ΣΥΜΒΟΛΗ ΤΟΥ ΑΚΤΙΝΟΛΟΓΙΚΟΥ ΕΛΕΓΧΟΥ ΣΤΗΝ ΕΚΤΙΜΗΣΗ ΤΗΣ ΝΕΦΡΙΚΗΣ ΟΣΤΕΟΔΥΣΤΡΟΦΙΑΣ

RADIOLOGICAL STUDIES WERE PERFORMED IN 43 HEMODIALYRED PATIENTS. THEY INCLUDED SKELETAL SURVEY AND FINE DETAIL RADIOGRAPHIES (MAMMOGRAPHY TECHNIQUE) OF BOTH HANDS WHICH WERE STUDIED BY MAGNIFICATION FOR EARLIER DETECTION OF MINIMAL BONE RESORPTION. THE SKELETAL SURVEY INCLUDED VIEWS OF THE THORAX, LATERAL SKULL, LATERAL THORACIC AND LUMPAR SPINE, PELVIS AND THE RIGHT FEMORAL NECK. SKELETAL SURVEY (BONES OTHER THAN HANDS) SHOWED BONE CHANGES IN 32%. THE USE OF FINE DETAIL RADIOGRAPHY OF THE HANDS AND OPTICAL MAGNIFICATION PERMITTED DETECTION OF SUBPERIOSTEAL RESORPTION IN 47%. HOWEVER WHEN INTRACORTICAL AND ENDOSTEAL BONE RESORPTION WERE INCLUDED THE PERCENTAGE PATIENTS WITH EVIDENCE OF BONE LOSS WAS 62%. RADIOLOGICAL FINDINGS WERE CORRELATED WITH CLINICAL AND LABORATORY PARAMETERS. SUBPERIOSTEAL RESOPRTIONS OF MIDDLE PHALANGES CORRELATED ONLY WITH THE LEVELS OF SERUM ALKALINE PHOSPHATASE (R=0,516, P<0,001). HOWEVER PATIENTS WITH LOW LEVELS OF SERUM PARATHORMONE (<7,8 MIN/ML) HAD NO SUBPERIOSTEAL RESORPTIONS. THERE WAS A HIGH PERCENTAGE OF SOFT TISSUE CALCIFICATION WHICH CORRELATED WITH THEPRODUCT OF CALCIUM X PHOSPHORUS SERUM LEVELS (R=0,334, P<0,05). OUR FINDINGS SUGGEST THAT FINE DETAIL RADIOGRAPHY OF THE HANDS IS A VERY SENSITIVE, AND SIMPLE METHOD SUITABLE FOR EARLY DETECTION OF RENAL OSTEODYSTROPHY BONE LESIONS.

Grantor dc:publisher

University of Ioannina

Year dc:date

1986

Author dc:creator

• Παπαγεωργίου, Σταύρος

• Αιμοκάθαρση
• Δευτεροπαθής υπερπαραθυρεοειδισμός
• ΛΕΠΤΟΜΕΡΕΙΑΚΗ ΑΚΤΙΝΟΓΡΑΦΙΑ
• Νεφρική οστεοδυστροφία
• Οστικές αλλοιώσεις
• Bone disease
• FINE DETAIL RADIOGRAPHY
• Hemodialysis
• Renal osteodystrophy
• Secondrary hyperparathyroidism
• Ιατρική και Επιστήμες Υγείας
• Κλινική Ιατρική
• Medical and Health Sciences
• Clinical Medicine

Language dc:language

gre

Identifier

10.12681/eadd/0521

OAI identifier oai:identifier

oai:10442/0521