma corresponded in all cases to the fragment with the most intense autoimaging. We conclude that isotope scanning is effective in localizing osteoid osteomas at surgery, and autoimaging is effective in identifying the nidus itself by the pathologist.

• Research Organization: Department of Pathology, Hospital for Special Surgery, New York, New York
• OSTI ID: 6257303
• Journal Information: Am. J. Clin. Pathol.; (United States), Journal Name: Am. J. Clin. Pathol.; (United States) Vol. 79:2; ISSN AJCPA
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BODY
CARCINOMAS
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIAGNOSTIC USES
DISEASES
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ISOMERIC NUCLEI
ISOMERIC TRANSITION ISOTOPES
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NEOPLASMS
NUCLEI
ODD-EVEN NUCLEI
ORGANIC COMPOUNDS
ORGANIC PHOSPHORUS COMPOUNDS
ORGANS
PATHOLOGY
PATIENTS
PHOSPHONIC ACID ESTERS
RADIOISOTOPE SCANNING
RADIOISOTOPES
SCINTISCANNING
SKELETAL DISEASES
SKELETON
TECHNETIUM 99
TECHNETIUM ISOTOPES
USES
YEARS LIVING RADIOISOTOPES