The Japanese Journal of Clinical Dialysis Vol.22 No.1(4-2)

Theme Renal Osteodystrophy, Up-To-Date
Title Imaging for renal osteodystrophy
Publish Date 2006/01
Author Masako Ito Department of Radiology, Nagasaki University School of Medicine
Author Tetsuji Yamaguchi Department of Radiology, Nagasaki University School of Medicine
Author Masataka Uetani Department of Radiology, Nagasaki University School of Medicine
[ Summary ] Renal osteodystrophy is related to a wide spectrum of bone and soft tissue abnormality, induced by complex biochemical disturbances of calcium-phosphate metabolism in cases of chronic renal insufficiency, hemodialysis, peritoneal dialysis, renal transplantation and adminstration of different medications. The most common radiologically observed manifestations of renal osteodystrophy include secondary hyperparathyroidism, osteomalacia/rickets, osteoporosis, and metastatic calcification. Radiological investigations play an important role in the early diagnosis of and follow-up on these bone disease.
Magnetic resonance imaging (MRI) is helpful in the diagnosis of bone related complications, as well as joint and soft tissue conditions, such as aluminum osteopathy and amyloid osteoarthropathy. Futhermore, the roles of bone scintigrams, MRIs and bone density measurement are discussed.
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