Technetium-99m-MIBI Scintigraphy in Pulmonary Tuberculosis
We investigated the usefulness of 99mTc-methoxyisobutylisonitrile scintigraphy in patients with known or suspected pulmonary tuberculosis (PTB) in comparison with radiological and bacteriological findings. Thirty-six patients aged 13-59 yr were scanned 15 and 60 min after intravenous injection of 37...
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| Veröffentlicht in: | The Journal of nuclear medicine (1978) 1996-02, Vol.37 (2), p.233-238 |
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| creator | Onsel, cetin Sonmezoglu, Kerim camsari, Gungor Atay, Saadet cetin, Suzan Erdil, Yusuf T Uslu, Ilhami Uzun, Aygun Kanmaz, Bedii Sayman, Haluk B |
| description | We investigated the usefulness of 99mTc-methoxyisobutylisonitrile scintigraphy in patients with known or suspected pulmonary tuberculosis (PTB) in comparison with radiological and bacteriological findings.
Thirty-six patients aged 13-59 yr were scanned 15 and 60 min after intravenous injection of 370 MBq (10 mCi) 99mTc-methoxyisobutylisonitrile. Twenty-four patients had active PTB proven by chest radiograph and sputum examinations, two had miliary tuberculosis and ten were suspected of having relapsed PTB with negative sputum examinations and indeterminate chest radiographs. In 12 patients 99mTc-MIBI imaging was repeated 1-3 mo after chemotherapy.
Of 24 patients with active localized PTB, 22 (92%) showed increased focal uptake of 99mTc-MIBI, but two patients with minimal infiltration on chest radiographs had no accumulation of 99mTc-MIBI. Both patients with miliary PTB showed diffuse 99mTc-MIBI uptake in the lungs. Among 10 patients with suspicion of relapse, 99mTc-MIBI scans were true-positive in 4 of 5 patients (80%) with culture-proven tuberculosis and false-positive in 2 of 5 (40%) patients with negative sputum cultures. For repeat imaging, 6 of 10 patients with active localized PTB showed reduced MIBI uptake, which correlated with chest radiograph findings, and one patient had increased MIBI uptake again concordant with clinical and radiological findings which were suggestive of resistance to first line chemotherapy of tuberculosis. The other three patients showed no significant scintigraphic changes despite clinical and partial radiological regression.
Active PTB granulomas generally present considerable 99mTc-MIBI uptake that is most probably related to disease activity. Therefore, 99mTc-MIBI scanning could be used in the detection and follow-up of active PTB as a complement to routine techniques. |
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Thirty-six patients aged 13-59 yr were scanned 15 and 60 min after intravenous injection of 370 MBq (10 mCi) 99mTc-methoxyisobutylisonitrile. Twenty-four patients had active PTB proven by chest radiograph and sputum examinations, two had miliary tuberculosis and ten were suspected of having relapsed PTB with negative sputum examinations and indeterminate chest radiographs. In 12 patients 99mTc-MIBI imaging was repeated 1-3 mo after chemotherapy.
Of 24 patients with active localized PTB, 22 (92%) showed increased focal uptake of 99mTc-MIBI, but two patients with minimal infiltration on chest radiographs had no accumulation of 99mTc-MIBI. Both patients with miliary PTB showed diffuse 99mTc-MIBI uptake in the lungs. Among 10 patients with suspicion of relapse, 99mTc-MIBI scans were true-positive in 4 of 5 patients (80%) with culture-proven tuberculosis and false-positive in 2 of 5 (40%) patients with negative sputum cultures. For repeat imaging, 6 of 10 patients with active localized PTB showed reduced MIBI uptake, which correlated with chest radiograph findings, and one patient had increased MIBI uptake again concordant with clinical and radiological findings which were suggestive of resistance to first line chemotherapy of tuberculosis. The other three patients showed no significant scintigraphic changes despite clinical and partial radiological regression.
