Major salivary gland damage in allogeneic hematopoietic progenitor cell transplantation assessed by scintigraphic methods

Bone Marrow Transplant. 2006 May;37(10):955-9. doi: 10.1038/sj.bmt.1705351.

Abstract

Salivary gland dysfunction is a common sequela of hematopoietic progenitor cell transplantation (HPCT). The investigation of major salivary gland dysfunction with sodium pertechnetate scintigraphy is a non-invasive method that provides images of the parotid and submandibular glands. In this prospective trial, 20 HPCT patients were submitted to scintigraphic study with 99mTc-pertechenate and 67Ga in order to evaluate the major salivary glands early involvement following HPCT. Major salivary glands were evaluated prior to HCPT as well as at Days +30, +60 and +100 post transplant. Major salivary glands uptake and clearance of 99mTc-pertechenate results did not demonstrate any functional differences between pre- versus post transplant periods. Results of the 67Ga scan revealed inflammatory infiltration following HPCT, primarily in submandibular glands, suggest a persistent involvement of major salivary glands up to Day +100 after HPCT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Gallium / metabolism
  • Graft vs Host Disease
  • Hematopoietic Stem Cell Transplantation / adverse effects
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Radionuclide Imaging / methods*
  • Salivary Glands / diagnostic imaging*
  • Salivary Glands / injuries*
  • Salivary Glands / metabolism
  • Submandibular Gland / metabolism
  • Technetium / metabolism
  • Transplantation, Homologous / adverse effects
  • Transplantation, Homologous / methods*
  • Treatment Outcome
  • Xerostomia / etiology
  • Xerostomia / metabolism

Substances

  • Technetium
  • Gallium