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^99mTc-Stannous Colloid White Cell Scintigraphy in Childhood Inflammatory Bowel Disease

¹ Department of Gastroenterology, The Children’s Hospital at Westmead, Sydney, New South Wales, Australia
² Department of Nuclear Medicine, The Children’s Hospital at Westmead, Sydney, New South Wales, Australia

View larger version (22K): [in a new window]   FIGURE 1. Flow diagram of study population.

View larger version (95K): [in a new window]   FIGURE 2. An 8-y-old girl with Crohn’s disease. (A) Anterior (left) and posterior (right) 3-h planar images. Marked uptake of tracer is present in the distal ileum and in the ascending, transverse, and descending colon. Note the high degree of hepatic uptake, which impairs detection of upper gastrointestinal disease. There is no bladder activity. (B) Coronal 3-h SPECT images. Coronal SPECT more clearly delineates the distal ileal disease.

View larger version (41K): [in a new window]   FIGURE 3. A 13-y-old boy with Crohn’s disease. (A) Anterior (left) and posterior (right) 3-h planar images. Marked uptake of tracer is present throughout the colon, particularly in the distal ileum. (B) Small-bowel series of the terminal ileum. Abnormal separation of bowel loops is seen in the right iliac fossa, with bowel wall thickening. Normal mucosal pattern and terminal ileum peristalsis are present.