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Gastric emptying or stomach emptying is a normal process of the digestive system which involves peristaltic movements or contractions of the digestive tract.
Gastric emptying study implies a procedure that is performed by physicians who specialize in nuclear medicine with the use of radioactive chemicals. The basic gastric emptying time when one has taken a solid meal is about twenty to thirty minutes. Preparation for such test includes NPO post midnight or nothing per orem hours before the test which is usually done or is ideally done early in the morning. Gastric emptying scan is used to assess the ability for food to be emptied in the stomach towards the small intestine.
Few minutes after eating, a person shall manifest the rapid gastric emptying symptoms such as abdominal cramping and bloating.
This condition can be treated through altering ones diet or following the strict diet regimen provided by the dietician or your physician. Treatment for this condition would again involve strict compliance with the diet modification.
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Nuclear imaging is a branch of medical imaging that uses small amounts of radioactive material (tracer) to diagnose a variety of diseases, including many types of cancers, heart diseases, gastrointestinal, endocrine, neurological disorders and other abnormalities within the body. The route of administration depends on the type of nuclear imaging exam, and after the radiotracer is injected into the body, it eventually accumulates in the organ or area of the body being examined.
Physicians use radionuclide imaging procedures to visualize the structure and function of an organ, tissue, bone or system within the body. You may be asked to wear a gown during the exam or you may be allowed to wear your own clothing. Women should always inform their physician or technologist if there is any possibility that they are pregnant or if they are breastfeeding.
You should inform your physician and the technologist performing your exam of any medications you are taking, including vitamins and herbal supplements. Jewelry and other metallic accessories should be left at home if possible, or removed prior to the exam because they may interfere with the procedure.
Special camera used in nuclear imaging include the gamma camera and single-photon emission-computed tomography (SPECT). The gamma camera, also called a scintillation camera, detects radioactive energy that is emitted from the patient’s body and converts it into an image.
SPECT involves the rotation of the gamma camera heads around the patient’s body to produce more detailed, three-dimensional images. A probe is a small hand-held device resembling a microphone that can detect and measure the amount of the radiotracer in a small area of your body. With ordinary x-ray examinations, an image is made by passing x-rays through the patient’s body. Unlike other imaging techniques, nuclear imaging exams focus on depicting physiologic processes within the body, instead of showing anatomy and structure. Depending on the type of nuclear medicine exam you are undergoing, the dose of radiotracer is then injected intravenously, swallowed or inhaled as a gas. It can take anywhere from several seconds to several days for the radiotracer to travel through your body and accumulate in the organ or area being studied. When it is time for the imaging to begin, the camera or scanner will take a series of images. If a probe is used, this small hand-held device will be passed over the area of the body being studied to measure levels of radioactivity. The length of time for nuclear imaging procedures varies greatly, depending on the type of exam. When the examination is completed, you may be asked to wait until the technologist checks the images in case additional images are needed. If you had an intravenous line inserted for the procedure, it will usually be removed unless you are scheduled for an additional procedure that same day that requires an intravenous line. Except for intravenous injections, most nuclear medicine procedures are painless and are rarely associated with significant discomfort or side effects.
When the radiotracer is given intravenously, you will feel a slight pin prick when the needle is inserted into your vein for the intravenous line.
Unless your physician tells you otherwise, you may resume your normal activities after your nuclear medicine scan. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. You will be informed as to how often and when you will need to return to the nuclear medicine department for further procedures. A radiologist or other physician who has specialized training in nuclear medicine will interpret the images and forward a report to your referring physician. The resolution of structures of the body with nuclear medicine may not be as high as with other imaging techniques, such as CT or MRI. Nuclear medicine imaging is a branch of medical imaging that uses small amounts of radioactive material to diagnose and determine the severity of a variety of diseases, including many types of cancers, heart disease, gastrointestinal, endocrine, neurological disorders and other abnormalities within the body. Abdominal scintigraphy is used to visualize structure and function of the abdominal cavity organs. These procedures are used less often nowadays, having largely been replaced by ultrasound, CT and MRI. This study is performed to determine the size and shape of the liver and spleen as well as for detecting functional abnormalities of the reticuloendothelial cells of these organs.
The study evaluates hepatocellular function and patency of the biliary system by tracing the production and flow of bile from the liver through the biliary into the small intestine. Gastrointestinal bleeding can be upper, originating above the ligament of Treitz, or lower, distal to the ligament of Treitz.
