TC-99M NANOCOLLOID FOR THE SCINTIGRAPHIC ASSESSMENT OF INFLAMMATORY BOWEL-DISEASE IN THE COLON - ITS VALUE IN COMPARISON WITH INDIUM-111-LABELED GRANULOCYTES

被引:9
作者
ARNDT, JW
VEER, AV
BLOK, D
GRIFFIOEN, G
VERSPAGET, HW
PENA, AS
LAMERS, CBHW
PAUWELS, EKJ
机构
[1] Division of Nuclear Medicine (Department of Diagnostic Radiology), Department of Gastroenterology, University Hospital, Leiden
关键词
COLON RADIONUCLIDE IMAGING; COLON CROHNS DISEASE; COLON COLITIS; RADIONUCLIDE IMAGING COLON; RADIONUCLIDE IMAGING TC-99M-NANOCOLLOID;
D O I
10.1016/0720-048X(91)90128-I
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
The usefulness of 99m-Tc-nanocolloid for the assessment of localization and disease activity of colitis in patients suffering from inflammatory bowel disease (IBD) was investigated in 10 patients. Results of 99m-Tc-nanocolloid scintigraphy were compared with Indium-111 autologous granulocyte scintigraphy and the activity index according to Van Hees. In none of the patients a true positive result of the 99m-Tc-nanocolloid scintigraphy was encountered, while In-111-granulocyte scintigraphy was positive in 7 of 10 patients with active disease. Radioactivity became visible in the small bowel starting 2 h after injection of 99m-Tc-nanocolloid most likely because of excretion by the liver of degradation products of the radiopharmaceutical. The authors conclude that despite a previous communication 99m-Tc-nanocolloid cannot replace In-111-granulocytes for the assessment of IBD patients with active colitis.
引用
收藏
页码:30 / 34
页数:5
相关论文
共 17 条
[1]  
Segal, Ensell, Munro, Sarner, Indium-111 tagged leucocytes in the diagnosis of inflammatory bowel disease, Lancet, 1, pp. 230-232, (1981)
[2]  
Saverymuttu, Peters, Hodgson, Chadwick, Lavender, Indium-111 autologous leucocyte scanning: comparison with radiology for imaging the colon on inflammatory bowel disease, Br Med J, 285, pp. 255-257, (1982)
[3]  
Saverymuttu, Lavender, Hodgson, Chadwick, Assessment of disease activity in inflammatory bowel disease: a new approach using <sup>111</sup>In granulocyte scanning, Br Med J, 287, pp. 1751-1753, (1983)
[4]  
Saverymuttu, Peters, Crofton, Rees, Lavender, Hodgson, Chadwick, Indium-111 autologous granulocytes in the detection of inflammatory bowel disease, Gut, 26, pp. 955-960, (1985)
[5]  
Crama-Bohbouth, Arndt, Pena, Verspaget, Tjon, Tham, Weterman, Pauwels, Lamers, Value of Indium-111 granulocyte scintigraphy in the assessment of Crohn's disease of the small bowel, Digestion, 40, pp. 227-236, (1988)
[6]  
Crama-Bohbouth, Arndt, Pena, Blok, Verspaget, Weterman, Lamers, Pauwels, Is radio-labelled sucralfate scintigraphy of any use in the diagnosis of inflammatory bowel disease?, Nucl Med Commun, 9, pp. 591-595, (1988)
[7]  
Dawson, Khan, Miller, Ratcliffe, Shreeve, Detection of inflammatory bowel disease in adults and children: evaluation of a new isotopic technique, Br Med J, 291, pp. 1227-1230, (1985)
[8]  
Schrijver, Streule, Senekowitch, Fridrich, Scintigraphy of inflammation with nanometer-sized colloidal tracers, Nuclear Medicine Communications, 8, pp. 895-908, (1987)
[9]  
Hotze, Bockisch, Ruther, Biersack, Comparison of <sup>99m</sup>Tc-HMPAO-labelled leukocytes and <sup>99m</sup>Tc-nanocolloid in osteomyelitis, Nucl Med, 27, pp. 63-65, (1988)
[10]  
Streule, Schrijver, Fridrich, <sup>99m</sup>Tc-labelled HSA-nanocolloid versus <sup>111</sup>In-oxine-labelled granulocytes in detecting skeletal septic process, Nucl Med Comm, 9, pp. 59-67, (1988)