Palaniswamy Shanmuga Sundaram

Department of Nuclear Medicine and Molecular Imaging, Amrita Institute of Medical Sciences, Cochin, Kerala, India

[ 1 ] - Can three-phase skeletal scintigraphy predict the outcome and determine the timing of removal of bone distracters in avascular necrosis of femur using a novel corticostomy technique?

Introduction: 99mTc-Methylene diphosphonate (99mTc-MDP) three phase bone scintigraphy (TPS) is beneficial to evaluate the success of femoral head revascularization using novel distraction osteogenesis techniques with bone muscle pedicle grafts. This pilot study was undertaken to evaluate the feasibility and utility of 99mTc-MDP three phase bone ...

[ 2 ] - Determining an accurate method to estimate GFR in renal transplant recipients with stable serum creatinine levels

Introduction:Detecting renal allograft dysfunction early will allow timely diagnosis and treatment. There is no objective recommendation by national kidney societies for glomerular filtration rate (eGFR) estimation in post-transplant setting. 99mTc-DTPA Technetium-99m Diethylene triamine penta acetic acid) renogram can identify early renal dysfunction much before ser...

[ 3 ] - 99mTc-MDP bone scan guides in the identification of mesenteric vein thrombosis

A 50-year-old man with postprandial abdominal pain, weight loss, and generalized body ache was referred to Nuclear medicine department for a whole body bone scan to look for any malignancy. Clinical examination did not reveal any specific positive findings. He underwent aTechnetium-99m Methylene Diphosphonate (99mTc-MDP) bone scan which showed no obvious bone pathology. But there was...

[ 4 ] - Diagnostic performance of 18F-FDG PET-CT in patients presenting with secondary neck nodes from an unknown primary

Introduction: Clinical examination and even anatomical imaging may fail to identify primary site of malignancy in patients presenting with cervical nodal metastasis. 18F-Fluorodeoxyglucose Positron Emission Computed Tomography (18F-FDG PET-CT) is known to overcome the limitations of anatomic imaging. Methods: Sixty-three (63) patient...

[ 5 ] - 99mTc-MDP whole body bone scan in a case of acute disseminated melioidosis

Melioidosis is a potentially fatal infectious disease occurring predominantly in the tropics, caused by a Gram-negative, motile, rod shaped obligatory aerobic non-spore forming bacillus, Burkholderia pseudomallei. It can produce localised or disseminated disease largely affecting immunocompromised patients. It is a challenge to identify melioidosis early as this disease can manipulate host’s ce...