{"id":3813,"date":"2011-05-03T18:03:01","date_gmt":"2011-05-03T17:03:01","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=3813"},"modified":"2011-05-05T22:21:18","modified_gmt":"2011-05-05T21:21:18","slug":"se-metastaser-i-thoraxskelettet","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/se-metastaser-i-thoraxskelettet","title":{"rendered":"Se metastaser i thoraxskelettet"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Jag skulle vilja veta om man kan se skelettmetastaser med en lungr\u00f6ntgen. Har det med Mas o Kv? Om inte varf\u00f6r?<\/p>\n<div id=\"attachment_3827\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/05\/thrx_skelett_lunga.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3827\" class=\"size-thumbnail wp-image-3827  \" title=\"Lungr\u00f6ntgen\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/05\/thrx_skelett_lunga-150x150.jpg\" alt=\"Lungr\u00f6ntgen mjukdelar 121kV\" width=\"90\" height=\"90\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/05\/thrx_skelett_lunga-150x150.jpg 150w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/05\/thrx_skelett_lunga-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/05\/thrx_skelett_lunga.jpg 531w\" sizes=\"auto, (max-width: 90px) 100vw, 90px\" \/><\/a><p id=\"caption-attachment-3827\" class=\"wp-caption-text\">H\u00f6g kV<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/> En konventionell lungr\u00f6ntgen \u00e4r nu inte den mest optimala unders\u00f6kningen av revbenen, ryggraden, nyckelben, etc.<br \/>\nR\u00f6ntgenapparaten \u00e4r inst\u00e4lld med en h\u00f6g r\u00f6rsp\u00e4nning (<em>kV<\/em>) som \u00f6kar r\u00f6ntgenstr\u00e5larnas genomtr\u00e4ngningf\u00f6rm\u00e5ga. Detta g\u00f6r att det blir mer mjukhet i bilderna d\u00e5 det \u00e4r sj\u00e4lva lungan (mjukdel) som \u00e4r viktigast vid denna unders\u00f6kning.<br \/>\nSkelett ses dock s\u00e5 pass bra att v\u00e5ra radiologer oftast kan g\u00f6ra en bed\u00f6mning av dessa vad avser frakturer och div. patologiska skelettprocesser.<\/p>\n<p>Om man s\u00e4nker sp\u00e4nningen till r\u00f6ntgenr\u00f6ret f\u00e5r man d\u00e4remot mer kontrastskillnad i bilderna. Skelettet ses d\u00e5 v\u00e4ldigt bra medan lungans mjukdelar d\u00e4remot blir s\u00e4mre avbildade. Enheten <em>mAs<\/em> (milliamperesekund) anger str\u00e5lningens kvantitet, dvs. hur stor m\u00e4ngden str\u00e5lning \u00e4r. Smal patien kr\u00e4ver l\u00e5ga mAs medan kraftiga patienter kr\u00e4ver h\u00f6gre mAs. Denna inst\u00e4llning har inget med bildens kontrast att g\u00f6ra.<\/p>\n<div id=\"attachment_3828\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/05\/thrx_skelett_rygg.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3828\" class=\"size-thumbnail wp-image-3828 \" title=\"Br\u00f6strygg\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/05\/thrx_skelett_rygg-150x150.jpg\" alt=\"Br\u00f6strygg skelett 70kV\" width=\"90\" height=\"90\" \/><\/a><p id=\"caption-attachment-3828\" class=\"wp-caption-text\">L\u00e5g kV<\/p><\/div>\n<p>Det kan vara sv\u00e5rt att med konventionell r\u00f6ntgen bilda sig en uppfattning om hela thoraxskelettet d\u00e5 bla. revbenen \u00e4r v\u00e4lvda vilket g\u00f6r att delar av dessa endast blir avbildade i 1 projektion samt till vissa delar d\u00f6ljs av ryggrad, skulderbladen, etc. En optimal skelettr\u00f6ntgen f\u00f6ruts\u00e4tter att man r\u00f6ntgar de olika kroppsdelarna var f\u00f6r sig i minst 2 olika projektioner.<\/p>\n<p>Fr\u00e5gest\u00e4llningar om skelettmetastaser\u00a0ing\u00e5r oftast vid\u00a0unders\u00f6kningar med datortomografi (CT)\u00a0f\u00f6r prim\u00e4r tum\u00f6rutredning\u00a0som d\u00e5 samtidigt \u00e4ven ger bra bilder av skelettet och en stor del av ryggraden.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/> K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jag skulle vilja veta om man kan se skelettmetastaser med en lungr\u00f6ntgen. Har [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[82,111,24],"class_list":["post-3813","post","type-post","status-publish","format-standard","hentry","category-konventionellrtg","tag-lungor","tag-revben","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/3813","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=3813"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/3813\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=3813"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=3813"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=3813"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}