Summary:
Inflammation is a complex reaction of the organism which develops as a response to invasion of an
infectious subject or as a response to injury to cells or tissues. Correct and early localization of
infection or an inflammatory lesion allows removing the inflammatory cause quickly. Over the recent
thirty years, a wide range of radiopharmaceuticals, more or less applicable in scintigraphic imaging
of inflammatory and infectious diseases, have been developed. The aim has been to develop new
substances that are non-toxic, do not provoke immune reactions, and produce a minimal absorbed
radioactive dose. Furthermore, these substances should accumulate significantly in the target tissue
(i.e. in inflammation), while the accumulation in non-target tissues should be minimal or the
elimination of radiopharmaceuticals from non-target tissues must be quick. The goal is that these
substances may also be easily available and inexpensive. Another purpose is to develop such
substances that could possess not only sufficient sensitivity but also specificity in relation to certain
types of inflammation and infection. The main indications for radionuclide imaging are as follows:
inflammatory bowel disease, soft tissue sepsis, predominantly abdominal sepsis, musculoskeletal
infection, and fever of unknown origin.
Key words:
imaging – inflammation – infection – radiopharmaceuticals
|