A Meckel diverticulum is a vestigial remnant of the omphalomesenteric duct located in the ileum, about 50-80 cm from the ileocecal valve. By using radionuclide techniques, the function of the oesophagus and the gastro-oesophagus junction, and the presence and severity of gastro-oesophageal reflux can be studied.
Hepatobiliary scan: To permit gall bladder visualization, the patient must have fasted for a minimum of two and preferably four hours prior to administration of the radiopharmaceutical. Gastrointestinal bleeding: Upon arrival to the clinic, the blood pressure and heart rate will be checked to confirm that the patient is haemodynamically stable. Meckel’s diverticulum scintigraphy: Two days before the procedure you will be asked to start taking a medicine that would allow a better scanning procedure. Despite the important anatomic and structural details provided by CT and MRI, scintigraphy using a variety of radiopharmaceuticals that exploit the unique characteristics of adrenal function and metabolism, offers high sensitivity and specificity for characterization of incidentally discovered adrenal masses. Iodocholesterol scintigraphy is used to depict adrenal adenomas and to distinguish adrenocortical carcinomas, metastases, cysts, hematomas, lipomas, myelolipomas and pseudoadrenal masses.
NP-59, MIBG and FDG each target unique characteristics of adrenal gland function and can be used to assess the etiology of incidentally discovered adrenal masses. If a functional imaging is used to evaluate an adrenal mass in patients with no history of cancer, iodocholesterol scintigraphy should be the logical first step because benign adenomas are the most common incidentally discovered adrenal masses; this approach should be followed by MIBG to identify nonhypersecreting pheochromocytoma, and [18F]-FDG if MIBG is non-localizing.
Skeletal scintigraphy (bone scan) is a special type of nuclear imaging procedure that uses small amounts of radioactive material to diagnose and determine the severity of a variety of bone diseases and conditions, including fractures, infections, and cancer. Because nuclear medicine procedures are able to image the functions of the body organs at the molecular level, they offer the potential to identify disease in its earliest stages as well as a patient’s immediate response to therapeutic interventions.
You should inform your physician and the technologist performing your exam of any medications you are taking, including vitamins and herbal supplements and if you have allergies, have recently been ill or suffer from any other medical condition.
Women should always inform their physician or technologist if they are breastfeeding or if there is any possibility that they are pregnant.
Women who are breastfeeding will need to use formula for one to two days after the scan until the radioactive tracer is gone from their bodies. You should inform the physician if you have taken a bismuth-containing medicine like Pepto-Bismol or if you have had an x-ray test using barium contrast material within the past four days.
You will be asked to drink extra fluids after the radiotracer is injected, so limit your fluids for up to four hours before the test. It takes several hours for the tracer to circulate through your body and bind to your bones so that the pictures can be taken. The type of study you are having will determine the location of your injection and the number of scans performed.
Since the introduction of other imaging technologies with finer anatomical resolutions, such as CT, MRI or DSA (Digital subtraction angiography (DSA) is a type of fluoroscopy technique used in interventional radiology to clearly visualize blood vessels in brain), nuclear brain scanning is no longer the first choice to reveal an abnormality of the brain. Other indications include neuropsychiatric disorders such as depression, obsessive-compulsive disorder, chronic fatigue syndrome, neural degenerative diseases, for example Huntington’s chorea, and functional disorders, for example schizophrenia, where the findings of SPECT brain perfusion imaging have not been fully characterized.
Patients will be instructed to stop taking caffeine, alcohol or other drugs known to affect cerebral blood flow (CBF) at least 1-3 days before the study.
During the procedure you will be asked to keep your eyes closed or open, depending on the indication for the test and chosen protocol. During a gallium scan, the tracer (radioactive gallium citrate) is injected into a vein in the arm. The technologist cleans the site on your arm where the radioactive tracer will be injected. When you come in for the scan, you will need to remove any jewellery that might interfere with the scan.
You will lie on your back on a table, and a large scanning camera will be positioned closely above you.

There is always a slight risk of damage to cells or tissue from being exposed to any radiation, including the low level of radiation released by the radioactive tracer used for this test.
