Gastric half emptying time (T ½ ) for 4‐h gastric emptying scintigraphy simplifies reporting but reduces detection of gastroparesis

2021 ◽  
Author(s):  
Rebecca Gardella ◽  
Paul J. Silver ◽  
Dariush Shahsavari ◽  
Alan H. Maurer ◽  
Henry P. Parkman
Keyword(s):  
Gastric Emptying ◽  
Gastric Emptying Scintigraphy ◽  
Emptying Time

A modified sonographic technique for assessment of gastric emptying of liquid

2003 ◽  
Vol 44 (3) ◽  
pp. 340-342 ◽  
Author(s):  
J. F. Pedersen
Keyword(s):  
Gastric Emptying ◽  
Repeated Measurements ◽  
Intraindividual Variation ◽  
Ultrasound Technique ◽  
Liquid Meal ◽  
Ultrasound Monitoring ◽  
Gastric Emptying Time ◽  
The Mean ◽  
Antral Area ◽  
Emptying Time

Purpose: Ultrasound scanning is replacing scintigraphy in studies of gastric emptying of liquid, but both have considerable day-to-day variability. This study describes a modified ultrasound technique for assessing gastric emptying of liquid, and evaluates the inter- and intraindividual variation in emptying time. Material and Methods: On different days, each of 12 healthy volunteers had meals of 350 ml broth. The antral area was measured at sonography 5 times before the meal as a baseline, and every 1–4 min after the meal. The time until the antral area had decreased to 150% of baseline (T150) was determined and used as surrogate expression of gastric emptying time. Results: The mean T150 for a broth meal was 12.6 min (range 5–21) and 13.5 min (6–23) (first and second meal, respectively). The standard deviation of the differences between the 12 pairs of repeated measurements was 3.1 min and the coefficient of variation was 24%. Conclusion: Ultrasound monitoring of antral size after a liquid meal is a well suited method for assessing gastric emptying of liquid.

Impact of methodical guidelines of gastric scintigraphy on patients’ radiation exposure

2021 ◽  
Vol 75 (2) ◽  
pp. 159-164
Author(s):  
Martina Horváthová ◽  
Zuzana Bárdyová ◽  
Darina Budošová ◽  
Rastislav Husťak
Keyword(s):  
Gastric Emptying ◽  
Radiation Exposure ◽  
Gold Standard ◽  
Retrospective Cohort ◽  
Noninvasive Method ◽  
Lower Intensity ◽  
Medicine Department ◽  
Nuclear Medicine Department ◽  
Gastric Emptying Scintigraphy ◽  
Gastric Scintigraphy

Introduction: Gastric emptying scintigraphy (GES) is a safe, noninvasive method for assessing the ability of the stomach to empty which has been used clinically for many years. It is considered as a “gold standard” to assess gastric emptying of both solids and liquids allowing assessment of early, mid and late emptying, each of which may be altered by pathology. The aim of the study was to analyse standard diagnostic approach and evaluate patients` radiation exposure, who underwent GES in Slovakia. Methods: A retrospective cohort study included 55 patients from 2 departments of nuclear medicine (department A, B). Patients’ radiation exposure was determined by dosimetry program IDAC-Dose2.1. The radiopharmaceutical 99mTc-DTPA, always with the same activity, was applied orally to patients at Department B. The applied activity of the radiopharmaceutical at GES was 185 MBq. The radiopharmaceutical 99mTc MAA, with various activity, was applied orally to patients at Department A. Results: According to ICRP60, the eff ective dose (ED) of every patient undergoing GES was 0.77 mSv and, according to ICRP103, the dose was 0.836 mSv at Department B. Patients at Department A were exposed to ionizing radiation with 5-times lower intensity, compared with patients at Department B. It was caused by radiopharmaceutical activity correction. The ED medians according to ICRP60, and according to ICRP103 were 0.167 mSv (range 0.105–0.208 mSv) and 0.181 mSv (range 0.113–0.226 mSv) at Department A, respectively. Discussion: Adequate correction of applied radiopharmaceutical activity is an essential part of GES guidelines and in accordance with ALARA principles. For the accuracy of GES examination, it is necessary to follow a standard 4-hour protocol and an approach which ensures full-featured utilization of the examination while decreasing patient`s radiation exposure. Conclusion: The results of our study show relatively low ED associated with GES, but also confi rm that the GES methodology significantly affects the patient`s radiation exposure

scholarly journals Relation between clinical features and gastric emptying time in diabetic patients

2015 ◽  
Vol 18 (1) ◽  
pp. 3-6 ◽  
Author(s):  
Hamid Javadi ◽  
Hoda Bayani ◽  
Mehdi Mogharrabi ◽  
Ali Mahmoud Pashazadeh ◽  
Shahriar Semnani ◽  
...  
Keyword(s):  
Gastric Emptying ◽  
Clinical Features ◽  
Diabetic Patients ◽  
Gastric Emptying Time ◽  
Emptying Time
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