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Revista chilena de radiología

versión On-line ISSN 0717-9308

Resumen

CONTRERAS O, Oscar et al. Ultrasound-guided wrist radiosynovectomy: Case report and topic review. Rev. chil. radiol. [online]. 2012, vol.18, n.3, pp.121-128. ISSN 0717-9308.  http://dx.doi.org/10.4067/S0717-93082012000300006.

Radiosynovectomy is a local form of radiotherapy used as second-line treatment in the management of inflammatory and non-inflammatory arthropathies with unsatisfactory response to local or systemic corticosteroid therapy. Its efficacy is similar to that of surgical synovectomy, with the advantages of being a low-cost and minimally- invasive treatment that requires a shorter recovery time. Its efficacy is greater in the treatment of inflammatory arthritis characterized by synovitis, such as rheumatoid arthritis and juvenile chronic arthritis with mono/ oligoarticular involvement, especially in upper extremity joints. A number of isotopes can be used in colloidal suspensions. Rhenium-186-sulphide colloid is currently indicated for the treatment of medium-sized joints. The ultrasound-guided injection is suitable for small joints, such as wrist. For proper and safe use and administration of this technique the collaboration of a trained and experienced radiologist is critical to successful treatment.

Palabras clave : Juvenile chronic arthritis; Radiosynovectomy; Radiosynoviorthesis; Rhenium-186; Rheumatoid arthritis.

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