Uterine Doughnut by Intrauterine Device-induced Photon Attenuation on Three-Phase Bone Scintigraphy : Artifact

삼상 골신티그래피상 자궁내장치의 광자감쇠현상에 의해 생긴 Uterine Doughnut: 인공물

  • Sohn, Myung-Hee (Department of Nuclear Medicine, Institute for Medical Sciences, and Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Jeong, Hwan-Jeong (Department of Nuclear Medicine, Institute for Medical Sciences, and Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Lim, Seok-Tae (Department of Nuclear Medicine, Institute for Medical Sciences, and Research Institute of Clinical Medicine, Chonbuk National University Medical School)
  • 손명희 (전북대학교 의과대학 핵의학교실, 의과학연구소, 임상의학연구소) ;
  • 정환정 (전북대학교 의과대학 핵의학교실, 의과학연구소, 임상의학연구소) ;
  • 임석태 (전북대학교 의과대학 핵의학교실, 의과학연구소, 임상의학연구소)
  • Published : 2007.02.28

Abstract

A 44-year-old female underwent three-phase bone scintigraphy for an evaluation of right hip joint pain. The blood-flow and blood-pool images show a pelvic blush with a photopenic center (doughnut) prior to bladder filling. On the three hour delayed image, the pelvic uptake disappeared. The scintigraphic findings indicated the possibility of an early pregnancy. However, plain radiography demonstrated an intrauterine device. A uterine doughnut developed as a result of photon attenuation of intrauterine device.

Keywords

References

  1. Mandell GA, Harcke HT, sharkey C, Brooks K. Uterine blush in multiphase bone imaging. J Nucl Med 1986;27:51-5
  2. Tzen KY, Yen TC. Uterine blush mimicking a hypervascular tumour in the pelvis as demonstrated by a triple-phase bone scan. Nucl Med Commun 1998;19:605-7 https://doi.org/10.1097/00006231-199806000-00015
  3. Palestro CJ, Malat J, Collica CJ, Richman AH. Incidental diagnosis of pregnancy on bone and gallium scintigraphy. J Nucl Med 1986;27:370-2
  4. Lim ST, Sohn MH, Yim CY. Pregnancy-induced uterine blush detected incidentally by three-phase bone scintigraphy. Clin Nucl Med 2001;26:654 https://doi.org/10.1097/00003072-200107000-00028
  5. Mandell GA, Harcke HT. Pelvic 'doughnut'. Sign of incidental pregnancy on bone scintigraphy. Clin Nucl Med 1987;12:116-7 https://doi.org/10.1097/00003072-198702000-00007
  6. Howarth DM, Forstrom LA, O'Connor MK, Thomas PA, Cardew AP. Patient-related pitfalls and artifacts in nuclear medicine imaging. Semin Nucl Med 1996;26:295-307 https://doi.org/10.1016/S0001-2998(96)80005-5