Scintigraphy

Scintigraphy uses substances labeled with weak radioactive isotopes to visualize pathological changes in the body. The image produced is called a scintigram.

INHALT
Procedure Areas of application in small animals Areas of application for horses Benefits Restrictions Radiation protection
Procedure

After injection of a radioactive substance, it accumulates in the organ or tissue to be examined. This is associated with a waiting time of several minutes to several hours (bones), depending on the tissue. The radioactive substance is excreted in the urine. To prevent urine from interfering with the scintigram during the waiting period, horses' hooves are protected with overshoes and their legs with bandages.

Scintigraphy is performed with small animals lying down and with horses standing. To obtain optimal images, a mild sedative is administered. A gamma camera measures the radiation emitted and converts it into a colored image that shows the metabolic activity in the respective organ or tissue.

In order to visualize all structures of the bony pelvis, it may be necessary to administer a diuretic to empty the bladder.

Areas of application in small animals

The most common applications in small animals are examinations of the thyroid gland (hyperthyroidism in cats, see corresponding article, and hypothyroidism in dogs, see corresponding article), bone and kidney function tests. Scintigraphy of the lungs, lymph nodes or in cases of suspected portosystemic shunt (see corresponding article) is performed less frequently.

Areas of application for horses

In horses, scintigraphy is mainly used to diagnose orthopedic diseases, riding problems, and unexplained lameness. In particular, changes in the head, neck, back, sacrum, or pelvis, which are sometimes inaccessible to X-rays and ultrasound in horses, can be localized in this way.

Benefits

Scintigraphy offers various advantages over other imaging diagnostic methods (see corresponding article).

It can be used to determine the performance of the right and left kidneys separately.

In cases of hyperthyroidism (= hyperthyroidism), scintigraphy can be used to locate not only the diseased thyroid lobe, but also the causative thyroid tissue located outside the thyroid gland.

Bone tumors, inflammation, fractures, metastases, hairline fractures, and other diseases can be detected months earlier than with X-rays, for example.

In addition, it is possible to examine the entire body during a single examination if, for example, the cause of lameness cannot be limited to a specific area.

Restrictions

Compared to an X-ray image, a scintigram provides less detail but helps to identify areas of change. Further diagnostic tests such as X-rays or ultrasound (see relevant articles) are then required to determine exactly which structure in this area is causing the problem.

Radiation protection

A scintigraphy is generally harmless, as the radiation exposure from the radioactive substance is very low. Due to the applicable radiation protection regulations, pet owners are not allowed to be present during the examination. Some of the radioactive substance is excreted in the urine and feces, while the rest remains in the body and slowly decays. To protect pet owners from this low level of radiation exposure, patients remain in the radiation protection area of the veterinary clinic for 12-48 hours after a scintigraphy.