Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
329
pubmed:dateCreated
1996-10-10
pubmed:abstractText
The diagnostic accuracy for imaging infection with a technetium-99m-labeled antigranulocyte Fab' fragment (LeukoScan) was prospectively examined in a multicenter study. Scintigraphy was performed in 53 patients at 1 to 6 hours and at 24 hours after injection of the labeled antibody fragment. Thirty-nine sites of infection were detected and confirmed by histologic study, cytologic study, other imaging procedures, or by followup. Thirty-eight of the 53 patients also were studied with technetium-99m-Exametazim or indium-111-oxine labeled leukocytes within 1 week of the LeukoScan study. In 21 patients with 25 osteomyelitic lesions, LeukoScan recognized 13 of the lesions as being true positive ones, 10 as being true negative ones, and 2 as being false negative ones, whereas the leukocyte scan showed 9 true positive results, 5 true negative results, and 2 false negative ones. Sensitivity specificity, and diagnostic accuracy of LeukoScan were 90.0 %, 84.6 %, and 87.9 %; and with autologous leukocyte scintigraphy were 83.9%, 76.5%, and 81.3%, respectively. The sensitivity of LeukoScan was independent of the amount of the labeled antibody injected (0.1 - < 0.5 mg, 96.2%; 0.5 - < 0.9 mg, 80.0%; 0.9 - 1.0 mg, 77.8%). False positive lesions were detected in a periprosthetic calcification, a frontal hyperostosis, and 2 periprosthetic hips that had loosened. Human antimouse antibody could not be detected in any of the 13 patients tested 1 or 3 months after injection. LeukoScan is suitable for imaging infectious lesions and may have diagnostic advantages compared with autologous leukocyte scintigraphy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0009-921X
pubmed:author
pubmed:issnType
Print
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
263-72
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:8769461-Adult, pubmed-meshheading:8769461-Aged, pubmed-meshheading:8769461-Aged, 80 and over, pubmed-meshheading:8769461-Antibodies, Monoclonal, pubmed-meshheading:8769461-Antibodies, Monoclonal, Murine-Derived, pubmed-meshheading:8769461-Female, pubmed-meshheading:8769461-Granulocytes, pubmed-meshheading:8769461-Humans, pubmed-meshheading:8769461-Immunoglobulin Fab Fragments, pubmed-meshheading:8769461-Indium Radioisotopes, pubmed-meshheading:8769461-Inflammation, pubmed-meshheading:8769461-Male, pubmed-meshheading:8769461-Middle Aged, pubmed-meshheading:8769461-Osteomyelitis, pubmed-meshheading:8769461-Prospective Studies, pubmed-meshheading:8769461-Radioimmunodetection, pubmed-meshheading:8769461-Sensitivity and Specificity, pubmed-meshheading:8769461-Soft Tissue Infections, pubmed-meshheading:8769461-Technetium
pubmed:year
1996
pubmed:articleTitle
Rapid imaging of infections with a monoclonal antibody fragment (LeukoScan).
pubmed:affiliation
Department of Nuclear Medicine of the University of Erlangen-Nuremberg, Germany.
pubmed:publicationType
Journal Article, Clinical Trial, Multicenter Study, Clinical Trial, Phase II, Clinical Trial, Phase I