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Clinical Usefulness of 99m-HMPAO Labelled Leukocyte SPECT in Inflammatory Bowel Disease

Other Title
염증성 대장질환의 질환 활성도 측정방법으로서 99MTc-HMPAO-SPECT의 의의
Authors
홍, 사준; 문, 영수; 이, 광재; 김, 영수; 함, 기백; 김, 진홍; 조, 성원; 이, 상인; 지, 훈
Citation
The Korean journal of gastroenterology, 30(1):48-57, 1997
Journal Title
The Korean journal of gastroenterology; Taehan Sohwagi Hakhoe chi
ISSN
1598-99922233-6869
Abstract
Background/Aims: Exact determination of the extent of bowel involvement in

inflammatry bowel disease is essential for the evaluation of disease severity and for the

planning of approapriate therapy. The aim of the study was to determine the accuracy

of 99mTc-HMPAO(Hexamethyl Propylene Amine Oxime) labelled

leukocyte-SPECT(Single Photon Emission Computerized Tomography) in the assessment

of disease extent and disease activity in inflammatory bowel disease.

Methods: Using a scintigraphy with autologous leukocytes labelled by

99mTc-HMPAO was performed in 32 cases. In 15 patients with 9

ulcerative colitis, 6 Crohn's disease, the clinical, endoscopic and histologic disease

activities were compared with SPECT activity index, respectively.

Results: 1. 99mTc HMPAO labelled leukocyte SPECT revealed 92.6%

sensitivity, 100% specificity and 93.8% accuracy to detect of active inflammation of the

colon. 2. The correlation between clinical activity index(Rachmilewiltz), and HMPAO

SPECT activity index was very high significant(r=0.91; p<0.001), less significant(r=0.69;

p<0.01) between endoscopy and scan activity index and highly significant(r=0.89; p

<0.001) between histologic activity index and scan activity index.

Conclusions: 99mTc-HMPAO labelled leukocyte SPECT is a reliable

method to determine the extent of the bowel inflammation and disease activity in

inflammatory bowel disease.
Keywords
Inflammatory bowel disease-99m HMPAO(Hexamethyl Propylene Amine Oxime)SPECT(Single Photon Emission Computerized Tomography
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
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