Tc99m-HMPAO white blood cell scintigraphy: added value of SPECT/CT for infection diagnosis in cardiothoracic surgery

Main Article Content

Napoleone Prandini *
Stefano Panareo
Rosario Cultrera
Chiara Peterle
Valentina de Cristofaro
Massimo Roncali
Vincenzo de Biasi
Lorenzo Badia
Luciano Feggi
(*) Corresponding Author:
Napoleone Prandini | s.panareo@ospfe.it

Abstract

We report a case of a woman who came to our attention because of fever and a sternal fistula draining purulent fluid. Four years before, she had undergone cardiothoracic surgery to place a patch because of a myocardial rupture. Under suspicion of a deep mediastinal infection, a Tc99m-HMPAO white blood cell (WBC) scintigraphy was performed. The use of planar imaging and single photon emission computed tomography (SPECT/CT) imaging allowed the identification of a sternal infection, which involved the anterior mediastinum up to pericardium and diaphgram. SPECT/CT led to a precise diagnosis of a thoracic infection, providing the location and extent of the disease. This turned out useful to improve therapeutic strategies.

Downloads month by month

Downloads

Download data is not yet available.

Article Details