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Technetium-99m-nanocolloid scintigraphy in orthopedic infections: a comparison with indium-111-labeled leukocytes

Flivik, Gunnar LU ; Sloth, Maja ; Rydholm, Urban LU ; Herrlin, Kristian and Lidgren, Lars LU (1993) In Journal of Nuclear Medicine 34(10). p.1646-1650
Abstract
Twenty-three patients with clinically suspected acute or chronic osteomyelitis and 21 patients with suspected joint prosthetic infection underwent scintigraphy using both 99mTc-nanocolloid and 111In-labeled leukocytes. The scintigrams of the two tracers were blindly interpreted by three independent observers. Their evaluations showed high correspondence. Patients were classified as having no infection, probable infection or proven infection according to specific criteria which included results of bacteriological cultures and histopathological examinations. For proven and probable infection taken together, the sensitivity with 99mTc-nanocolloid was 94%, the specificity 84% and the accuracy 87%, compared with 75%, 90% and 85% with... (More)
Twenty-three patients with clinically suspected acute or chronic osteomyelitis and 21 patients with suspected joint prosthetic infection underwent scintigraphy using both 99mTc-nanocolloid and 111In-labeled leukocytes. The scintigrams of the two tracers were blindly interpreted by three independent observers. Their evaluations showed high correspondence. Patients were classified as having no infection, probable infection or proven infection according to specific criteria which included results of bacteriological cultures and histopathological examinations. For proven and probable infection taken together, the sensitivity with 99mTc-nanocolloid was 94%, the specificity 84% and the accuracy 87%, compared with 75%, 90% and 85% with 111In-labeled leukocytes. We conclude that 99mTc-nanocolloid scintigraphy is at least equivalent with 111In-leucocyte scintigraphy, and its additional advantages are shorter examination time, less complexity and better radiation dosimetry. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Nuclear Medicine
volume
34
issue
10
pages
1646 - 1650
publisher
Society of Nuclear Medicine
external identifiers
  • pmid:8410276
  • scopus:0027443531
ISSN
0161-5505
language
English
LU publication?
yes
id
185b8ba9-7fd0-42b2-9e6b-27f2ae11cd34 (old id 1107710)
alternative location
http://jnm.snmjournals.org/cgi/reprint/34/10/1646
date added to LUP
2016-04-01 16:42:22
date last changed
2021-01-03 09:22:37
@article{185b8ba9-7fd0-42b2-9e6b-27f2ae11cd34,
  abstract     = {{Twenty-three patients with clinically suspected acute or chronic osteomyelitis and 21 patients with suspected joint prosthetic infection underwent scintigraphy using both 99mTc-nanocolloid and 111In-labeled leukocytes. The scintigrams of the two tracers were blindly interpreted by three independent observers. Their evaluations showed high correspondence. Patients were classified as having no infection, probable infection or proven infection according to specific criteria which included results of bacteriological cultures and histopathological examinations. For proven and probable infection taken together, the sensitivity with 99mTc-nanocolloid was 94%, the specificity 84% and the accuracy 87%, compared with 75%, 90% and 85% with 111In-labeled leukocytes. We conclude that 99mTc-nanocolloid scintigraphy is at least equivalent with 111In-leucocyte scintigraphy, and its additional advantages are shorter examination time, less complexity and better radiation dosimetry.}},
  author       = {{Flivik, Gunnar and Sloth, Maja and Rydholm, Urban and Herrlin, Kristian and Lidgren, Lars}},
  issn         = {{0161-5505}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1646--1650}},
  publisher    = {{Society of Nuclear Medicine}},
  series       = {{Journal of Nuclear Medicine}},
  title        = {{Technetium-99m-nanocolloid scintigraphy in orthopedic infections: a comparison with indium-111-labeled leukocytes}},
  url          = {{http://jnm.snmjournals.org/cgi/reprint/34/10/1646}},
  volume       = {{34}},
  year         = {{1993}},
}