Active PTB granulomas generally present considerable 99mTc-MIBI uptake that is most probably related to disease activity. Therefore, 99mTc-MIBI scanning could be used in the detection and follow-up of active PTB as a complement to routine techniques.</description><identifier>ISSN: 0161-5505</identifier><identifier>EISSN: 1535-5667</identifier><identifier>PMID: 8667051</identifier><identifier>CODEN: JNMEAQ</identifier><language>eng</language><publisher>Reston, VA: Soc Nuclear Med</publisher><subject>Adolescent ; Adult ; Bacterial diseases ; Bacterial diseases of the respiratory system ; Biological and medical sciences ; Bronchoalveolar Lavage Fluid - microbiology ; Case-Control Studies ; Female ; Follow-Up Studies ; Human bacterial diseases ; Humans ; Infectious diseases ; Lung - diagnostic imaging ; Male ; Medical sciences ; Middle Aged ; Prospective Studies ; Radiography ; Radionuclide Imaging ; Recurrence ; Sensitivity and Specificity ; Sputum - microbiology ; Technetium Tc 99m Sestamibi ; Tuberculosis, Miliary - diagnosis ; Tuberculosis, Miliary - diagnostic imaging ; Tuberculosis, Pulmonary - diagnosis ; Tuberculosis, Pulmonary - diagnostic imaging</subject><ispartof>The Journal of nuclear medicine (1978), 1996-02, Vol.37 (2), p.233-238</ispartof><rights>1996 INIST-CNRS</rights><rights>Copyright Society of Nuclear Medicine Feb 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3000473$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8667051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Onsel, cetin</creatorcontrib><creatorcontrib>Sonmezoglu, Kerim</creatorcontrib><creatorcontrib>camsari, Gungor</creatorcontrib><creatorcontrib>Atay, Saadet</creatorcontrib><creatorcontrib>cetin, Suzan</creatorcontrib><creatorcontrib>Erdil, Yusuf T</creatorcontrib><creatorcontrib>Uslu, Ilhami</creatorcontrib><creatorcontrib>Uzun, Aygun</creatorcontrib><creatorcontrib>Kanmaz, Bedii</creatorcontrib><creatorcontrib>Sayman, Haluk B</creatorcontrib><title>Technetium-99m-MIBI Scintigraphy in Pulmonary Tuberculosis</title><title>The Journal of nuclear medicine (1978)</title><addtitle>J Nucl Med</addtitle><description>We investigated the usefulness of 99mTc-methoxyisobutylisonitrile scintigraphy in patients with known or suspected pulmonary tuberculosis (PTB) in comparison with radiological and bacteriological findings.
Thirty-six patients aged 13-59 yr were scanned 15 and 60 min after intravenous injection of 370 MBq (10 mCi) 99mTc-methoxyisobutylisonitrile. Twenty-four patients had active PTB proven by chest radiograph and sputum examinations, two had miliary tuberculosis and ten were suspected of having relapsed PTB with negative sputum examinations and indeterminate chest radiographs. In 12 patients 99mTc-MIBI imaging was repeated 1-3 mo after chemotherapy.
Of 24 patients with active localized PTB, 22 (92%) showed increased focal uptake of 99mTc-MIBI, but two patients with minimal infiltration on chest radiographs had no accumulation of 99mTc-MIBI. Both patients with miliary PTB showed diffuse 99mTc-MIBI uptake in the lungs. Among 10 patients with suspicion of relapse, 99mTc-MIBI scans were true-positive in 4 of 5 patients (80%) with culture-proven tuberculosis and false-positive in 2 of 5 (40%) patients with negative sputum cultures. For repeat imaging, 6 of 10 patients with active localized PTB showed reduced MIBI uptake, which correlated with chest radiograph findings, and one patient had increased MIBI uptake again concordant with clinical and radiological findings which were suggestive of resistance to first line chemotherapy of tuberculosis. The other three patients showed no significant scintigraphic changes despite clinical and partial radiological regression.
