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Comparison of 99mTc infecton imaging with radiolabelled white-cell imaging in the evaluation of bacterial infection.

Identifieur interne : 004482 ( Main/Exploration ); précédent : 004481; suivant : 004483

Comparison of 99mTc infecton imaging with radiolabelled white-cell imaging in the evaluation of bacterial infection.

Auteurs : RBID : pubmed:8551884

English descriptors

Abstract

Bacterial infection can pose a substantial diagnostic dilemma. Techniques involving radiolabelled leucocytes can pinpoint the site of inflammation. However, previous radiolabelling techniques have failed to distinguish between bacterial-mediated infection and non-bacterial inflammation. To overcome this difficulty, we have studied a radiopharmaceutical, technetium-99m (99mTc) Infecton, which is based on the antibiotic ciprofloxacin.

PubMed: 8551884

Links toward previous steps (curation, corpus...)


Le document en format XML

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<title xml:lang="en">Comparison of 99mTc infecton imaging with radiolabelled white-cell imaging in the evaluation of bacterial infection.</title>
<author>
<name sortKey="Vinjamuri, S" uniqKey="Vinjamuri S">S Vinjamuri</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Nuclear Medicine, St Bartholomew's Hospital, West Smithfield, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Nuclear Medicine, St Bartholomew's Hospital, West Smithfield, London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Hall, A V" uniqKey="Hall A">A V Hall</name>
</author>
<author>
<name sortKey="Solanki, K K" uniqKey="Solanki K">K K Solanki</name>
</author>
<author>
<name sortKey="Bomanji, J" uniqKey="Bomanji J">J Bomanji</name>
</author>
<author>
<name sortKey="Siraj, Q" uniqKey="Siraj Q">Q Siraj</name>
</author>
<author>
<name sortKey="O Shaughnessy, E" uniqKey="O Shaughnessy E">E O'Shaughnessy</name>
</author>
<author>
<name sortKey="Das, S S" uniqKey="Das S">S S Das</name>
</author>
<author>
<name sortKey="Britton, K E" uniqKey="Britton K">K E Britton</name>
</author>
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<date when="1996">1996</date>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bacterial Infections (radionuclide imaging)</term>
<term>Ciprofloxacin (diagnostic use)</term>
<term>Humans</term>
<term>Indium Radioisotopes (diagnostic use)</term>
<term>Leukocytes</term>
<term>Middle Aged</term>
<term>Sensitivity and Specificity</term>
<term>Sodium Pertechnetate Tc 99m (diagnostic use)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en">
<term>Ciprofloxacin</term>
<term>Indium Radioisotopes</term>
<term>Sodium Pertechnetate Tc 99m</term>
</keywords>
<keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en">
<term>Bacterial Infections</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Humans</term>
<term>Leukocytes</term>
<term>Middle Aged</term>
<term>Sensitivity and Specificity</term>
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<front>
<div type="abstract" xml:lang="en">Bacterial infection can pose a substantial diagnostic dilemma. Techniques involving radiolabelled leucocytes can pinpoint the site of inflammation. However, previous radiolabelling techniques have failed to distinguish between bacterial-mediated infection and non-bacterial inflammation. To overcome this difficulty, we have studied a radiopharmaceutical, technetium-99m (99mTc) Infecton, which is based on the antibiotic ciprofloxacin.</div>
</front>
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<pubmed>
<MedlineCitation Owner="NLM" Status="MEDLINE">
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<Year>1996</Year>
<Month>02</Month>
<Day>16</Day>
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<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Print">0140-6736</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>347</Volume>
<Issue>8996</Issue>
<PubDate>
<Year>1996</Year>
<Month>Jan</Month>
<Day>27</Day>
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<Title>Lancet</Title>
<ISOAbbreviation>Lancet</ISOAbbreviation>
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<ArticleTitle>Comparison of 99mTc infecton imaging with radiolabelled white-cell imaging in the evaluation of bacterial infection.</ArticleTitle>
<Pagination>
<MedlinePgn>233-5</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Bacterial infection can pose a substantial diagnostic dilemma. Techniques involving radiolabelled leucocytes can pinpoint the site of inflammation. However, previous radiolabelling techniques have failed to distinguish between bacterial-mediated infection and non-bacterial inflammation. To overcome this difficulty, we have studied a radiopharmaceutical, technetium-99m (99mTc) Infecton, which is based on the antibiotic ciprofloxacin.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We used this agent to image bacterial infection in 56 patients (one twice) with known or suspected sites of infection. We then compared the imaging results of these patients with those from a radiolabelled leucocyte study.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">The concordance rate was 68% (39 out of 57 images). In 18 discordant results 99mTc Infecton was correctly positive in 8 out of 9 positive studies and correctly negative in 4 out of 9 negative studies. 4 out of 5 of the falsely negative studies were in patients who had taken antibiotics for over 7 days. We found that 99mTc Infecton gave better imaging results than radiolabelled leucocytes. Comparison between 99mTc Infecton and leucocyte imaging gave sensitivities of 84% and 81%, and specificities of 96% and 77%, respectively.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">We believe that the specificity 99mTc Infecton confers for bacterial infection and its ease of administration are the main advantages of this new agent.</AbstractText>
</Abstract>
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<Country>ENGLAND</Country>
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<NameOfSubstance>Indium Radioisotopes</NameOfSubstance>
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<NameOfSubstance>Ciprofloxacin</NameOfSubstance>
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<Chemical>
<RegistryNumber>A0730CX801</RegistryNumber>
<NameOfSubstance>Sodium Pertechnetate Tc 99m</NameOfSubstance>
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<MeshHeading>
<DescriptorName MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<DescriptorName MajorTopicYN="N">Bacterial Infections</DescriptorName>
<QualifierName MajorTopicYN="Y">radionuclide imaging</QualifierName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N">Ciprofloxacin</DescriptorName>
<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
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<DescriptorName MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName MajorTopicYN="N">Indium Radioisotopes</DescriptorName>
<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
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<DescriptorName MajorTopicYN="Y">Leukocytes</DescriptorName>
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<DescriptorName MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName MajorTopicYN="N">Sensitivity and Specificity</DescriptorName>
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<MeshHeading>
<DescriptorName MajorTopicYN="N">Sodium Pertechnetate Tc 99m</DescriptorName>
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