Annals of Occupational and Environmental Medicine

  • Volume 34
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  • Pages.26.1-26.13
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  • 2022
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  • 1225-3618(pISSN)
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  • 2052-4374(eISSN)
The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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Technetium-99m hand perfusion scintigraphy (Raynaud's scan) as a method of verification in hand arm vibration syndrome: a review

  • Taewoong Ha (Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital) ;
  • Hyeoncheol Oh (Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital) ;
  • Jungwon Kim (Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital)
  • Received : 2022.04.14
  • Accepted : 2022.09.11
  • Published : 2022.12.31
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Abstract

It is important to assess the blood flow of fingers in the verification of hand-arm vibration syndrome. In the Republic of Korea, most assessments of the blood flow in the fingers are performed using a cold provocation test with finger skin color change. However, this test is a non-objective method with a relatively low sensitivity, leading to possible social and legal problems. Thus, we reviewed the characteristics of several tests that assess the blood flow in the fingers. Among these tests, using the radioactive isotope method, Raynaud's scan has a relatively higher sensitivity and specificity than other tests, provides objective results, and is approachable in many hospitals. So we suggest using Raynaud's scan as an alternative test when cold provocation test with finger skin color change is negative in vibration exposed worker.

Keywords

References

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