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OtherIMAGING

The Gastric Emptying Study: Protocol Design Considerations

William C. Klingensmith and Steven P. Lawrence
Journal of Nuclear Medicine Technology December 2008, 36 (4) 195-199; DOI: https://doi.org/10.2967/jnmt.108.054817
William C. Klingensmith III
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Steven P. Lawrence
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  • FIGURE 1. 
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    FIGURE 1. 

    Scattergram of half-times of emptying for oatmeal and scrambled egg, both labeled with 99mTc-sulfur colloid. Datum point at far right was determined to be an outlier on the basis of its location relative to those of other data points and differences in meal distribution within stomach on images. Correlation coefficient for half-times of emptying for oatmeal and scrambled egg in remaining 14 patients was 0.77 (P < 0.01).

  • FIGURE 2. 
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    FIGURE 2. 

    Images from paired oatmeal and scrambled egg studies from patient who was determined to be an outlier. Images from oatmeal study showed rapid movement of meal from fundus into body and antrum of stomach. Images from scrambled egg study showed significant retention of meal in fundus of stomach.

  • FIGURE 3. 
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    FIGURE 3. 

    (A) CT image demonstrating overlap of stomach (vertical arrow) and splenic flexure of colon (diagonal arrow) in AP projection and, to greater extent, in LAO projection. (B) CT image demonstrating overlap of stomach (vertical arrow) and jejunum (horizontal arrow) in AP projection and, to lesser extent, in LAO projection.

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    TABLE 1

    Overlap of Stomach and Colon or Jejunum in CT Studies of Abdomen

    % of patients with indicated degree of overlap:
    OrgansProjectionNoneMildModerateMarkedAny
    Stomach and colonAP265120374
    LAO182946782
    Stomach and jejunumAP234332277*
    LAO483517052*
    Stomach and colon or jejunumAP892
    LAO892
    • ↵* P < 0.05.

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Journal of Nuclear Medicine Technology: 36 (4)
Journal of Nuclear Medicine Technology
Vol. 36, Issue 4
December 2008
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The Gastric Emptying Study: Protocol Design Considerations
William C. Klingensmith, Steven P. Lawrence
Journal of Nuclear Medicine Technology Dec 2008, 36 (4) 195-199; DOI: 10.2967/jnmt.108.054817

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The Gastric Emptying Study: Protocol Design Considerations
William C. Klingensmith, Steven P. Lawrence
Journal of Nuclear Medicine Technology Dec 2008, 36 (4) 195-199; DOI: 10.2967/jnmt.108.054817
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