Treatment Response Evaluation using Yttrium-90 in Patients with Rheumatoid Arthritis of Knee Joint
- PMID: 29398958
- PMCID: PMC5778711
- DOI: 10.4103/1450-1147.222289
Treatment Response Evaluation using Yttrium-90 in Patients with Rheumatoid Arthritis of Knee Joint
Abstract
For radiosynovectomy, we have measured the retention time of yttrium-90 (90Y) hydroxyapatite (particle size 1-10 μm) within the knee joint space and evaluated the treatment responses in knees with rheumatoid arthritis. Radioactive measurements in the region of knee after injection of 90Y hydroxyapatite into the joint space were made with a single prove system designed to monitor radioactivity and showed retention of 90Y in the knee ranged 76.6% ±5.4% after 4 days of injection. The clinical improvements in rheumatoid arthritis of knee joint with steinbroker Stages I and II were increased as time goes by, the improvement ratio is in 72% at 6th months and 76% at 12th months after injection of 90Y 185 MBq (5 mCi) per joint.
Keywords: Knee joint; radiosynovectomy; yttrium-90 hydroxyapatite.
Conflict of interest statement
There are no conflicts of interest.
References
-
- Fubini SL, Todhunter RJ, Burton-Wurster N, Vernier-Singer M, MacLeod JN. Corticosteroids alter the differentiated phenotype of articular chondrocytes. J Orthop Res. 2001;19:688–95. - PubMed
-
- Robion FC, Doizé B, Bouré L, Marcoux M, Ionescu M, Reiner A, et al. Use of synovial fluid markers of cartilage synthesis and turnover to study effects of repeated intra-articular administration of methylprednisolone acetate on articular cartilage in vivo. J Orthop Res. 2001;19:250–8. - PubMed
-
- Podbielski A, Raiss R. Dose related effects of dexamethasone treatment on the ultrastructure of articular cartilage in rats. Agents Actions. 1986;17:322–4. - PubMed
-
- Noble J, Jones AG, Davies MA, Sledge CB, Kramer RI, Livni E. Leakage of radioactive particle systems from a synovial joint studied with a gamma camera. Its application to radiation synovectomy. J Bone Joint Surg Am. 1983;65:381–9. - PubMed
-
- Bergmann H, Hofer R. Physical and technical basis of radiosynoviorthesis. In: Kolarz G, Thumb N, editors. Methods of Nuclear Medicine in Rheumatology. Stuttgart: F. K. Schattaur Verlag; 1982. p. 123.
LinkOut - more resources
Full Text Sources
Other Literature Sources