Assessment of splenic function
| Autor: | Joost B. L. Hoekstra, I. J. M. ten Berge, A. J. J. Lammers, A. P. N. A. de Porto, Peter Speelman, Roelof J. Bennink |
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| Přispěvatelé: | Faculteit der Geneeskunde |
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Splenic function Pathology Erythrocytes Abnormal Spleen Computed tomography Review Single-photon emission computed tomography Scintigraphy Coeliac disease medicine Humans Sodium Pertechnetate Tc 99m Splenic Diseases Tomography Emission-Computed Single-Photon medicine.diagnostic_test business.industry General Medicine medicine.disease Erythrocyte Inclusions Infectious Diseases medicine.anatomical_structure Erythrocyte Count Radiology Erythrocyte scintigraphy Splenic disease business |
| Zdroj: | European Journal of Clinical Microbiology & Infectious Diseases European journal of clinical microbiology & infectious diseases, 29(12), 1465-1473. Springer Verlag |
| ISSN: | 0934-9723 |
| DOI: | 10.1007/s10096-010-1049-1 |
| Popis: | Hyposplenic patients are at risk of overwhelming post-splenectomy infection (OPSI), which carries mortality of up to 70%. Therefore, preventive measures are warranted. However, patients with diminished splenic function are difficult to identify. In this review we discuss immunological, haematological and scintigraphic parameters that can be used to measure splenic function. IgM memory B cells are a potential parameter for assessing splenic function; however, more studies are necessary for its validation. Detection of Howell-Jolly bodies does not reflect splenic function accurately, whereas determining the percentage of pitted erythrocytes is a well-evaluated method and seems a good first-line investigation for assessing splenic function. When assessing spleen function, (99m)Tc-labelled, heat-altered, autologous erythrocyte scintigraphy with multimodality single photon emission computed tomography (SPECT)-CT technology is the best approach, as all facets of splenic function are evaluated. In conclusion, although scintigraphic methods are most reliable, they are not suitable for screening large populations. We therefore recommend using the percentage of pitted erythrocytes, albeit suboptimal, as a first-line investigation and subsequently confirming abnormal readings by means of scintigraphy. More studies evaluating the value of potentially new markers are needed. |
| Databáze: | OpenAIRE |
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