141 Normal Solid Gastric Emptying

CASE 141


Clinical Presentation


A 30-year-old man volunteered for a gastric emptying study to establish normal values. There was no history of gastric complaints.


image


Fig. 141.1 0–45 minutes continuous acquisition.


image


Fig. 141.2 0–239 minutes continuous acquisition.


Technique


Standard Meal:


• 120 ml egg whites labeled with 0.5 mCi 99mTc-sulfur colloid


• 120 ml water


• 2 slices white bread (or toast)


• 30 gm strawberry jam


Mix the sulfur colloid with the egg white and cook or microwave until done. Consume with bread, jelly and water. The meal should not take longer than 10 minutes to consume.


The patient is placed supine between the heads of a dual-headed gamma camera.


Anterior and posterior data is collected continuously for 45 minutes and divided into one-minute frames (Fig. 141.1).


Static images are obtained for one minute in anterior and posterior projections at 2 hours, 3 hours, and 4 hours after meal ingestion (as needed).


Anterior, posterior, and geometric mean time-activity curves (decay corrected) are generated from the region of interest (ROI) drawn around the stomach at each data point (Fig. 141.2).


Image Interpretation

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Jan 24, 2016 | Posted by in NUCLEAR MEDICINE | Comments Off on 141 Normal Solid Gastric Emptying

Full access? Get Clinical Tree

Get Clinical Tree app for offline access