Abstract
Autologous white blood cells were labelled with Indium 111 (111In wbc) and reinjected into 18 children with suspected infection and 10 children with suspected inflammatory bowel disease aged 5 weeks to 15 years. In addition two immunosuppressed children with suspected infection received donor 111In wbc. Gamma camera images were obtained between one and four hours and 20 and 24 hours. Other appropriate investigations were also undertaken in these children. Of 18 positive 111In wbc scans 17 were true positive. There were 12 negative scans of which 9 were true negative and three were false negative. The overall results showed a sensitivity of 85%, a specificity of 90%, and an accuracy of 86%. Used appropriately this technique forms a valuable back up investigation.
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- Anstall H. B., Coleman R. E. Donor-leukocyte imaging in granulocytopenic patients with suspected abscesses: concise communication. J Nucl Med. 1982 Apr;23(4):319–321. [PubMed] [Google Scholar]
- Godec C. J., Tsai S. H., Smith S. J., Cass A. S. Diagnostic strategy in evaluation of renal abscess. Urology. 1981 Dec;18(6):535–541. doi: 10.1016/0090-4295(81)90452-0. [DOI] [PubMed] [Google Scholar]
- Knochel J. Q., Koehler P. R., Lee T. G., Welch D. M. Diagnosis of abdominal abscesses with computed tomography, ultrasound, and 111In leukocyte scans. Radiology. 1980 Nov;137(2):425–432. doi: 10.1148/radiology.137.2.7433676. [DOI] [PubMed] [Google Scholar]
- Saverymuttu S. H., Peters A. M., Lavender J. P., Hodgson H. J., Chadwick V. S. 111Indium autologous leucocytes in inflammatory bowel disease. Gut. 1983 Apr;24(4):293–299. doi: 10.1136/gut.24.4.293. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Segal A. W., Ensell J., Munro J. M., Sarner M. Indium-111 tagged leucocytes in the diagnosis of inflammatory bowel disease. Lancet. 1981 Aug 1;2(8240):230–232. doi: 10.1016/s0140-6736(81)90477-3. [DOI] [PubMed] [Google Scholar]
- Thakur M. L., Coleman R. E., Welch M. J. Indium-111-labeled leukocytes for the localization of abscesses: preparation, analysis, tissue distribution, and comparison with gallium-67 citrate in dogs. J Lab Clin Med. 1977 Jan;89(1):217–228. [PubMed] [Google Scholar]
- Thakur M. L., Lavender J. P., Arnot R. N., Silvester D. J., Segal A. W. Indium-111-labeled autologous leukocytes in man. J Nucl Med. 1977 Oct;18(10):1014–1021. [PubMed] [Google Scholar]
- Thorley J. D., Jones S. R., Sanford J. P. Perinephric abscess. Medicine (Baltimore) 1974 Nov;53(6):441–451. doi: 10.1097/00005792-197411000-00004. [DOI] [PubMed] [Google Scholar]


