Download Nuclear Medicine in the Management of Inflammatory and by A. Viscido, A. Aratari, V. D’Ovidio, D. Guagnozzi, A. PDF
By A. Viscido, A. Aratari, V. D’Ovidio, D. Guagnozzi, A. Annovazzi, R. Caprilli (auth.), Alberto Signore MD, Mauro Liberatore MD, Francesco Scopinaro MD (eds.)
As chairman of the ecu organization of Nuclear Medi cine (EANM) 2001 annual assembly, i attempted to arrive targets: a "universal nuclear drugs" congress the place each person might converse and examine utilizing an analogous language, and a whole exploration of the opportunity of creating a analysis via international imaging. i'm in my view confident that nuclear med icine thoughts within the detection of an infection and inflamma tion are crucial, and within the close to destiny their position and scientific influence should be notable. As said in the course of the assembly, this subject may be one of many significant and increasing fields of curiosity for nuclear medication. through the post-congress conferences equipped in Capri through Alberto Signore and Mauro Liberatore for every subject, there has been a number one professional for the medical, radiological and nuclear medication facets. This interplay used to be an important for the standard of the dialogue and the definition of movement charts that might be worthy for all of the scientific group. those conferences, the place for every subject there's complete insurance of all of the points of imaging, are, in my view, the main fruitful and valuable for the development and diffusion of nu transparent drugs strategies. might 2002 Prof. Marco Salvatore Chairman of the EANM Congress 2001 a few 35 years in the past, a French singer bought thousands of documents with a tune, attempting to inform the area "Capri c'est fini" - Capri is over.
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Extra resources for Nuclear Medicine in the Management of Inflammatory and Infectious Diseases
Sample text
99mTc-HMPAO-WBC are obtained when WBC in vitro tests are used; values range from 80 % to 100 % (Martin-Comin and Prats 1999). Figures are slightly lower for radiolabelled antigranulocyte monoclonal antibodies. Among the commercially available agents, human immunoglobulins that can be labelled with indium or with technetium are not indicated for the diagnosis of IBD. 2 illustrate the differences between patients with and without IBD. In the case of Fig. 1, a patient with ulcerative colitis (UC), the distribution of the activity in the lesion follows the bowel configuration, while in Fig.
The answer, in my opinion, is yes, the test can be performed in children. The radiation burden is acceptable and different papers have been published in this context. Especially interesting is the work from Tobling and co-workers (1996), where they have studied 31 children and they have compared WBC scan, contrast radiology and endoscopy versus histology. 5 % and endoscopy was 87 % when compared with histological results. The group from the Hospital Clinic in Zaragoza (Prats et al. 2000) studied 46 children ranging from 8 to 18 years.
The WBC scan cannot be used as a screening method, but is indicated in patients in whom the suspicion or the prevalence of the disease is expected to be high or medium. WBC scanning is also useful to discard other pathologies, because of its high sensitivity, and to evaluate disease extension. It is also useful to have a scan at the beginning of the disease to use it as reference exam. In the follow-up, the test is able to differentiate between fibrosis and active disease, to diagnose complications as fistulae and others, and to evaluate the efficacy of treatment.