45. Nuclear medicine examinations in gastroenterology.
- Liver scintigraphy
- 99mTc-Fyton
- Phagocytosed by Kuppfer cells
- Focal defect shows the lesion
- + SPECT/CT
- Indications
- Tumor
- Metastasis
- Haemangioma
- Focal nodular hyperplasia
- 99mTc-Fyton
- Liver blood-pool scintigraphy
- 99mTc-pyrophosphate-labeled RBCs
- Accumulates in blood-pools in haemangioma
- + SPECT/CT
- Haemangioma is shown by focal increased activity
- 99mTc-pyrophosphate-labeled RBCs
- Hepatobiliary scintigraphy/HIDA scan
- 99mTc-HIDA
- HIDA = Hepatic IDA
- Is excreted by the liver into the bile duct
- Examine liver excretion function and function of gallbladder
- Indications
- Bile excretion disorders
- Gallbladder disorders
- Bile tree disorders
- 99mTc-HIDA
- PET/CT in GI tract
- 18F-FDG
- Indications
- Oesophagus carcinoma
- Colorectal cancer
- Other GI cancers
- Oesophagus scintigraphy
- 99mTc-DTPA
- Patient eats it with a meal
- Indications
- Motility failures of oesophagus or stomach, stenoses
- 99mTc-DTPA