A community hospital experience with correlative imaging in patients with suspected postoperative intra-abdominal

Conference · Sun Jan 01 04:00:00 EST 1984 · J. Nucl. Med.; (United States)

OSTI ID:6843285

Franco, J; Schwartz, M; Kovaleski, B; Vanags, K; Morris, M; Mac Affee, J; Singlenton, N; Prevost, L; Boyd, M

In the unoperated abdomen the anatomic information supplied by CT scanning is usually conducive to a correct diagnosis. The situation is somewhat different in the postoperative patient. Changes in anatomic relationships, loss of landmarks, artifacts, ''ghosts'' and fluid accumulations at times make it necessary to complement the anatomic data with functional imaging such as gallium 67 scintigraphy. Over the last 30 months the authors have studied 34 patients to whom existed strong clinical suspicion of postoperative intra-abdominal abscess. Ct scans were performed one or two days before the radionuclide study. Abdominal scintigraphy was done 6-18 hours after the administration of 6 millicuries of gallium-67 Citrate. CT and scintigraphic studies were in agreement in 21 laparotomy proven cases. Discordant CT and radionuclide scans occurred in 13 patients, in each case CT was suggestive of abscess and the Gallium scan was interpreted originally as negative for intra-abdominal abscess. In 3 instances, unsuspected extra-abdominal infectious sites were identified in the radionuclide study. No intra-abdominal abscess was demonstrated in any of the cases where CT was suggestive of abscess and the Gallium scan was negative. The authors' limited experience suggests that in the clinical setting of possible postoperative intra-abdominal abscess it is prudent to complement the anatomic data from CT studies with a functional radionuclide study, such as Gallium scanning.

• Research Organization: O'Connor Hospital, San Jose, CA
• OSTI ID: 6843285
• Report Number(s): CONF-840619-
• Conference Information: Journal Name: J. Nucl. Med.; (United States) Journal Volume: 25:5
• Country of Publication: United States
• Language: English

Related Subjects

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62 RADIOLOGY AND NUCLEAR MEDICINE
ABDOMEN
BETA DECAY RADIOISOTOPES
BODY
BODY AREAS
BUILDINGS
COMPUTERIZED TOMOGRAPHY
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DIAGNOSTIC USES
ELECTRON CAPTURE RADIOISOTOPES
GALLIUM 67
GALLIUM ISOTOPES
HOSPITALS
IMAGE PROCESSING
INTERMEDIATE MASS NUCLEI
ISOTOPES
MEDICAL ESTABLISHMENTS
MEDICINE
NUCLEI
ODD-EVEN NUCLEI
PATIENTS
PROCESSING
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIONUCLIDE ADMINISTRATION
SCINTISCANNING
SURGERY
TOMOGRAPHY
USES