Clinical assessment of a commercial aerosol delivery system for ventilation scanning by comparison with KR-81m
Radioactive aerosols offer a means for steady state ventilation scanning in multiple views. The clinical use of radioaerosol techniques has been hampered by the lack of delivery systems producing sufficiently small particles. If the aerosol contains large particles, heavy deposition occurs in major airways, especially in patients with airways disease. The authors have assessed a new, commercial aerosol delivery system (Syntevent) by comparison with Kr-81m ventilation scanning in 23 patients with airways obstruction. An indirect comparison was also made with a settling bad technique. Ventilation scans in four projections were obtained during continuous inhalation of Kr-81m. Subsequently, the patient inhaled an aerosol labelled with In-113m from the Syntevent system, and aerosol ventilation scans were obtained in the same projections. Spirometry was performed to establish the degree of airways obstruction. The aerosol delineated the ventilated regions of the lungs adequately in all the patients. Deposition of aerosol in larger airways was seen in a few patients only, and this did not impede the interpretation of the scintigram. A quantitative analysis of the penetration of the aerosol to the periphery of the lung failed to demonstrate any significant correlation between particle penetration and airways obstruction. Aerosol penetration was significantly greater (p<0.001) with the Syntevent system than with a settling bag technique.
- Research Organization:
- Depts. of Clinical Physiology and Lung Medicine, Univ. of Lund, Lund
- OSTI ID:
- 6781072
- Report Number(s):
- CONF-840619-; TRN: 87-008850
- Journal Information:
- J. Nucl. Med.; (United States), Vol. 25:5; Conference: 31. annual meeting of the Society of Nuclear Medicine, Los Angeles, CA, USA, 5 Jun 1984
- Country of Publication:
- United States
- Language:
- English
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550601* - Medicine- Unsealed Radionuclides in Diagnostics