1. Correlation of splenic function with the splenic uptake rate of Tc-colloids.
- Author
-
Rutland MD
- Subjects
- Humans, Hypersplenism diagnostic imaging, Hypersplenism metabolism, Radionuclide Imaging, Sensitivity and Specificity, Splenic Diseases diagnostic imaging, Splenic Diseases metabolism, Technetium pharmacokinetics, Technetium Compounds, Technetium Tc 99m Sulfur Colloid pharmacokinetics, Tin pharmacokinetics, Tin Compounds
- Abstract
The splenic uptake rate of Tc-sulphur colloid or Tc-tin colloid was measured and found to correlate well with splenic function. The normal tracer uptake rate was 0.0002/s-0.0006/s (measured uptake rate divided by measured injected activity). Lower values indicated hyposplenism (sensitivity = 0.97, specificity = 0.95), and values over 0.0006/s indicated hypersplenism (sensitivity = 0.96, specificity = 0.97). Higher values of splenic uptake were associated with proportional reductions in the white blood cell and platelet counts, and to a lesser extent the haemoglobin concentration in peripheral blood. Patients with rheumatoid arthritis had increased tracer uptake, but still below the criteria for hypersplenism, whereas patients with Felty's syndrome had tracer uptake rates in the 'hypersplenic' range.
- Published
- 1992
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