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IMAGE IN CLINICAL MEDICINE
Year : 2016  |  Volume : 62  |  Issue : 3  |  Page : 208

Numerous linear metallic densities on radiograph: Gold threads


Department of Internal Medicine, Chungnam National University Hospital and Chungnam National Unversity School of Medicine, Daejeon, Korea

Date of Web Publication18-Jul-2016

Correspondence Address:
H J Lee
Department of Internal Medicine, Chungnam National University Hospital and Chungnam National Unversity School of Medicine, Daejeon
Korea
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.168267

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How to cite this article:
Yun H J, Lee H J. Numerous linear metallic densities on radiograph: Gold threads. J Postgrad Med 2016;62:208

How to cite this URL:
Yun H J, Lee H J. Numerous linear metallic densities on radiograph: Gold threads. J Postgrad Med [serial online] 2016 [cited 2019 Oct 18];62:208. Available from: http://www.jpgmonline.com/text.asp?2016/62/3/208/168267


Sir,

A 75-year-old woman with recurrent bladder cancer was transferred to our department for palliative treatment. Plain radiographies of the chest and kidney-ureter-bladder (KUB) [Figure 1]a and b showed lots of linear foreign materials that appeared to be uniform in size, shape, and density. A computed tomography (CT) of the abdomen and pelvis demonstrated multiple fine linear metallic subcutaneous densities along the anterior and posterior [Figure 1]c abdominal walls, which were compatible with the findings on the KUB. Further history taking revealed that the patient had received acupuncture therapy with gold thread for more than 10 years in the course of chronic musculoskeletal pain treatment. The linear densities correspond to implanted gold threads at the acupuncture points. Acupuncture, one of the most popular modalities in complementary and alternative medicine, is often used for pain treatment. Practitioners insert small pieces of sterile gold thread into the painful areas of the body in the course of acupuncture therapy. These short gold-needle fragments are left permanently in the subcutaneous tissues of the patients and may work as continuous acupuncture stimulation. [1],[2],[3] The gold threads could be visible on and complicate imaging studies such as plain radiographs, CTs, and magnetic resonance imaging (MRIs), as seen in our patient.
Figure 1: Lots of linear metallic densities on radiographs. (a and b) Plain radiograph of chest and KUB shows numerous linear radiodense threads. (c) Computed tomography of the abdomen and pelvis shows multiple linear metallic subcutaneous densities along the posterior abdominal wall (coronal)

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 :: References Top

1.
Durkes TE. Gold bead implants. Probl Vet Med 1992;4:207-11.  Back to cited text no. 1
    
2.
Kim HY, Sohn BY, Seo UK, Lee H, Hahm DH, Shim I. An exploratory study of gold wire implantation at acupoints to accelerate ulnar fracture healing in rats. J Physiol Sci 2009;59:329-33.  Back to cited text no. 2
    
3.
Sun MY, Hsieh CL, Cheng YY, Hung HC, Li TC, Yen SM, et al. The therapeutic effects of acupuncture on patients with chronic neck myofascial pain syndrome: A single-blind randomized controlled trial. Am J Chin Med 2010;38:849-59.  Back to cited text no. 3
    


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
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