Comparison of Technetium-99m Sulfur Colloid and In Vitro Labeled Technetium-99m RBCs in the Detection of Gastrointestinal Bleeding
Aslam R. Siddiqui, D S Schauwecker, Henry N. Wellman, Bruce H. Mock
Abstract
Aslam R. Siddiqui, D S Schauwecker, Henry N. Wellman, Bruce H. Mock
Abstract
Twenty-seven paired Tc-99m sulfur colloid (SC) and Tc-99m RBC studies were evaluated for the detection of GI bleeding. The only two positive Tc-99m SC studies had positive early Tc-99m RBC studies as well. There were 15 other positive Tc-99m RBC studies (three during the first hour) and these were associated with normal Tc-99m SC scans. Approximately 70% of the positive Tc-99m RBC studies occurred after 1 hour. Tc-99m RBCs should be the initial test in patients with GI bleeding.
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Twenty-seven paired Tc-99m sulfur colloid (SC) and Tc-99m RBC studies were evaluated for the detection of GI bleeding. The only two positive Tc-99m SC studies had positive early Tc-99m RBC studies as well. There were 15 other positive Tc-99m RBC studies (three during the first hour) and these were associated with normal Tc-99m SC scans. Approximately 70% of the positive Tc-99m RBC studies occurred after 1 hour. Tc-99m RBCs should be the initial test in patients with GI bleeding.
Key concepts: Technetium-99m, Isotopes of technetium, Technetium, Medicine, Technetium-99, Colloid, Nuclear medicine, Scintigraphy