Tc-99m exametazime (HMPAO)-labeled leukocyte scintigraphy in premature infants: detection and localization of necrotic enterocolitis and osteomyelitis

Clin Nucl Med. 2011 Jun;36(6):e35-6. doi: 10.1097/RLU.0b013e3182173954.

Abstract

Two cases of successful detection of inflammatory foci using Tc-99m exametazime (HMPAO)-labeled leukocyte scintigraphy in premature infants were reported. Necrotizing enterocolitis was detected in a child with a body weight of 1.6 kg. Scintigraphy confirmed a neonatal osteomyelitis in the distal part of the leg of another patient weighing 2.2 kg. These 2 cases indicate that it is feasible to perform Tc-99m HMPAO-labeled leukocyte scintigraphy even if the blood sample volume is lower than the minimal volumes required by the guidelines for pediatric patients.

Publication types

  • Case Reports

MeSH terms

  • Enterocolitis, Necrotizing / complications*
  • Enterocolitis, Necrotizing / diagnostic imaging*
  • Enterocolitis, Necrotizing / pathology
  • Enterocolitis, Necrotizing / physiopathology
  • Female
  • Humans
  • Infant
  • Isotope Labeling
  • Leukocytes / diagnostic imaging*
  • Osteomyelitis / blood
  • Osteomyelitis / complications*
  • Osteomyelitis / diagnostic imaging*
  • Osteomyelitis / pathology
  • Osteomyelitis / physiopathology
  • Pregnancy
  • Premature Birth / diagnostic imaging*
  • Premature Birth / pathology
  • Premature Birth / physiopathology
  • Radionuclide Imaging
  • Technetium Tc 99m Exametazime*

Substances

  • Technetium Tc 99m Exametazime