Use of 99mTc-Sulesomab for the Diagnosis of Prosthesis Infection after Total Joint Arthroplasty
- 1 July 2007
- journal article
- Published by SAGE Publications in Journal of International Medical Research
- Vol. 35 (4), 474-481
- https://doi.org/10.1177/147323000703500406
Abstract
This study aimed to evaluate the diagnostic efficacy of antigranulocyte scintigraphy using the antibody fragment 99mTc-sulesomab (LeukoScan®) for the diagnosis of prosthesis infection in patients with total hip or knee arthroplasty. The results from 19 patients with suspected total joint arthroplasty infection who had undergone a three-phase bone scan and a subsequent examination with 99mTc-sulesomab during a 1-year period were reviewed. Twelve patients were shown to have prosthesis infection on culture of aspirated synovial fluid or intra-operative samples. The overall sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy for 99mTc-sulesomab were 75%, 86%, 90%, 66% and 79%, respectively, compared with 54%, 83%, 88%, 45% and 63%, respectively, for the three-phase bone scan. This study showed that 99mTc-sulesomab had good diagnostic value for the detection of prosthesis infection. The combination of 99mTc-sulesomab with other laboratory or imaging examinations may improve diagnostic performance in prosthesis infection and should be investigated further.Keywords
This publication has 26 references indexed in Scilit:
- The Diagnosis of Prosthetic Joint InfectionClinical Orthopaedics and Related Research, 2005
- Use of sulesomab in the diagnosis of brucellar spondylitisClinical Microbiology & Infection, 2004
- Infection after total knee arthroplastyThe Journal of Bone and Joint Surgery. British volume, 2004
- Infektdiagnostik nach Knie-TEP-ImplantationZeitschrift Fur Orthopadie Und Ihre Grenzgebiete, 2004
- Tc-99m-Labeled Monoclonal Antibody Fragment Imaging in a Patient With Fever of Unknown OriginClinical Nuclear Medicine, 2003
- Prosthetic Joint Infections: Bane of Orthopedists, Challenge for Infectious Disease SpecialistsClinical Infectious Diseases, 2003
- LeukoScan for Imaging Infection in Different Clinical SettingsClinical Nuclear Medicine, 2003
- Diagnosis of infection after total hip arthroplastyJournal of Orthopaedic Science, 2001
- The use of monoclonal antibodies and antibody fragments in the imaging of infectious lesionsSeminars in Nuclear Medicine, 1994
- Evaluation of the painful prosthetic joint: Relative value of bone scan, sedimentation rate, and joint aspirationThe Journal of Arthroplasty, 1991