TC-99M-LABELED POLYCLONAL HUMAN IMMUNOGLOBULIN-G SCINTIGRAPHY BEFORE AND AFTER INTRAARTICULAR KNEE INJECTION OF TRIAMCINOLONE HEXACETONIDE IN PATIENTS WITH RHEUMATOID-ARTHRITIS

被引:37
作者
DEBOIS, MHW
ARNDT, JW
TAK, PP
KLUIN, PM
VANDERVELDE, EA
PAUWELS, EKJ
BREEDVELD, FC
机构
[1] Departments of Rheumatology, University Hospital, Leiden
[2] Departments of Diagnostic Radiology and Nuclear Medicine, University Hospital, Leiden
[3] Departments of Internal Medicine, University Hospital, Leiden
[4] Departments of Pathology, University Hospital, Leiden
[5] Departments of Medical Statistics, University Hospital, Leiden
关键词
D O I
10.1097/00006231-199310000-00009
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The ability of Tc-99m-labelled polyclonal human immunoglobulin G (Tc-99m-IgG) scintigraphy to monitor intra-individual variation in arthritis activity was studied in seven patients with rheumatoid arthritis (RA). These patients were treated with an intra-articular injection of 20 mg triamcinolone hexacetonide. The results of semiquantitative Tc-99m-IgG scintigraphy were compared with the degree of joint swelling and the histological changes observed in synovial biopsies before and 14 days after the injection. In all seven patients the local treatment resulted in a decreased arthritis activity of the treated knee as measured clinically or histologically. This decrease was parallelled, in all patients except one, by a lower uptake of Tc-99m-IgG after the injection when compared to uptake prior to treatment. This study shows that Tc-99m-IgG scintigraphy is able to reflect intra-individual variations in arthritis activity in patients with RA.
引用
收藏
页码:883 / 887
页数:5
相关论文
共 27 条
  • [1] Van Heijde Der D., Van Hof't M.A., Riel Van P., Theunnisse L., Lubberts E.W., Leeuwen Van M.A., Rijswijk Van M.H., Van Putte Der L., Judging disease activity in clinical practice in rheumatoid arthritis: First step in the development of a disease activity score, Ann Rheum Dis, 49, pp. 916-920, (1990)
  • [2] Breedveld F.C., Kroonenburgh Van M., Camps J., Feitsma H., Markusse H.M., Pauwels E., Imaging of inflammatory arthritis with technetium-99m-Iabeled IgG, J Nucl Med, 30, pp. 2017-2021, (1989)
  • [3] Van Lubbe Der P., Arndt J.W., Calame W., Ferreira T.C., Pauwels E., Breedveld F.C., Measurement of synovial inflammation in rheumatoid arthritis with technetium- 99m labelled human polyclonal immunoglobulin G, Eur J Nucl Med, 18, pp. 119-123, (1991)
  • [4] Berna L., Torres G., Diez C., Estorch M., Martinez-Duncher D., Carrio I., Technetium-99m human polyclonal immunoglobulin G studies and conventional bone scans to detect active joint inflammation in chronic rheumatoid arthritis, Eur J Nucl Med, 19, pp. 173-176, (1992)
  • [5] Bois De M., Arndt J.W., Van Velde Der E.A., Van Lubbe Der P., Westedt M.L., Pauwels E., Breedveld FC. 99mTc Human immunoglobulin scintigraphy - a reliable method to detect joint activity in rheumatoid arthritis, J Rheumatol, 19, pp. 1371-1376, (1992)
  • [6] Pons F., Moya F., Herranz R., Sola M., Del Olmo J.A., Piera C., Munoz-Gomez J., Setoain M., Detection and quantitative analysis of joint activity inflammation with 99Tcm- polyclonal human immunoglobulin G, Nucl Med Commun, 14, pp. 225-231, (1993)
  • [7] Mc carthy D.J., Treatment of rheumatoid joint inflamma¬tion with triamcinolone hexacetonide, Arthr Rheum, 15, pp. 157-173, (1972)
  • [8] Arnett F.C., Edworthy S.M., Block D.A., Mc shanc D.J., Fries J.F., Cooper N.S., Healey L.A., Kaplan S.R., Liang M.H., Luthra H.S., Medsger T.A., Mitchell D.M., Neustadt D.H., Pinals R.S., Schaller J.G., Sharrp J.T., Wilder R.L., Hunder G.G., The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis, Arthritis Rheum, 31, pp. 315-324, (1988)
  • [9] Parker R.H., Pearson C.M., A simplified synovial biopsy needle, Arthr Rheum, 6, pp. 172-176, (1963)
  • [10] Dick W.C., Grennan D.M., Radioisotopes in the study of normal and inflamed joints, Clin Rheum Dis, 2, pp. 67-76, (1976)