Synovectomy of the rheumatoid knee using intra-articular injection of dysprosium-165-ferric hydroxide macroaggregates.

Published

Journal Article

One hundred and eleven patients who had seropositive rheumatoid arthritis and persistent synovitis of the knee were treated with intra-articular injection of 270 millicuries of dysprosium-165 bound to ferric hydroxide macroaggregates. A two-year follow-up was available for fifty-nine of the treated knees. Thirty-nine had a good result; nine, a fair result; and eleven, a poor result. Of the twenty-five knees that had Stage-I radiographic changes, nineteen had a good result. Of the thirty-four knees that had Stage-II radiographic changes, twenty showed a good result. Systemic spread of the radioactivity from the injected joint was minimum. The mean whole-body dose was calculated to be 0.3 rad and that to the liver twenty-four hours after injection, 3.2 rads. The results indicated that dysprosium-165-ferric hydroxide macroaggregate is an effective agent for performing radiation synovectomy, particularly in knees that have Stage-I radiographic changes. Because of the minimum rate of systemic spread of the dysprosium-165, it offers a definite advantage over agents that previously have been used.

Full Text

Duke Authors

Cited Authors

  • Sledge, CB; Zuckerman, JD; Shortkroff, S; Zalutsky, MR; Venkatesan, P; Snyder, MA; Barrett, WP

Published Date

  • September 1987

Published In

Volume / Issue

  • 69 / 7

Start / End Page

  • 970 - 975

PubMed ID

  • 3654709

Pubmed Central ID

  • 3654709

International Standard Serial Number (ISSN)

  • 0021-9355

Language

  • eng

Conference Location

  • United States