Normal: The collection and activity of gallium in the bones, liver, spleen, and large intestine (colon) is normal. Abnormal: An abnormally high gallium accumulation (hot spot) is present in one or more areas of the body, possibly meaning inflammation, infection, or a tumour. A gallium scan is used for specific types of cancers, mainly of the lymph nodes, bones, or bone marrow. The results of a gallium scan should be interpreted along with the results of other tests, such as a physical exam, blood tests, and X-rays. A gastric emptying scan, also known as a gastric emptying study or test, is a nuclear imaging test that uses a small amount of radioactive material (tracer) to determine how fast food leaves the stomach. Doctors order the scans for adults who frequently vomit, feel bloated after eating, or complain of abdominal pain.
A person will experience a small amount of radiation exposure from the material put in the food eaten before the scan. Other than the radioactive meal before the scan, patients should not eat or drink anything for four to six hours before the test. It’s a good idea to bring books to read or a personal listening device to pass the time.
In-111 leukocyte scintigraphy is a nuclear imaging test which displays the distribution of radiolabeled leukocytes in the body. Patients must be able to cooperate for whole body or regional scanning which may require 30–60 min for completion. In In-111 leukocyte scan, the white blood cells (mostly neutrophils) are removed from the patient, tagged with the radioisotope Indium-111, and then injected intravenously into the patient. In imaging of infections, the gallium scan has a sensitivity advantage over the indium white blood cell scan in imaging osteomyelitis (bone infection) of the spine, lung infections and inflammation, and in detecting chronic infections. Both the gallium scan and indium-111 white blood cell imaging may be used to image fever of unknown origin (elevated temperature without an explanation). A lung scan is a nuclear imaging test that is most commonly used to detect a blood clot that is preventing normal blood flow to part of a lung (to rule out pulmonary embolism).
Ventilation scan: During a ventilation scan, a radioactive tracer gas or mist is inhaled into the lungs. Perfusion scan: During a perfusion scan, a radioactive tracer substance is injected into a vein in the arm. If the lungs are working normally, blood flow on a perfusion scan matches air flow on a ventilation scan. Ventilation and perfusion scans can be done separately or together to diagnose certain lung diseases. Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will mean. During the scan, you will either lie on your back with the scanning camera positioned over or under your chest, or you will sit with the camera positioned next to your chest. For the perfusion scan, the technologist cleans the site on your arm where the radioactive tracer will be injected. After the radioactive tracer is administered, the camera will scan for radiation released by the tracer and produce pictures as the tracer moves through your lungs. The radioactive tracer is evenly distributed throughout the lungs during ventilation and perfusion.
Myocardial perfusion imaging (MPI) is a nuclear imaging test that shows how well blood flows through (perfuses) your heart muscle. A radioactive tracer injected into the patient’s bloodstream lets doctors view heart function using a scanner called a SPECT (Single Photon Emission Computed Tomography) camera.
Don’t take the test if your risk for a heart attack is low, or if there is no other reason (chest discomfort) to think that you have heart trouble.
Specially trained technicians usually perform the test under the supervision of a cardiologist. If you cannot exercise, your IV line will be connected to a bag that has a medicine to increase the blood flow to your heart, similar to when you exercise, or make your heart go faster. When you reach your peak activity level, you’ll stop and receive a small amount of radioactive material (tracer) through the IV line.
You’ll lie still on a table for 10- 30 minutes while the gamma camera takes pictures of your heart. During the resting part of the test, you’ll receive more radioactive tracer and another set of pictures will be taken. These chemicals then measure the speed which involves gastric emptying from the stomach towards the small intestine. When a patient complains of abdominal discomfort, sided with nausea and vomiting, suspicion of a problem may be present that is why this study is done. The process of the procedure starts with letting the patient eat a solid meal which is mixed with a small amount of prepared radioactive material.
This test shall identify gastric problems which include gastroesophageal reflux and maybe aspiration reflux. With this problem, a person should have small frequent feedings in order to avoid abrupt presentation of the symptoms. This is due to the fact that one is still full from his or her previous meal even though it was hours before. Oral medications are provided for client such metoclopramide to avoid vomiting, erythromycin, and domperidone. Because nuclear imaging procedures are able to pinpoint molecular activity within the body, they offer the potential to identify disease in its earliest stages as well as a patient’s immediate response to therapeutic interventions. You should also inform them if you have any allergies and about recent illnesses or other medical conditions. In some instances, certain medications or procedures may interfere with the examination ordered. In contrast, nuclear imaging procedures use a radioactive material, called a radiopharmaceutical or radiotracer, which is injected into the bloodstream, swallowed or inhaled as a gas.
