Lung 99mTc-MIBI scintigraphy: impact on diagnosis of solitary pulmonary nodule
| Autor: | Silvija Lucic, Violeta Kolarov, Andrea Peter, Dolores Srbovan, Radmila Zeravica, Katarina Nikoletic |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Technetium Tc 99m Sestamibi medicine.medical_specialty Lung Neoplasms diagnosis law.invention Diagnosis Differential law Predictive Value of Tests medicine Humans Lung cancer radionuclide imaging Gamma camera Aged Tomography Emission-Computed Single-Photon Solitary pulmonary nodule lcsh:R5-920 Lung business.industry solitary pulmonary nodule Nodule (medicine) General Medicine Middle Aged medicine.disease medicine.anatomical_structure Predictive value of tests Adenocarcinoma Female Radiology medicine.symptom Differential diagnosis Radiopharmaceuticals business Nuclear medicine Tomography X-Ray Computed lcsh:Medicine (General) 99mTc-Sestamibi Research Article |
| Zdroj: | Bosnian Journal of Basic Medical Sciences, Vol 11, Iss 3 (2011) |
| ISSN: | 1840-4812 1512-8601 |
| Popis: | Most of today available non-invasive procedures cannot clearly determinate between benign and malignant solitary pulmonary nodules (SPN). The purpose of the study was to assess the possibility of using 99mTc labeled hexakis-2-methoxyisobutylisonitrile (99mTc-MIBI) to differentiate benign from malignant SPN. Sixty patients were included in the study if the CT scan showed indeterminate SPN. Prior to definitive diagnosis 99mTc-MIBI single photon emission computerized tomography (SPECT) was performed: early scan 10 minutes and delayed 60-120 minutes after the intravenous injection of 740 MBq 99mTc-MIBI using dual-headed Gamma camera. The results were considered positive if there was an increased accumulation of the radiopharmaceutical in the area of the lung corresponding to the location of the lesion. The mean nodule size ± SD measured on CT scan was 2.96 cm. Lung cancer was diagnosed in 30/60 patients (14 squamocellular, 10 adenocarcinoma, 3 large-cell and 3 microcellular lung carcinomas). Of the 30 patients with malignant lesions, 27 patients (90%) had positive 99mTc-MIBI scan results by qualitative assessment. Among benign lesions, 23/30 (76.7%) were negative on 99mTc-MIBI scan. The size and PH report of SPN is statistically significantly influencing on 99mTc-MIBI accumulation in the SPN (p |
| Databáze: | OpenAIRE |
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