An evaluation of 99mTc pertechnetate scanning for the detection of coeliac disease and Crohn's disease
- 20 Downloads
- 2 Citations
Abstract
To investigate the use of abdominal scintiscanning in the detection of small bowel pathology, the accumulation of pertechnetate (99mTc), following intravenous injection, has been studied in 21 patients with coeliac disease, 13 patients with Crohn's disease and in 83 control subjects without known small bowel disease. Although a trend for a greater accumulation of 99mTc was noted in patients with coeliac disease and Crohn's disease compared with controls (P(0.025) there was a large overlap in individual studies. Under the conditions of this study the accumulation of 99mTc by the small bowel did not provide a reliable diagnostic test for coeliac disease or Crohn's disease of the small intestine. The accumulation of 99mTc pertechnetate by normal small bowel suggests that scintiscanning with this radiopharmaceutical does not provide a consistently reliable method for the detection of small bowel pathology.
Keywords
Public Health Control Subject Small Intestine Small Bowel Nuclear MedicinePreview
Unable to display preview. Download preview PDF.
References
- Andros G, Harper PV, Lathrop KA, McCardle RJ (1965) Pertechnetate-99m localization in man with applications to thyroid scanning and the study of thyroid physiology. J Clin Endocrinol 25: 1067Google Scholar
- Chauduri SC (1977) Cellular site of secretion of 99mTc04 in the stomach — controversial point. J Nucl Med 16: 1204–1205Google Scholar
- Duszynski DO, Anthane R (1970) Jejunal intussuception demonstrated by Tc99m pertechnetate and abdominal scanning. Am J Roentgenol 109: 729–732Google Scholar
- Duszynski DO, Jewett TC (1971) Tc99m Na pertechnetate scanning of the abdomen with particular reference to small bowel pathology. Am J Roentgenol 113: 258–262Google Scholar
- Hays MT, Berman M (1977) Pertechnetate distribution in man after intravenous infusion: a compartmental model. J Nucl Med 18: 898–904Google Scholar
- Muroff LR, Casarella WJ, Johnson PM (1974) Pre-operative diagnosis of Meckel's diverticulum: angiographic and radionuclide studies in an adult. JAMA 229: 1900–1902Google Scholar
- Spiro HM (1977) Clinical Gastroenterology, 2nd edn. Bailliere Tindall, LondonGoogle Scholar
- Taylor TV (1979) Non-invasive investigation of the upper gastrointestinal tract using technetium-99m. Ann Roy Coll Surg Engl 61: 37–44Google Scholar
- Taylor TV, Holt S, McLoughlin GP, Heading RC (1979) A single scan technique for estimating acid output. Gastroenterology 77: 1241–1244Google Scholar
- Wilson JP, Wenzel WW, Campbell JB (1977) Technetium scans in the detection of gastrointestinal haemorrhage. JAMA 237: 265–266Google Scholar