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Gorham's Disease of the Skull Demonstrated by Bone SPECT-CT

頭顱骨高爾罕氏症之單光子射出電腦斷層曁電腦斷層骨骼掃描

摘要


高爾罕氏症(Gotham's disease)是一種罕見的骨骼疾病,以大塊骨質溶解並伴隨進行性血管組識增生取代原有骨質為特色;此症可發生在全身的骨骼系統,但侵犯頭顱骨的病例並不常見。本文報告一例頭顱骨高爾罕氏症,患者的鎝-99m-MDP單光子射出電腦斷層與電腦斷層(SPECT/CT)骨骼掃描呈現電腦斷層像之骨骼缺損區恰與單光子射出電腦斷層像之光子缺乏區相吻合,因此我們強調SPECT/CT掃描的優點:SPECT-CT 裝設在同一機器上,在不需移動病人情況下,就可產生一個功能和解剖融合性影像。

並列摘要


We present a case of Gorham's disease of the skull by using (superscript 99m)Tc-MDP bone SPECT-CT to demonstrate simultaneously a large defect of the skull corresponding to the photon-deficient area in the left parietal skull. An important advantage of the combined SPECT-CT is that it can be acquired without moving the patient, and thus this imaging modality is virtually a fusion image(s). This patient illustrated this advantage of structural skull defect by CT to match physiological ”cold” skull lesion by bone scintigraphy.

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