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September 30, 1974

Radionuclide Imaging and Acute Abdominal Disorders

Author Affiliations

William Beaumont General Hospital El Paso, Tex

JAMA. 1974;229(14):1909. doi:10.1001/jama.1974.03230520051035

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The application of radiopharmaceutical imaging techniques in the diagnosis of disorders amenable to surgical therapy is expanding. The benignity, simplicity, and rapidity of this diagnostic modality make it an excellent screening procedure; it is very sensitive in the detection of many conditions. Thus, radioactive pertechnetate cerebral angiography (when combined with brain scanning) is a well-accepted screening procedure for the diagnosis of subdural hematoma; radioactive gallium imaging procedures are proving extremely useful in the localization of occult abscesses.

In this issue of The Journal, two articles describe the utility of radioactive pharmaceutical imaging in the diagnosis of the acute abdominal conditions. Muroff and colleagues (p 1900) took advantage of the fact that the heterotopic gastric mucosa that is present in more than half of all symptomatic Meckel diverticula concentrates radioactive pertechnetate. Abnormal accumulation of radioactive pertechnetate in the lower part of the abdomen combined with angiographic findings led to the preoperative