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Gall bladder visualization in lymphoscintigraphy.
Tansel Ansal Balci1, Zehra Pinar Koc, Bedriye Busra Demirel
1Department of Nuclear Medicine, Firat (Euphrates) University, Elazig, Turkey. tansel_balci@yahoo.com
Lymphatic Research and Biology
|December 18, 2012
Summary
Gallbladder visualization during extremity lymphoscintigraphy may occur in patients who have fasted. This finding, observed with Tc-99m sulfur colloid, suggests fasting impacts tracer distribution.
Area of Science:
- Nuclear Medicine
- Diagnostic Imaging
- Lymphatic System Imaging
Background:
- Lymphoscintigraphy is a key diagnostic tool for lymphatic system disorders.
- Gallbladder visualization is an uncommon finding in extremity lymphoscintigraphy.
Purpose of the Study:
- To investigate the occurrence and potential causes of gallbladder visualization during lower extremity lymphoscintigraphy.
Main Methods:
- Retrospective evaluation of 13 patients undergoing lower extremity lymphoscintigraphy.
- Tc-99m sulfur colloid was used, with early and 24-hour delayed imaging.
- Patient history, particularly regarding fasting, was considered.
Main Results:
- Three out of thirteen patients exhibited gallbladder tracer accumulation.
- This accumulation was transient, disappearing on delayed 24-hour images.
- Gallbladder activity was exclusively observed in patients with a history of fasting prior to the examination.
Conclusions:
- Patient fasting state is a potential cause for gallbladder visualization in extremity lymphoscintigraphy.
- This transient finding may represent normal physiological tracer uptake in the fasting gallbladder.
- Further studies are warranted to confirm the relationship between fasting and gallbladder visualization.
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