AI Article Synopsis

  • PET/CT techniques are increasingly preferred over traditional scintigraphic methods due to their enhanced sensitivity and ability to accurately quantify activity.
  • The study aimed to develop a PET tracer using [Ga]gallium-oxine-labeled heat-damaged red blood cells for improved splenic imaging in patients with ambiguous findings.
  • The results from ten patients indicated that the tracer reliably distinguished between splenic and non-splenic lesions, successfully identifying malignant tumors and diagnosing splenic abnormalities.

Article Abstract

Several scintigraphic techniques have been supplemented or replaced by PET/CT methods because of their superior sensitivity, high resolution, and absolute activity quantification capability. The purpose of this project was the development of a PET tracer for splenic imaging, its radiopharmaceutical validation, and its application in selected patients in whom unclear constellations of findings could not be resolved with established imaging methods. Heat-damaged red blood cells (RBCs) were labeled with [Ga]gallium-oxine, which was produced from [Ga]gallium and 8-Hydroxyquinoline (oxine) on an automated synthesizer. Ten patients underwent [Ga]gallium-oxine-RBC-PET/CT for the classification of eleven unclear lesions (3 intra-, 8 extrapancreatic). [Ga]gallium-oxine and [68Ga]gallium-oxine-labeled RBCs could be synthesized reproducibly and reliably. The products met GMP quality standards. The tracer showed high accumulation in splenic tissue. Of the 11 lesions evaluated by PET/CT, 3 were correctly classified as non-splenic, 6 as splenic, 1 as equivocal, and 1 lesion as a splenic hypoplasia. All lesions classified as non-splenic were malignant, and all lesions classified as splenic did not show malignant features during follow-up. PET/CT imaging of the spleen with [Ga]gallium-oxine-labeled, heat-damaged RBCs is feasible and allowed differentiation of splenic from non-splenic tissues, and the diagnosis of splenic anomalies.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9913950PMC
http://dx.doi.org/10.3390/diagnostics13030566DOI Listing

Publication Analysis

Top Keywords

heat-damaged red
8
red blood
8
blood cells
8
classified non-splenic
8
lesions classified
8
splenic
7
pet/ct
4
pet/ct spleen
4
spleen gallium-oxine-labeled
4
gallium-oxine-labeled heat-damaged
4

Similar Publications

A 56-year-old man presented with dyspnea secondary to pulmonary emboli and dilated cardiomyopathy. His past medical history included a history of emergency laparotomy, splenectomy, and splenic flexure resection following a gunshot injury 30 years ago. CT and MRI imaging demonstrated multiple homogeneously enhancing lobulated lesions at the left-sided pleura and chest wall with an irregular calcified spleen.

View Article and Find Full Text PDF

SummarySplenosis is the implantation of ectopic splenic tissue after splenic injury or splenectomy. Signs and symptoms of splenosis vary based on anatomic location; however, it remains asymptomatic in many cases. On radiographic imaging, splenosis often appears as a soft tissue mass and can be diagnosed using heat-damaged red blood cell scintigraphy, a non-invasive imaging modality.

View Article and Find Full Text PDF

Splenosis is defined as viable splenic tissue that is autotransplanted into other compartments in the body. Intrahepatic splenosis is a rare diagnosis that can be difficult for clinicians to identify. The most common causes of splenosis include abdominal trauma and splenectomy.

View Article and Find Full Text PDF
Article Synopsis
  • PET/CT techniques are increasingly preferred over traditional scintigraphic methods due to their enhanced sensitivity and ability to accurately quantify activity.
  • The study aimed to develop a PET tracer using [Ga]gallium-oxine-labeled heat-damaged red blood cells for improved splenic imaging in patients with ambiguous findings.
  • The results from ten patients indicated that the tracer reliably distinguished between splenic and non-splenic lesions, successfully identifying malignant tumors and diagnosing splenic abnormalities.
View Article and Find Full Text PDF

We report the case of a 60-year-old patient whose computed tomography revealed multiple pleural foci that were classified as potentially malignant. After revealing traumatic splenectomy in the patient's history, the differential diagnosis of splenosis was considered and a 99m-techentium heat-damaged autologous red blood cells scintigraphy performed. This conventional method can be used to reliably make an exact diagnosis avoiding more expensive or invasive methods.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!