Estimation of blood supply of the sternum after operations on the chest wall

• Main Authors: S. E. Mamchur, V. I. Chernov, A. T. Teplyakov, Yu. Yu. Vechersky, N. G. Krivonogov
• Format: Article
• Language: English
• Published: Siberian State Medical University (Tomsk) 2002-12-01
• Series: Bûlleten' Sibirskoj Mediciny
• Subjects: sternal osteomyelitis; mediastinitis; single photon emission computed tomography (spect); three-phased scintigraphy
• Online Access: https://bulletin.tomsk.ru/jour/article/view/4013

The method of estimation of the blood supply of the sternum by combined use of both single photon emission computed tomography and three-phased dynamic scintigraphy with 99mTc-methylene diphosphonate with determination of 99mTc-methylene diphosphonate sternal vis-à-vis vertebral uptake allows to carry out early diagnosis of the sternal hypoperfusion after operations on the chest wall and determine the postoperative osteomyelitis and mediastinitis risk groups in patients. By using of the method it is possible to keep forehanded prophylactic measures on prevention of development of the sternal osteomyelitis. The proposed method decreases the cost of the examination and radiation capacity on patient. The recommendations are designed for radiologists, cardiovascular and thoracic surgeons.