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Pelvic inflammatory disease with Tc-99m ciprofloxacin imaging

Moon Whan Im1, Wonsick Choe, Sung Ook Hwang

  • 1Department of Obstetrics and Gynecology, Inha University School of Medicine, Incheon, Korea. mwim@inha.ac.kr

The Journal of Obstetrics and Gynaecology Research
|October 9, 2008
PubMed

Insights

Diagnosing pelvic inflammatory disease (PID) can be challenging. Technetium-99m ((99m)Tc) ciprofloxacin SPECT imaging shows increased uptake in affected areas, aiding diagnosis in difficult cases.

Area of Science:

  • Nuclear medicine
  • Diagnostic imaging
  • Infectious disease

Background:

  • Clinical diagnosis of pelvic inflammatory disease (PID) is often inexact due to varied symptoms.
  • No single symptom or sign is definitively pathognomonic for PID.

Observation:

  • This study describes the use of single photon emission computed tomography (SPECT) with technetium-99m ((99m)Tc) ciprofloxacin.
  • SPECT imaging revealed foci of significantly increased radiotracer uptake in patients diagnosed with PID, correlating with clinical symptoms.

Findings:

  • Two cases of PID are presented where (99m)Tc ciprofloxacin SPECT imaging demonstrated localized areas of increased uptake.
  • Diagnostic evaluations included physical exams, blood tests, microbiological studies, and imaging before and after treatment.

Implications:

  • (99m)Tc ciprofloxacin SPECT imaging appears valuable for diagnosing PID, particularly in cases where clinical diagnosis is difficult.
  • This imaging modality may improve diagnostic accuracy and guide treatment decisions for PID.

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