If necessary, a nurse or technologist will insert an intravenous (IV) catheter into a vein in your hand or arm. As a result, imaging may be done immediately, a few hours later, or even several days after you have received the radioactive material. The camera may rotate around you or it may stay in one position and you will be asked to change positions in between images. Actual scanning time for nuclear imaging exams can take from 20 minutes to several hours and may be conducted over several days. Occasionally, more images are obtained for clarification or better visualization of certain areas or structures. When the radioactive material is injected into your arm, you may feel a cold sensation moving up your arm, but there are generally no other side effects. When inhaled, you should feel no differently than when breathing room air or holding your breath. Though nuclear imaging itself causes no pain, there may be some discomfort from having to remain still or to stay in one particular position during imaging. If any special instructions are necessary, you will be informed by a technologist, nurse or physician before you leave the nuclear medicine department. It may also pass out of your body through your urine or stool during the first few hours or days following the test.
Nevertheless, you should inform the nuclear medicine personnel of any allergies you may have or other problems that may have occurred during a previous nuclear medicine exam.
It can take several hours to days for the radiotracer to accumulate in the body part of interest and imaging may take up to several hours to perform, though in some cases, newer equipment is available that can substantially shorten the procedure time. However, nuclear medicine scans are more sensitive than other techniques for a variety of indications, and the functional information gained from nuclear medicine exams is often unobtainable by other imaging techniques.
Because nuclear medicine procedures are able to pinpoint molecular activity within the body, they offer the potential to identify disease in its earliest stages as well as a patient’s immediate response to therapeutic interventions.
The decision to perform a liver biopsy or to continue treatment with a hepatotoxic agent may be influenced by the severity of the liver disease that is seen on liver-spleen imaging as a complement to blood tests. Frequent causes of upper gastrointestinal bleeding include esophageal varices, gastric and duodenal ulcers, gastritis, esophagitis, Mallory-Weiss tears or neoplasms.
If the patient has fasted for longer than 24 hours or is on total parental nutrition, a false positive study for cholecystitis may occur. It is suggested that iodocholesterol imaging has positive and negative predictive values of 89% and 100%, respectively. Alternatively, in patients with malignancy or prior cancer history, [18F]-FDG should be the initial scintigraphic study followed by iodocholesterol and then MIBG. In fact, a skeletal scintigram or bone scan can often find bone abnormalities much earlier than a regular x-ray exam. You probably will have to wait several hours between injection of the tracer and the bone scan, so you may want to bring something to read or work on to pass the time. During this time, you’ll be asked to drink four to six glasses of water to remove any unnecessary radiotracer that does not localize to the bones. For some types of bone scans, pictures are taken during the tracer injection, immediately afterward, and then three to five hours after the injection. The skull provides bone coverage against outside impact and the blood-brain barrier (BBB) offers protection from toxic influence from the inside. Owing to the high extraction of oxygen from the blood, and the rapid adjustment of the blood flow to meet functional demands, the brain has a special mechanism to regulate its blood flow.
In HIV-positive encephalopathy, CO2 intoxication and connective tissue diseases, SPECT brain perfusion can detect organic changes in the brain and point to appropriate treatment and monitoring. It uses small amount of radioactive material injected into the patient’s body to visualize the function and structure of internal body organs.
It travels through the bloodstream and into the body’s tissues, primarily the bones, liver, intestine, and areas of tissue where inflammation or a build-up of white blood cells (WBCs) is present.
A gallium scan also may be done to see if cancer has spread (metastasized) to other areas of the body, or to watch how well a cancer treatment is working. If you will no longer be breast-feeding after the test, you will be asked to stop breast-feeding 2 weeks before the test so that the radioactive tracer will not build up in your breast tissue. You may need to take a laxative the night before the scan and have an enema 1 to 2 hours before the scan to prevent the gallium in your colon from interfering with pictures of the area being studied. You may need to take off all or most of your clothes, a gown will be given to use during the test.
