Section 42
Chapter 41,776

The use of a hand-held gamma detector improves the safety of isolated limb perfusion

Sardi, A.; Minton, J.P.; Mojzisik, C.; Nieroda, C.A.; Ferrara, P.J.; Hinkle, G.H.; Thurston, M.O.; Martin, E.W.

Journal of Surgical Oncology 41(3): 172-176


ISSN/ISBN: 0022-4790
PMID: 2664349
DOI: 10.1002/jso.2930410308
Accession: 041775178

We used two hand-held gamma-detecting probes (GDP) (Neoprobe 1000 system) capable of detecting small gamma emissions to monitor leakage in patients undergoing hyperthermic isolated limb perfusion (HILP) who received 800 microCi Technetium 99m pentetate through the perfusate. The percentage of gamma-ray leakage was calculated by a simultaneous reading of two probes at 1-minute intervals (one over the precordial area and one over the thigh) and this was compared to results of simultaneous blood sampling from the perfusate and systemic circulation at 15-minute intervals for gamma well counting (GWC). The percentage of leakage recorded by the GDPs was essentially identical to that detected by the GWC (7.3% and 8.2%, respectively at the conclusion of the perfusion). The GDP gives an immediate and accurate indication of the percentage of leakage during HILP, making it a safer procedure.

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