The Diagnostic Contribution of SPECT/CT Imaging in the Assessment of Gastrointestinal Bleeding: Especially for Previously Operated Patients

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dc.authoridKorkmaz, Ulku/0000-0002-7155-7610
dc.authoridSoyluoglu, Selin/0000-0003-4473-7138
dc.authorwosidozdemir gunay, busra/GZG-8863-2022
dc.authorwosidKorkmaz, Ulku/AAJ-4430-2020
dc.contributor.authorSoyluoglu, Selin
dc.contributor.authorKorkmaz, Ulku
dc.contributor.authorOzdemir, Busra
dc.contributor.authorAltun, Gulay Durmus
dc.date.accessioned2024-06-12T11:02:31Z
dc.date.available2024-06-12T11:02:31Z
dc.date.issued2021
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives: Gastrointestinal bleeding (GIB) is a life-threatening problem that requires a multidisciplinary approach for successful treatment. This study aims to emphasize the clinical contribution of single photon emission computed tomography/computed tomography (SPECT/CT) for the diagnosis of acute bleeding. Methods: All 14 patients referred to the nuclear medicine department in 3 years with suspicion of acute GIB were evaluated retrospectively. Clinical records were analyzed to assess the scintigraphic findings, emphasizing the correlative contribution of the CT portion on SPECT/CT studies. Results: Five patients were negative on dynamic and static planar images. SPECT/CT was performed in 9 patients who had positive findings on planar imaging. SPECT/CT could identify the same bleeding site originating from the anastomosis in four patients with a history of abdominal surgery. SPECT/CT confirmed bleeding from the cecum in a patient with cervical cancer. SPECT/CT showed the bleeding focus in the bladder neck of a patient with bladder cancer and the bleeding from peritoneal metastases of a patient with gastric cancer. In 1 patient, the right upper quadrant activity accumulation, which may cause false positives, was found to be the gallbladder on SPECT/CT. Delayed images showed the true bleeding focus in the cecum. In 1 patient, suspicious activity accumulation in the midline of the abdomen was found to be due to a previously unknown aortic aneurysm on SPECT/CT. Conclusion: SPECT/CT imaging is a feasible technique to facilitate image interpretation in patients with GIB. SPECT/CT imaging can guide the surgeon through more accurate localization. Therefore, for proper patient management, SPECT/CT should be applied to detect the bleeding focus, if present, especially in patients who had undergone a previous operation.en_US
dc.identifier.doi10.4274/mirt.galenos.2020.24392
dc.identifier.endpage17en_US
dc.identifier.issn2146-1414
dc.identifier.issn2147-1959
dc.identifier.issue1en_US
dc.identifier.pmid33586402en_US
dc.identifier.scopus2-s2.0-85101532164en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage8en_US
dc.identifier.trdizinid412979en_US
dc.identifier.urihttps://doi.org/10.4274/mirt.galenos.2020.24392
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/412979
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21300
dc.identifier.volume30en_US
dc.identifier.wosWOS:000617765700002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofMolecular Imaging And Radionuclide Therapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGastrointestinal Hemorrhageen_US
dc.subjectRed Blood Cell Scintigraphyen_US
dc.subjectSingle Photon Emission Computed Tomography/Computed Tomographyen_US
dc.subjectRed-Cell Scintigraphyen_US
dc.subjectAbdominal Aortic-Aneurysmen_US
dc.subjectRare Causeen_US
dc.subjectGallbladder Visualizationen_US
dc.subjectHemorrhageen_US
dc.subjectLocalizationen_US
dc.titleThe Diagnostic Contribution of SPECT/CT Imaging in the Assessment of Gastrointestinal Bleeding: Especially for Previously Operated Patientsen_US
dc.typeArticleen_US

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