The camera does not produce any radiation, so you are not exposed to any additional radiation while the scan is being done. Most of the tracer will be eliminated from your body (through your urine or stool) within 4 days. A normal scan does not exclude the possibility of cancer, because some types of cancer do not show up on a gallium scan. The tracer, which travels through the gastric system, emits gamma energy which is detected by a special camera. This is usually scrambled eggs treated with a small amount of tasteless radioactive material.

Every hour over the course of three to five hours, four to six scans lasting about a minute each will be taken. This is not considered dangerous, unless a woman is breast-feeding, pregnant, or planning to become pregnant. Be sure to let the technician know if you are taking any medications or have any health complications, such as diabetes. Technetium-99m HMPAO (Exametazime) labeled leukocyte scintigraphy is a frequently used option for acute infections, particularly in pediatric patients. In part, this is because gallium binds to neutrophil membranes, even after neutrophil death, whereas localization of neutrophils labeled with indium requires them to be in relatively good functional order. However, the indium leukocyte scan will localize only to the approximately 25% of such cases which are caused by acute infections, while gallium is more broadly sensitive, localizing to other sources of fever, such as chronic infections and tumours. Pictures from this scan can show areas of the lungs that are not receiving enough air or that retain too much air. To help you understand the importance of this test, fill out the medical test information form. The camera does not produce any radiation, so you are not exposed to any more radiation while the scan is being done.
Or you may have a nose clip on your nose and a tube in your mouth that you use for breathing.
This can be caused by certain types of lung disease, such as pneumonia, COPD, or a pulmonary embolism. Two sets of images are taken, one with the patient at rest and one with, when the heart is working (stressed). The patient is given a drug which increases the caliber of the coronary arteries (vasodilatation) which increases blood flow to the heart as exercising would.
Tracers mix with your blood and are taken up by your heart muscle as the blood flows through your heart arteries. If you’re pregnant or think you might be pregnant, or if you’re a nursing mother, tell your doctor before you have this test. If you take beta-blocker medication (Inderal, metoprolol, etc.) you should specifically ask your physician about temporary discontinuation.
Several scans are done during that time to provide pictures of thin slices of your entire heart from all angles.
It shall be noted to have an above the normal result when the radioactive material stays or remains much longer in the stomach. After that, a scanner is placed over the stomach of the patient while monitoring the amount of radioactivity. It has been reported that once a person has taken a meal and little time has passed, symptoms of rapid gastric emptying will be noted. One should not eat food that are easily or can be easily digested as this can only promote for rapid gastric emptying.
When the state is not severe, medications are provided such as octreotide, cholestyramina and pantoprazole. Since there is delay in gastric emptying, the sufferer shall have a long period of lag time in gastric emptying.
When the child or the person has diabetes, monitoring their intake of high sugar foods is recommended. Nuclear imaging procedures are invasive which means that the tracer is usually administered intravenously, rarely orally, taken with food or inhaled. The gamma camera is composed of radiation detectors, called gamma camera heads, which are encased in metal and plastic and most often shaped like a box, attached to a round circular donut shaped gantry. This radioactive material accumulates in the organ or area of your body being examined, where it gives off a small amount of energy in the form of gamma rays. While the camera is taking pictures, you will need to remain still for brief periods of time. The need for additional images does not necessarily mean there was a problem with the exam or that something abnormal was found, and should not be a cause of concern for you. You should also drink plenty of water to help flush the radioactive material out of your body as instructed by the nuclear medicine personnel. Computer acquisitions and analysis as well as pharmaceutical interventions are frequently employed.
Causes of lower gastrointestinal haemorrhage include angiodysplasia, diverticula, neoplasms and inflammation.
Oesophageal motility disorders usually present with dysphagia or chest pain (often mimicking ischaemic cardiac disease). Positive and negative predictive values for masses of adrenomedullary origin using MIBG were 83% and 100%, respectively, and [18F]-FDG separated benign from malignant adrenal lesions with 100% sensitivity and specificity. You will also be asked to empty your bladder before the scan begins to prevent any tracer in the urine from blocking the view of your pelvic bones during the scan. This regulation is relatively independent of the systemic circulation and is determined by regional cerebral function and metabolism. Each type of tissue that may be scanned (including bones, organs, glands, and blood vessels) uses a different radioactive compound as a tracer.
It often takes the tracer a few days to build up in these areas, so in most cases a gallium scan is done at 2 days and again at 3 days after the tracer is injected.
