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Departments of Diagnostic Radiology, Hospital Physics and Orthopedic Surgery, Karolinska Hospital, Stockholm, Sweden
Correspondence: For correspondence or reprints contact: Hans Jacobsson, MD, Dept. of Diagnostic Radiology, Karolinska Hospital, S-171 76 Stockholm, Sweden.
ABSTRACT
Technetium-99m-MIBI was initially developed for heart studies but it can also be used to depict tumors, predict multidrug resistance and evaluate chemotherapy. Recently, 99mTc-tetrofosmin, which exhibits similar physical properties, has been launched for heart studies. Tumor uptake and prediction of multidrug resistance have also been reported regarding the latter tracer. A comparison of these two tracers regarding the detectability of musculoskeletal sarcoma has been made. Methods: Twenty patients with musculoskeletal sarcoma of the extremities or pelvis underwent planar examination after the administration of 99mTc-MIBI and 99mTc-tetrofosmin with an interval of 27 days. The tumor activity was compared with one ipsilateral and one contralateral background region. Results: There was a small, but not significant, difference in favor of 99mTc-MIBI with regard to both background regions. Conclusion: Technetium 99mTc-MIBI and 99mTc-tetrofosmin can both be used to visualize musculoskeletal sarcomas. The choice may depend on which agent is used routinely for myocardial studies in the laboratory.
Key Words: musculoskeletal sarcoma technetium-99m-MIBI technetium-99m-tetrofosmin tumor imaging
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