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Early diagnosis of ischemic osteonecrosis of femoral head in bone SPECT/CT imaging

Early diagnosis of ischemic osteonecrosis of femoral head in bone SPECT/CT imaging. Nan-Jing Peng. Kaohsiung Veterans General Hospital. Abstract.

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Early diagnosis of ischemic osteonecrosis of femoral head in bone SPECT/CT imaging

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  1. Early diagnosis of ischemic osteonecrosis of femoral head in bone SPECT/CT imaging Nan-Jing Peng Kaohsiung Veterans General Hospital

  2. Abstract The histological features of osteonecrosis are death of osteocyte and the cellular elements in the adjacent marrow. Most investigators concede that the stage immediately preceding cellular demise is the interruption of the blood supply. Bone scintigraphy has been shown to play a useful role in early detecting osteonecrosis of femoral head. We present a case with alcoholism and right hip pain for months. Ischemic osteonecrosis of bilateral femoral heads was detected by bone scintigraphy with SPECT/CT, and was proven by operation and histologic examination 1/2 and 9 months later, respectively.

  3. 53 y/o male has alcoholism and right hip pain for months. X-flim of hips on 2007-10-18 showed no obvious bone lesion. Osteonecrosis scan-20071024 Pathological diagnosis: 2007-11-9: Femoral head, right, THR --- Ischemic necrosis 2008-7-8: Bone, hip, left, THR --- Ischemic necrosis Imp: AVN in bilateral femoral heads, severer on the right side.

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