THE SINGLE LATE TC-99(M) GRANULOCYTE ANTIBODY SCAN IN INFLAMMATORY DISEASES

被引:33
作者
BECKER, WS
SAPTOGINO, A
WOLF, FG
机构
[1] Department of Nuclear Medicine of the Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, 8520
关键词
D O I
10.1097/00006231-199203000-00009
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Immunoscintigraphy using 555-740 MBq Tc-99(m)-labelled monoclonal antigranulocyte antibodies (IgG1 against NCA-95) (BW250/183) was performed in 56 patients. In 32 of them inflammatory or infectious lesions were proven or excluded histologically. Gamma camera scans were performed 4 to 6 and 20 h postinjection (p.i.). Eight of 14 infectious or inflammatory lesions could be detected in the early scan (4-6 h p.i.). Sensitivity, specificity and diagnostic accuracy of the early scan were 57, 89 and 75%. sensitivity, specificity and diagnostic accuracy in 19 patients with bone or prosthetic bone infections (87, 81 and 84%, respectively) were lower than in patients with abdominal or soft tissue infections (100%). The overall sensitivity, specificity and diagnostic accuracy of the 20 h scan was 86, 89 and 88%, respectively. It is concluded that the high diagnostic accuracy of immunoscintigraphy justifies a broader application of the scan in the diagnosis of infectious diseases. It is recommended that only late scans (20 h p.i.) are necessary.
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页码:186 / 192
页数:7
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