7 Cases of Incidental Radionuclide Uptake in the Gabtrointestinal Tract During $^{99m}Tc$-Methylene Diphosphonate Bone Scintigraphy

$^{99m}Tc$-MDP 골 스캔 중 발견된 위 및 장관의 섭취증가 7예

  • Son, Tae-Yong (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Kim, Hyung-Gun (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Yuh, Young-Jin (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Lee, Sang-Goo (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Cheon, Eun-Mee (Department of Internal Medicine, Korea Cancer Center Hospital) ;
  • Lim, Sang-Moo (Department of Nuclear Medicine, Korea Cancer Center Hospital) ;
  • Hong, Sung-Woon (Department of Nuclear Medicine, Korea Cancer Center Hospital)
  • Published : 1993.11.15

Abstract

We experienced 7 cases of patients who were performed $^{99m}Tc$-methylene diphosphonate bone scintigraphy for the evaluation of diseases they had. Their bone scintigrams showed incidental radionuclide uptake in the gastrointestinal tracts and they had no special symptom or sign attributable to the findings. Case 1 showed radionuclide uptake in the stomach and both lung and the patient had suffered from hypercalcemia and azotemia. Case 3 and case 6 showed diffuse radionuclide uptake in the stomach and intestinal tract. Others showed diffuse or regional radionuclide uptake in the intestinal tracts. Radionuclide uptake in the gastrointestinal tract by $^{99m}Tc$-methylene diphosphonate is caused by a certain pathologic lesion but also can be seen in the normal gastrointestinal tract. So, one who reads bone scintigrams should be alert for the pathologic lesion in the gastrointestinal tract although one must interpretate with the concept of this normal variations.

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