The nuclear medicinal study on degenerative arthritis of knee joint using traditional acupuncture

퇴행성 슬관절염에 대한 핵의학적 고찰

  • Kim, Young-Gue (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Park, So-Young (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Koh, Kang-Hoon (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Yoon, Min-Young (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Jin, Kyong-Sun (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Chang, Byoung-Sun (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Oh, Hee-Hong (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Kim, Sung-Chul (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University) ;
  • Hwang, Woo-Jun (Professional Graduate School of Oriental Medicine, Won-Kwang University) ;
  • Song, Ho-Chun (Department of Nuclear Medicine, Chon-Nam National University Hospital) ;
  • Ahn, Soo-Gi (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Won-Kwang University)
  • 김영규 (원광대학교 한의과대학 침구학교실) ;
  • 박소영 (원광대학교 한의과대학 침구학교실) ;
  • 고강훈 (원광대학교 한의과대학 침구학교실) ;
  • 윤민영 (원광대학교 한의과대학 침구학교실) ;
  • 진경선 (원광대학교 한의과대학 침구학교실) ;
  • 장병선 (원광대학교 한의과대학 침구학교실) ;
  • 오희홍 (원광대학교 한의과대학 침구학교실) ;
  • 김성철 (원광대학교 한의과대학 침구학교실) ;
  • 황우준 (원광대학교 한의학전문대학원) ;
  • 송호천 (전남대학교 의과대학 핵의학교실) ;
  • 안수기 (원광대학교 한의과대학 침구학교실)
  • Received : 2001.10.31
  • Accepted : 2002.01.08
  • Published : 2002.02.20

Abstract

Background and Purpose : Now, a lot of people are suffering from arthritis of knee joint. Western and oriental medicine, all of them are trying various methods to cure this disease, but generally the grade or level of repairing has been decided by the subjective estimation of the patients and doctors. So, we suggest the new standard for estimating the level of repair in this disease using nuclear medicine. Objective : To evalute the difference of the blood pool and delayed images in the correlation with clinical symptoms in patients with arthritis of knee joint by using acupuncture. Methods : Eight patients with arthritis of knee joint included in this study. Using Thermograph (D.I.T.I) and Radionuclide, we obtained the results. In Bone scan Tc-99m MDP, and MIBI scan was obtained at 1 minute and 3 hour after injection of 1,110 MBq Tc-99m MDP and MIBI. The analysis was carried out hurted area of joint. The Joint-to-background(J/B) ratios were obtained exclusively in the joints regions. Clinical symptoms were evaluated as pain and swelling graded from 0(no) to 5(severe) in the same joints, respectively. Results : J/B ratios on the delayed scans were higher than those on blood pool images. There was significant correlation between clinical symptoms and J/B on blood pool image in the joints =0.03). Conclusion : The results demonstrate that blood pool images of Tc-99m MDP scintigraphy correlates with clinical symptoms more than delayed images in patients with arthritis Joint.

Keywords