PMID- 3062784
OWN - NLM
STAT- MEDLINE
DCOM- 19890222
LR  - 20191022
IS  - 0001-2998 (Print)
IS  - 0001-2998 (Linking)
VI  - 18
IP  - 4
DP  - 1988 Oct
TI  - Correlative imaging in abdominal infection: an algorithmic approach using nuclear 
      medicine, ultrasound, and computed tomography.
PG  - 320-34
AB  - A wide variety of focal and diffuse infectious processes involve the abdomen. At 
      one extreme are diseases such as pyelonephritis, cystitis, and pelvic 
      inflammatory disease, conditions usually diagnosed without imaging studies and 
      treated without complications. At the other extreme are abdominal abscesses, 
      which may defy clinical diagnosis, are associated with significant morbidity and 
      mortality, and may remain undetected or insufficiently characterized in spite of 
      multiple imaging studies. The limited diagnostic value of clinical evaluation and 
      plain film radiography in abscess detection has lead to widespread use of 
      sophisticated imaging techniques including Gallium-67 (67Ga) scintigraphy, 
      Indium-111 WBC (111In-WBC) scintigraphy, computed tomography (CT), and 
      ultrasonography (US). Abdominal abscesses occur in a wide variety of anatomic 
      sites, may involve any abdominal organ system, and have a number of different 
      causes. The heterogeneity of the disease process and the varying capabilities of 
      the different imaging techniques (with respect to site and organ system) make 
      reliance on a single technique undesirable. An algorithmic approach using 67Ga or 
      111In-WBC scintigraphy, CT, and US provides a logical and clinically practical 
      approach to complicated abdominal infection. By recognizing differences in 
      clinical presentation and by appreciating the diagnostic strengths and weaknesses 
      of nuclear medicine, CT, and US, the algorithm provides a reliable and direct 
      route to accurate diagnosis while minimizing unnecessary examinations.
FAU - Gagliardi, P D
AU  - Gagliardi PD
AD  - Department of Diagnostic Radiology, Yale University School of Medicine, New 
      Haven, CT 06510.
FAU - Hoffer, P B
AU  - Hoffer PB
FAU - Rosenfield, A T
AU  - Rosenfield AT
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Semin Nucl Med
JT  - Seminars in nuclear medicine
JID - 1264464
RN  - 0 (Citrates)
RN  - 0 (Indium Radioisotopes)
RN  - 2968PHW8QP (Citric Acid)
SB  - IM
MH  - *Abdomen
MH  - Abscess/*diagnosis/diagnostic imaging
MH  - *Algorithms
MH  - Citrates
MH  - Citric Acid
MH  - Humans
MH  - Indium Radioisotopes
MH  - Leukocytes
MH  - Radionuclide Imaging
MH  - *Tomography, X-Ray Computed
MH  - *Ultrasonography
EDAT- 1988/10/01 00:00
MHDA- 1988/10/01 00:01
CRDT- 1988/10/01 00:00
PHST- 1988/10/01 00:00 [pubmed]
PHST- 1988/10/01 00:01 [medline]
PHST- 1988/10/01 00:00 [entrez]
AID - S0001-2998(88)80041-2 [pii]
AID - 10.1016/s0001-2998(88)80041-2 [doi]
PST - ppublish
SO  - Semin Nucl Med. 1988 Oct;18(4):320-34. doi: 10.1016/s0001-2998(88)80041-2.