Orbital radionuclide examinations

Orbital abnormalities can be evaluated by dynamic scintigraphy (radionuclide angiography) and static scintigraphy (radionuclide ''scanning''). The use of en face positioning improves the visualization of orbital details. Lesions can be detected and localized most accurately if multiple tracers are used for these studies. Abnormalities can be characterized by the recognition of various angiographic flow patterns, of distinct static distribution patterns, and of differences in the accumulation of multiple radiopharmaceuticals. The results of scintigraphic examination using technetium 99m sodium pertechnetate, mercury 197 chlormerodrin, and gallium 67 citrate in a series of 57 patients are reported. (U.S.)