Gallium-67 citrate accumulation in parotid and submandibular glands in sarcoidosis.
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Biomedical subjects
Publications and source records attributed to E L Kramer.
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In a sample of 37 middle-class families with firstborn 4-month-old infants, 52% of the fathers reported experiencing blues at some point after the birth of the baby. Observed behavior was found to differ between families in which the father reported eight or more days of blues (Group 2) as opposed to no blues (Group 1). Parents in Group 2 addressed fewer vocalizations to their babies. Group 2 fathers showed diminished proximity with their babies while their wives showed heightened proximity. Fathers in Group 2 engaged in less caregiving and touched their babies less than did their wives, while fathers in Group 1 engaged in more of this behavior than did their wives. Mothers and fathers in Group 2 were less likely to focus on the baby over other topics in their conversations with each other than the parents in Group 1. Few differences were found between the two groups on interview questions addressed to the fathers. However, those differences that were found, in addition to Group 2 fathers' descriptions of factors contributing to their blues, pointed to the spouse relationship as an area of concern.
Pulmonary embolism is diagnosed by a mismatched perfusion-ventilation lung scan. The probability is increased further when there is an associated "hot spot" in the perfusion study caused by focal pulmonary edema.
Methods for creating ventilation/perfusion ratio images have been reported previously using radioxenon. With the availability of 81mKr gas, corresponding ventilation and perfusion views in multiple projections to evaluate for V/Q mismatch may be performed more readily. A technique for the creation of a functional V/Q ratio image to highlight V/Q mismatches to aid in the evaluation of pulmonary embolism is described. By removing nonpertinent and distracting information and by converting a 'cold spot' imaging modality to a 'hot spot' modality, these functional images aid in the synthesis of the information provided by the ventilation and perfusion images. The limitations due to technical artifacts and the advantages of using these functional images are described.
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The current status of nuclear renal scanning and function evaluation is summarized. The indications for renal imaging are discussed. Techniques for measurement of split and total renal function are reviewed. Special attention is given to the role of renography (conventional and diuretic) in the evaluation of the obstructed kidney.
Gastroesophageal reflux was a fortuitous finding on a hepatobiliary scan in a patient who had a history of esophagogastrectomy and complained of regurgitation in the supine position.
Marked retention of radioxenon by the skeletal structures during a routine ventilation scan is described. Xenon uptake by bones occurs largely in the intraosseous fat. Augmented uptake in this case may be related to the patient's prolonged steroid therapy.
We report a bone scan finding of bilaterally and symmetrically increased uptake at the lateral orbital rims in a patient with disseminated Hodgkin's disease. Computerized axial tomography (CT) demonstrated lacrimal gland enlargement, presumably due to infiltration by Hodgkin's disease. Both the radionuclide bone scan and CT findings, as well as the other physical and radiographic manifestations of Hodgkin's disease, resolved after chemotherapy. Infiltration by Hodgkin's lymphoma is a rare cause of lacrimal gland enlargement. We believe that this pattern of uptake on a routine bone scan should alert the physician to possible lacrimal gland disease, which could then be more definitively evaluated by CT examination.
A case of antibiotic-associated pseudomembranous colitis is presented in which the Gallium scan was the first diagnostic modality to alert the clinicians to the existence of an inflammatory bowel process. The mechanism of localization of the radiopharmaceutical in inflammatory bowel disease is discussed. Although colonoscopy is far more specific and should be the first-line diagnostic tool used in assessing the presence of pseudomembranous colitis, Gallium scanning may have a role in the follow-up of treatment and in cases of relapse.