Zekiye HASBEK, İsmail ŞALK, Birsen YÜCEL, Nalan Akgül BABACAN

KEMİK METASTAZLARININ TESPİTİNDE HANGİ GÖRÜNTÜLEME YÖNTEMİNİ SEÇELİM? KEMİK SİNTİGRAFİSİ, BT, 18F-FDG PET/BT VEYA MR?

Kemik metastazları kanserin sık görülen bir komplikasyonudur. Kemik metastazları klinik olarak önemlidir, çünkü ilişkili semptomlar, patolojik fraktür gibi komplikasyonlar evrele- me, tedavi ve prognoz için önemlidir. Bu yüzden, kemik metastazının deteksiyonu tedavi planının önemli bir parçasıdır. Dört asıl modalite klinik olarak kullanılır: radyografi, BT gö- rüntüleme, nükleer görüntüleme (Teknesyum-99m ile işaretli kemik sintigrafisi ve 18F- FDG PET/CT) ve manyetik rezonans görüntülemedir. Biz bu derlemede, kemik metastazla- rının deteksiyonu için bu görüntüleme tekniklerini ve önerilen görüntüleme stratejilerini tartıştık.

Anahtar Kelimeler:

Metastaz, Kemik, Sintigrafi, Pozitron emisyon tomografi, Bilgisayarlı tomografi

Which Imaging Method to Choose for Detection of Bone Metastases? Bone Scintigraphy, CT, 18F-FDG PET/CT or MR?

Bone metastases are a common complication of cancer. Skeletal metastases are clinically significant because of associated symptoms, complications such as pathological fracture significance for staging, treatment and prognosis. Detection of bone metastases is, thus, an important part of treatment plannning. Four main modalities are available clinically: radiography, CT scan, nuclear imaging (Technetium-99m labeled diphosphonates and 18F- FDG PET/CT) and magnetic resonance imaging. In this review, we discuss these imaging technics and recommend imaging strategies for the detection of bone metastases.

Keywords:

Metastasis, Bone Scintigraphy, Positron emission tomography, Magnetic resonance imaging, Computed tomography, ,

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