Scintigraphic evaluation of disease activity in rheumatoid arthritis: a comparison of technetium-99m human non-specific immunoglobulins, leucocytes and albumin nanocolloids

Eur J Nucl Med. 1992;19(10):853-7. doi: 10.1007/BF00168160.

Abstract

Technetium-99m-labelled, non-specific, polyclonal, human immunoglobulin G (99mTc-hIG) has been used to quantify synovial inflammation in rheumatoid arthritis. A comparison was carried out between the scintigraphic results obtained with this tracer, 99mTc-hexamethylpropylene amine oxime-labelled white blood cells (99mTc-WBC) and 99mTc-albumin nanocolloids (99mTc-NC). Twenty patients affected by rheumatoid arthritis and suffering from clinically active synovitis were studied with 99mTc-hIG. The number and sites of the involved joints had been previously assessed on the basis of the presence of pain and/or swelling. A radiological examination had already been carried out on all the joints. Two days after the 99mTc-hIG scan, 10 patients (group 1) underwent 99mTc-WBC scintigraphy and the other 10 (group 2) underwent a 99mTc-NC scan. The results show that the results of 99mTc-hIG and 99mTc-NC scans are in agreement with clinical examinations in the majority of cases. However, a certain number of positive joint scans corresponding to negative clinical examinations was found. The numerical distribution of these results according to the radiological stages seems to show that 99mTc-hIG is more useful than 99mTc-NC in the initial phases of the disease. The 99mTc-WBC scan was negative in a consistent percentage of the joints previously assessed as clinically and 99mTc-hIG scan positive.

Publication types

  • Comparative Study

MeSH terms

  • Arthritis, Rheumatoid / diagnostic imaging*
  • Female
  • Humans
  • Immunoglobulins*
  • Joints / diagnostic imaging*
  • Leukocytes*
  • Male
  • Middle Aged
  • Organotechnetium Compounds*
  • Oximes*
  • Radionuclide Imaging
  • Synovitis / diagnostic imaging
  • Technetium Tc 99m Aggregated Albumin*
  • Technetium Tc 99m Exametazime
  • Technetium*

Substances

  • Immunoglobulins
  • Organotechnetium Compounds
  • Oximes
  • Technetium Tc 99m Aggregated Albumin
  • technetium Tc 99m immunoglobulin
  • Technetium Tc 99m Exametazime
  • Technetium