Active PTB granulomas generally present considerable 99mTc-MIBI uptake that is most probably related to disease activity. Therefore, 99mTc-MIBI scanning could be used in the detection and follow-up of active PTB as a complement to routine techniques.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the respiratory system</subject><subject>Biological and medical sciences</subject><subject>Bronchoalveolar Lavage Fluid - microbiology</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Lung - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Radiography</subject><subject>Radionuclide Imaging</subject><subject>Recurrence</subject><subject>Sensitivity and Specificity</subject><subject>Sputum - microbiology</subject><subject>Technetium Tc 99m Sestamibi</subject><subject>Tuberculosis, Miliary - diagnosis</subject><subject>Tuberculosis, Miliary - diagnostic imaging</subject><subject>Tuberculosis, Pulmonary - diagnosis</subject><subject>Tuberculosis, Pulmonary - diagnostic imaging</subject><issn>0161-5505</issn><issn>1535-5667</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkFtLxDAUhIMo67r6E4Qi4lshl6ZNfFPxsrCi4PpcTtN0m6VN16RB9t8bsSj4dGDmY5gzB2hOOOMpz_PiEM0xyUnKOebH6MT7LcY4F0LM0ExEH3MyR9drrVqrRxP6VMo-fV7eLpM3ZexoNg527T4xNnkNXT9YcPtkHSrtVOgGb_wpOmqg8_psugv0_nC_vntKVy-Py7ubVdpSycaUVKrGnBIOuKqUBMkIA6bqRkBDm4xokikBeZ4xnUUdSI5zEFwIEBiyWrAFuvrJ3bnhI2g_lr3xSncdWD0EXxYCZ1LSLIIX_8DtEJyN3UpKJGWcYBmh8wkKVa_rcudMHz8rp0Wifzn54BV0jQOrjP_FWNwwK9hfqdZs2k_jdGmD6jS478yt7VlR0pIyxr4AEI12EA</recordid><startdate>19960201</startdate><enddate>19960201</enddate><creator>Onsel, cetin</creator><creator>Sonmezoglu, Kerim</creator><creator>camsari, Gungor</creator><creator>Atay, Saadet</creator><creator>cetin, Suzan</creator><creator>Erdil, Yusuf T</creator><creator>Uslu, Ilhami</creator><creator>Uzun, Aygun</creator><creator>Kanmaz, Bedii</creator><creator>Sayman, Haluk B</creator><general>Soc Nuclear Med</general><general>Society of Nuclear Medicine</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>19960201</creationdate><title>Technetium-99m-MIBI Scintigraphy in Pulmonary Tuberculosis</title><author>Onsel, cetin ; Sonmezoglu, Kerim ; camsari, Gungor ; Atay, Saadet ; cetin, Suzan ; Erdil, Yusuf T ; Uslu, Ilhami ; Uzun, Aygun ; Kanmaz, Bedii ; Sayman, Haluk B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h293t-1bcd05215a0bbc9a9313a3cdf8af2f41e14c8a6643e4a3ca1606a8588a80a4d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the respiratory system</topic><topic>Biological and medical sciences</topic><topic>Bronchoalveolar Lavage Fluid - microbiology</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Lung - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Radiography</topic><topic>Radionuclide Imaging</topic><topic>Recurrence</topic><topic>Sensitivity and Specificity</topic><topic>Sputum - microbiology</topic><topic>Technetium Tc 99m Sestamibi</topic><topic>Tuberculosis, Miliary - diagnosis</topic><topic>Tuberculosis, Miliary - diagnostic imaging</topic><topic>Tuberculosis, Pulmonary - diagnosis</topic><topic>Tuberculosis, Pulmonary - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Onsel, cetin</creatorcontrib><creatorcontrib>Sonmezoglu, Kerim</creatorcontrib><creatorcontrib>camsari, Gungor</creatorcontrib><creatorcontrib>Atay, Saadet</creatorcontrib><creatorcontrib>cetin, Suzan</creatorcontrib><creatorcontrib>Erdil, Yusuf T</creatorcontrib><creatorcontrib>Uslu, Ilhami</creatorcontrib><creatorcontrib>Uzun, Aygun</creatorcontrib><creatorcontrib>Kanmaz, Bedii</creatorcontrib><creatorcontrib>Sayman, Haluk