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In-111-labeled platelets: Role of spleen in their kinetics and distribution

Conference · · J. Nucl. Med.; (United States)
OSTI ID:5875476
To evaluate the role of the spleen in the kinetics and distribution of platelets, the authors studied 12 normal individuals, 4 patients with splenectomy and normal platelet counts, and 3 patients with splenomegaly and slightly reduced platelet counts. Using In-111-oxine labeled platelets and computer-assisted gamma camera imaging, platelet survival and organ distribution were determined. The mean platelet survival time (MPST) was calculated using the multiple-hit model, which fit the survival curves best. Organ accumulation of In-111-platelets was quantified using the transmission images and geometric mean of anterior and posterior images. The results are presented in this paper. The initial recovery of In-111-platelets was almost 100% in asplenics while it was 29% in hypersplenic subjects. The MPST of asplenics was slightly longer than that of normals, but was not significantly different, while the MPST of hypersplenics was significantly reduced. More than 80% of In-111-platelets was sequestered in the liver of asplenic subjects, while more than 80% was sequestered in the spleen of hypersplenic subjects. These results suggest the spleen plays as important role in the kinetics and distribution of platelets, and the reduced platelet counts in patients with splenomegaly is due to splenic pooling as well as reduced platelet survival.
Research Organization:
VA Medical Center and Albany Medical College, Albany, NY
OSTI ID:
5875476
Report Number(s):
CONF-850611-
Conference Information:
Journal Name: J. Nucl. Med.; (United States) Journal Volume: 26:5
Country of Publication:
United States
Language:
English

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