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© 1983 British Society for Rheumatology


research-article

THE CLINICAL USEFULNESS OF RADIONUCLIDE SCINTIGRAPHY IN SUSPECTED SACRO-ILITIS: A PROOSPECTIVE STUDY

WALTER F. CHASE1,, RICHARD W. HOUK1, RICHARD E. WINN1 and GARY W. HINZMAN2

1Rheumatology Service, Department of Meidcine, Wilford Hall USAF Medical Center San Antonio, Texas
2Nuclear Medicine Section, Department of Radiology, Wright-Patterson USAF Medical Center Dayton, Ohio

Correspondence to: Address correspondence to Dr. W. F. Chase, 12815 Country Ridge, San Antonio, Taxas 78216.

The ability of quantitative sacro-iliac scintigraphy (QSS) to detect sacro-iliac joint (SIJ) disease was compared to that of standard radiographs in a prospective study of 26 patients with low back pain suggestive of spondylitis. Of 52 SIJs studied, QSS was abnormal in 21 (40%) and radiographs positive in 23 (44%) (p = 0.47). QSS was abnormal in only 11 of the 23 (48%) radiographically abnormal SIJs. Conversely, 29 radiographically equivocal or negative SIJs yielded positive scintigraphs in ten (34%). Although QSS in general is no more sensitive than standard radiographs, it may allow detection of radiographically inapparent sacro-iliitis in carefully selected patients.

KEY WORDS: Ankylosing spondylitis, Radionuclide, Sacro-iliitis, Scintigraphy


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[Abstract] [Full Text] [PDF]



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