B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nuclear medicine (1978)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Onsel, cetin</au><au>Sonmezoglu, Kerim</au><au>camsari, Gungor</au><au>Atay, Saadet</au><au>cetin, Suzan</au><au>Erdil, Yusuf T</au><au>Uslu, Ilhami</au><au>Uzun, Aygun</au><au>Kanmaz, Bedii</au><au>Sayman, Haluk B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Technetium-99m-MIBI Scintigraphy in Pulmonary Tuberculosis</atitle><jtitle>The Journal of nuclear medicine (1978)</jtitle><addtitle>J Nucl Med</addtitle><date>1996-02-01</date><risdate>1996</risdate><volume>37</volume><issue>2</issue><spage>233</spage><epage>238</epage><pages>233-238</pages><issn>0161-5505</issn><eissn>1535-5667</eissn><coden>JNMEAQ</coden><abstract>We investigated the usefulness of 99mTc-methoxyisobutylisonitrile scintigraphy in patients with known or suspected pulmonary tuberculosis (PTB) in comparison with radiological and bacteriological findings.
Thirty-six patients aged 13-59 yr were scanned 15 and 60 min after intravenous injection of 370 MBq (10 mCi) 99mTc-methoxyisobutylisonitrile. Twenty-four patients had active PTB proven by chest radiograph and sputum examinations, two had miliary tuberculosis and ten were suspected of having relapsed PTB with negative sputum examinations and indeterminate chest radiographs. In 12 patients 99mTc-MIBI imaging was repeated 1-3 mo after chemotherapy.
Of 24 patients with active localized PTB, 22 (92%) showed increased focal uptake of 99mTc-MIBI, but two patients with minimal infiltration on chest radiographs had no accumulation of 99mTc-MIBI. Both patients with miliary PTB showed diffuse 99mTc-MIBI uptake in the lungs. Among 10 patients with suspicion of relapse, 99mTc-MIBI scans were true-positive in 4 of 5 patients (80%) with culture-proven tuberculosis and false-positive in 2 of 5 (40%) patients with negative sputum cultures. For repeat imaging, 6 of 10 patients with active localized PTB showed reduced MIBI uptake, which correlated with chest radiograph findings, and one patient had increased MIBI uptake again concordant with clinical and radiological findings which were suggestive of resistance to first line chemotherapy of tuberculosis. The other three patients showed no significant scintigraphic changes despite clinical and partial radiological regression.
Active PTB granulomas generally present considerable 99mTc-MIBI uptake that is most probably related to disease activity. Therefore, 99mTc-MIBI scanning could be used in the detection and follow-up of active PTB as a complement to routine techniques.</abstract><cop>Reston, VA</cop><pub>Soc Nuclear Med</pub><pmid>8667051</pmid><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of nuclear medicine (1978), 1996-02, Vol.37 (2), p.233-238 |
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| subjects | Adolescent Adult Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Bronchoalveolar Lavage Fluid - microbiology Case-Control Studies Female Follow-Up Studies Human bacterial diseases Humans Infectious diseases Lung - diagnostic imaging Male Medical sciences Middle Aged Prospective Studies Radiography Radionuclide Imaging Recurrence Sensitivity and Specificity Sputum - microbiology Technetium Tc 99m Sestamibi Tuberculosis, Miliary - diagnosis Tuberculosis, Miliary - diagnostic imaging Tuberculosis, Pulmonary - diagnosis Tuberculosis, Pulmonary - diagnostic imaging |
| title | Technetium-99m-MIBI Scintigraphy in Pulmonary Tuberculosis |
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