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6th Internet World Congress for Biomedical Sciences

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BREAST SCINTIMAMMOGRAPHY WITH MIBI-Tc99m AS A PREDICTOR OF TUMORAL AGGRESSIVENESS.

Francisca Mulero(1), V. Roca(2), F. Nicolás(3), Francisca Mulero(4), J.A. Nuño de la Rosa(5)
(1)(4)(5)Hospital Universitario Virgen de la Arrixaca - San Miguel de Salinas. Spain
(2)(3)Servicio de Medicina Nuclear. Hospital Universitario Virgen de la Arrixaca (Murcia) - Murcia. Spain

[ABSTRACT] [INTRODUCTION] [MATERIALS & METHODS] [RESULTS] [FIGURES] [CONCLUSIONS] [Discussion Board]
INTRODUCTION Previous: Cholesterol Granuloma (Cholesteroloma) Of The Mammary Gland RESULTS
[Oncology]
Next: Inorganic cobalt(III) complexes with Schiff bases as a new anticancer agents with radio/thermosensitizing activities
[Radiology & Nuclear Medicine]
Next: Active contours and medical imaging

MATERIALS & METHODS

Patients: 84 female patients with diagnosed breast carcinoma (52.1 ± 12.7)(age 22-81 years). All patients were scheduled for radical surgery.

Method: 99mTc-MIBI imaging according to the protocol in our institution: 740-925 MBq (Cardiolite® from DuPont Pharma) injected EV in an antecubital vein contralateral to the breast undergoing evaluation.

  • Planar images. 256 x 256 pixels (0.2210 cm/pixel) in a single head gammacamera with LEHR collimator. 10% window centered at Technetium´s photopeak. Prone position. Special positioning device. Imaging 5 and 90 minutes after injection for 10 minutes or 1,500 kcts.

99mTc-MIBI semiquantitative analysis:

  • ROI drawn over the uptake area. Total counts divided into the number of pixels yielded a mean value per pixel (T). A similar ROI over background activity was B value.

  • Tumor-to-background uptake ratio (T/B) was calculated in all patients.

  • Early (5 minutes) and delayed (1 hour) (E/D) difference in uptake was calculated with the formula:

E/D=log n early T/B - log n delayed T/B

  • Histopathological study:

    • Tumor size.

    • Presence or absence of axillar lymph node metastases.

    • Histological Degree (Scarff Bloom Richardson).

    • Nuclear Degree.

    • Mitotic Index.

    • Cellular Atypia.

    • Oestrogen receptor expression.

Statistical Analysis: The significance of proportions was evaluated by Fisher´s exact test. Comparison of MIBI uptake with different prognostic factors was made with ANOVA test and mean comparisons with a t-Student test.


Discussion Board
Discussion Board

Any Comment to this presentation?

[ABSTRACT] [INTRODUCTION] [MATERIALS & METHODS] [RESULTS] [FIGURES] [CONCLUSIONS] [Discussion Board]

INTRODUCTION Previous: Cholesterol Granuloma (Cholesteroloma) Of The Mammary Gland RESULTS
[Oncology]
Next: Inorganic cobalt(III) complexes with Schiff bases as a new anticancer agents with radio/thermosensitizing activities
[Radiology & Nuclear Medicine]
Next: Active contours and medical imaging
Francisca Mulero, V. Roca, F. Nicolás, Francisca Mulero, J.A. Nuño de la Rosa
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Last update: 16/01/00