bone involvement. Destruction is mediated through normal osteoclasts, which respond to local osteoclast-activating microenvironment [7]. Technetium-99m 2methoxyisobutylisonitrile (TC-99m MIBI) is a lipophilic agent that accumulates within living malignant cells due to the higher transmembrane electrical potential as a consequence of the higher metabolic rate than in the surrounding normal cells...

This article examines the production of metastable technetium-99 (Tc-99m), the world’s most important radiopharmaceutical, focusing on reliability of supply and risks of nuclear terrorism. Only four producers manufactured about 95 percent of the world’s Tc-99m; a closure of any of them could cause worldwide shortfalls. Moreover, all four employ highly enriched uranium in their production proces...

A 68-year-old woman with solid/trabecular follicular thyroid carcinoma inside of an autonomously functioning thyroid nodule is described in this paper. The patient was referred to our clinic for swelling of the neck and an increased pulse rate. Ultrasonography showed a slightly hypoechoic nodule in the right lobe of the thyroid. Despite suppressed TSH levels, the (99m)Tc-pertechnetate scan show...

In the first part of this two-part article, the characteristics, potential uses, radiochemical purity and method of evaluating the activity of Tc99m will be discussed. In the second part of the article, the dosimetry of this radionuclide will be presented for various routes of administration as well as for various chem ical configurations, such as the pertechnetate ion, the colloid and the prot...

urinary tract infection (uti) is a common disease in childhood specially in female. in this study 50 patients with stablished diagnosis of uti were evaluated by both renal scan with tc-99m dmsa and renal sonography. the study revealed that most urinary tract infections are in children, female sex between 5-9 years of age. therefore the most important complications (renal scarring) are also comm...

The uptake of Tc-99m pertechnetate and Co-57 bleomycin and the ultrastructure of small blood vessels were studied in 10 cases of meningioma. When thin sections of 120 contact areas between adjacent endothelial cells were examined, 92% of the intercellular contacts contained one to three punctate tight junctions. Freeze fracture preparations revealed fascia occludens with one to four sealing str...

Clinical or subclinical hyperparathyroidism is one of the most common endocrine disorders. Excessive secretion of parathyroid hormone is most frequently caused by an adenoma of >or=1 parathyroid gland. Unsuccessful surgery with persistent hyperparathyroidism, due to inadequate preoperative or intraoperative localization, may be observed in about 10% of patients. The conventional surgical approa...

The clinical consequences of lower gastrointestinal bleeding range from trivial to life-threatening. Nuclear medicine imaging techniques allow identification of those patients who are actively bleeding. The demonstration of active bleeding not only provides important prognostic information but also allows for a coordinated imaging approach using angiography and aids localization of the bleeding...

Aim: To compare the ARFI elastographic and scintigraphic quantitative data obtained from thyroid gland to evaluate diagnostic value of measurements in autoimmune diseases.
 Material Method: In study a total 61 patients (41 women, 20 men) including 24 Graves’ disease, 15 Hashimoto disease 22 control subjects. The mean age was 33.9±10.9 years. Patients with nodules were not included study. T...

A 45-year old man who had refractory right chylothorax after esophagectomy for esophageal cancer underwent lymphoscintigraphy with Tc-99m human serum albumin. Focal abnormal uptake was seen in the mid abdomen on planar image 30 minutes after the tracer injection. SPECT/CT delineated the extent of the accumulation between the anastomotic site and the right pleural effusion area. SPECT/CT had a g...