title: Comparison of Tc-99m HIG and Ga-67 citrate in the evaluation of bacterial abscess in a rat model.
abstract: Tc-99m labeled polyclonal human immunoglobulin (HIG) has been shown to be able to localize an inflammatory site. There are several possible explanations for HIG accumulation at focal infection sites such as increased vascular permeability, binding of the Fc part of Ig to Fc receptors of leucocytes and binding directly to bacteria. In this study, we compared Tc-99m HIG and Ga-67 citrate scintigraphy in localizing acute bacterial abscesses induced by E. coli and S. aureus. Serial scintigrams were performed at 1, 4, 24 hr after injection. Tc-99m HIG showed greater accumulation at all times with both infections agents than Ga-67 citrate (p < 0.05). While Tc-99m HIG showed greater accumulation in S. aureus than E. coli (p < 0.05), there was no statistically significant difference between E. coli and S. aureus (p > 0.05) by Ga-67 citrate. Our study suggests that Tc-99m HIG is a superior agent to Ga-67 and bacterial affinity can be a factor responsible for HIG accumulation at focal sites of inflammation.
authors.affiliation: Akdeniz University, Faculty of Medicine, Department of Nuclear Medicine, Antalya, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Güngör
authors.forename: B
authors.initials: B
authors.lastname: Karayalçin
authors.forename: M
authors.initials: M
authors.lastname: Gültekin
authors.forename: N
authors.initials: N
authors.lastname: Paksoy
authors.forename: U K
authors.initials: UK
authors.lastname: Sentürk
authors.forename: I
authors.initials: I
authors.lastname: Kaputlu
authors.forename: A
authors.initials: A
authors.lastname: Yildiz
authors.forename: M
authors.initials: M
authors.lastname: Erkiliç
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging*; D000818:Animals; D002951:Citrates; D019343:Citric Acid; D004195:Disease Models, Animal; D004927:Escherichia coli Infections / Q000000981:diagnostic imaging; D005069:Evaluation Studies as Topic; D005710:Gallium Radioisotopes; D006801:Humans; D007136:Immunoglobulins; D011877:Radionuclide Imaging; D051381:Rats; D017208:Rats, Wistar; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging; D013667:Technetium
chemical_list: D002951:Citrates; D005710:Gallium Radioisotopes; D007136:Immunoglobulins; C065376:technetium Tc 99m immunoglobulin; D019343:Citric Acid; D013667:Technetium