ABSTRACT
Sixty patients suspected of having lung cancer were evaluated for bone metastasis by means of technetium 99m stannous-polyphosphate bone scanning and correlative radiographic bone survey. Diagnosis of lung cancer was histologically proved in all patients. Scans demonstrated evidence of bone metastasis in 20 patients (33.4%) and radiographs, in 10 patients (16.6%). Twenty-four patients had repeat skeletal evaluation at one to eleven months after the first study. Of these patients, 7 initially demonstrating both negative scans and radiographs showed abnormal scans within five months. Bone scans correlated with radiographs in 53.3% and with accompanying bone pain in 33.3% of patients. False negative and false equivocal results were noted in 4 patients. This study suggests that bone scanning with 99mTc stannous-polyphosphate detected early bone metastasis in patients with lung cancer before these lesions became evident clinically or radiographically. Bone scanning is of value during the initial evaluation to determine operability in patients with lung cancer.
Subject(s)
Bone Neoplasms/diagnostic imaging , Lung Neoplasms/diagnostic imaging , Adult , Aged , Biopsy , Diagnostic Errors , Humans , Male , Middle Aged , Neoplasm Metastasis , Radiography , Radionuclide Imaging , Technetium , Time FactorsABSTRACT
The physiologic results after profundaplasty in a group of patients with uncorrected complete occlusion of superficial femoral artery are presented. The limbs were evaluated by ankle B.P. index and muscle pH, and pulse volume plethysmograph showed that the deep femoral artery, in occlusion of superficial femoral artery, can provide pulsatile flow and adequate perfusion to calf muscles in most cases.