Detection of subacute infectious foci with indium-111-labeled autologous leukocytes and indium-111-labeled human nonspecific immunoglobulin G: a prospective comparative study

J Nucl Med. 1991 Oct;32(10):1854-60.

Abstract

In 35 patients suspected of an infectious focus, the outcome of scintigraphy with 111In-labeled autologous leukocytes (WBC) and 111In-labeled human nonspecific immunoglobulin G (IgG) was evaluated in a prospective comparative study. Clinical, roentgenologic and microbiologic findings were considered to be proof of the presence of infection or inflammation. In this group of patients with mainly subacute infections, 111In-IgG scintigraphy performed significantly better than 111In-WBC scintigraphy, especially in infections of the locomotor system, but also in various soft-tissue infections. Both techniques showed disappointing results in patients with disseminated yersinia infection and in some patients with tuberculosis. Overall sensitivity and specificity was 74% and 100% for 111In-IgG scintigraphy and 52% and 78% for 111In-WBC scintigraphy, respectively.

Publication types

  • Comparative Study

MeSH terms

  • Bacterial Infections / diagnostic imaging*
  • Bacterial Infections / epidemiology
  • Female
  • Focal Infection / diagnostic imaging*
  • Focal Infection / epidemiology
  • Humans
  • Immunoglobulin G*
  • Immunoglobulins, Intravenous
  • Indium Radioisotopes*
  • Isotope Labeling
  • Leukocytes*
  • Male
  • Middle Aged
  • Prospective Studies
  • Radionuclide Imaging
  • Sensitivity and Specificity

Substances

  • Immunoglobulin G
  • Immunoglobulins, Intravenous
  • Indium Radioisotopes