If you will continue to breast-feed after the test, it is recommended that you not use your breast milk for 4 weeks after a gallium scan because the tracer can be passed to your baby. The amount of radiation is so small that it is not a risk for people to come in contact with you following the test. A gallium scan also cannot determine whether a tumour is cancerous (malignant) or noncancerous (benign).
The camera produces visual images with “cold” and “hot” spots of the areas with low or high tracer uptake. The radioactive substance allows the camera to follow the food through the digestive process. Anyone in these circumstances should tell her doctor before having a gastric emptying scan.
The study is particularly helpful in differentiating conditions such as osteomyelitis from decubitus ulcers for assessment of route and duration of antibiotic therapy. Gallium may be a better choice for spleen study because gallium does not normally accumulate in the spleen. You will inhale the tracer gas or mist through the mask or tube by taking a deep breath and then holding it. Some forms of MPI can also tell your doctor if portion of the heart muscle that isn’t working well after a heart attack has a chance of going back to normal and if a coronary stent is place or bypass surgery is done (“viability imaging”). Experts disagree if X-rays at such low doses can cause cancer, but the possibility exists that no dose of X-rays, however low, is completely safe.
The ECG keeps track of your heartbeat during your test and is used to tell the camera when to take a picture. It’s very important to hold completely still with your arms above your head while the pictures are being taken. Also, a factor that shall influence gastric emptying presents the amount of residual meal retained in the stomach.
Eating of highly seasoned foods can irritate the stomach that it can promote symptoms of gastric emptying. There is also a tendency that after hours when symptoms appear, additional complaints are reported.
The condition is said to last for few weeks but tendency that it shall become a chronic condition is present. This involves diabetes that involves the long term damage of the vagus nerve that simply leads to gastroparesis.
Other symptoms are heartburn, weight loss, stomach cramps, lack of appetite, and possible spasms of the stomach. Placing of jejunostomy tube is recommended to clients as they may need it especially when one does not have the energy to eat or appetite to eat.
The patient lies on the examination table which slides in between the parallel gamma camera heads which are suspended over the examination table and located beneath the examination table. Special cameras detect this energy, and with the help of a computer, create pictures offering details on both the structure and function of organs and tissues in your body.
The goals of gastrointestinal bleeding scintigraphy are to locate the bleeding site and to determine which patients require aggressive treatment as opposed to those who can be medically managed. 99mTc pertechnetate avidly accumulates in gastric mucosa and is the study of choice for identifying ectopic gastric mucosa in Meckel diverticulum.
Gallium scans are usually done 24 hours (1 day), 48 hours (2 days), and 72 hours (3 days) after the tracer is injected.
Infections can reach a bone by traveling through the bloodstream or spreading from nearby tissue. During this time, you can give your baby breast milk you stored before the test, or you can give formula. The camera will scan for radiation released by the tracer and produce pictures as the tracer moves through your lungs. While certain hormones of the body shall also provide effects on the function of the stomach or peristalsis. As there is about great amount of food consumed earlier, the emptying time shall be altered.
Normally, the rate of the radioactive materiala€™s ability to diminish should also be in congruence with the speed rate of gastric emptying. This is best done when the stomach is full in content, which is why food intake is important on the hour or time of test. This is due to the effects of hypoglycemia, the sugar or content taken from the food was speedily taken from the body that is why symptoms such as weakness, sweating, thirst and such are notable to patients. Sometimes, the gamma camera heads are oriented at a 90 degree angle and placed over the patient’s body.
Dynamic imaging of the head immediately after tracer injection, referred to as radionuclide cerebral angiography, depicts the cerebral vasculature. The tracer stays in the body until it is eliminated as waste, usually in the urine or stool (feces).
Osteomyelitis can also begin in the bone itself if an injury exposes the bone to germs.), regional or whole-body bone scintigraphy may be used in conjunction with In-111 leukocyte scintigraphy to detect sites of abnormal bone remodeling. The amount or volume of the content to be taken in is also a factor in gastric emptying time. Bone marrow scintigraphy using Tc-99m sulfur colloid can be a useful adjunct to assess marrow distribution at suspected osteomyelitis sites, particularly when the site is adjacent to orthopaedic prostheses. You may then be asked to hold your breath for short periods (about 10 seconds) and to change positions so your lungs can be viewed from other angles.

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