https://www.banglajol.info/index.php/BJNM/issue/feed Bangladesh Journal of Nuclear Medicine 2019-12-12T04:37:16+00:00 Prof. Dr Fatima Begum fatima8ninmas@gmail.com Open Journal Systems Official journal of Society of Nuclear Medicine, Bangladesh https://www.banglajol.info/index.php/BJNM/article/view/40495 Role of KOICA Project in Development of Nuclear Medicine in Bangladesh 2019-12-12T04:37:16+00:00 Shamim Momtaz Ferdousi Begum shamimmomtaz23@gmail.com <p>Abstract not available.</p> <p>Bangladesh J. Nuclear Med. 22(1): 7-8, Jan 2019</p> 2019-12-11T03:42:20+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40496 18F FDG PET-CT Imaging in the Evaluation of Diagnosed Extra Pulmonary Tuberculosis 2019-12-11T04:12:40+00:00 Fatema Tuz Zohra shetu0000@gmail.com Shamim MF Begum shetu0000@gmail.com ASM Fateh Akram shetu0000@gmail.com Md Abdus Shakur Khan shetu0000@gmail.com Fatima Begum shetu0000@gmail.com <p><strong><em>Objectives:</em></strong> Extra Pulmonary Tuberculosis (EPTB) presents with atypical symptoms and heterogeneous clinical features. Management of EPTB including diagnosis, localization, extension and monitoring treatment response of active disease is quite challenging. Moreover, localization of active disease, differentiation between active and latent disease by conventional methods is troublesome. So this study was done to evaluate the metabolic activity of active disease by 18F Flurodeoxyglucose (FDG) PET-CT in diagnosed cases of EPTB patients.</p> <p><strong><em>Patients and methods:</em></strong> A total of 17 patients with EPTB were included in this study. FDG PET-CT scan was performed to evaluate the metabolic activity of tubercular lesions before anti-TB treatment. Clinical features, biochemical changes including ESR, WBC count, CRP, MT test and maximum standardized uptake value (SUVmax) of most intense FDG avid lesions and sizes were recorded in 18F FDG PET-CT scan.</p> <p><strong><em>Results:</em></strong> All 17 patients (09 female, 08 male) had lymph node involvement, two had bone TB and two had abdominal TB. Active TB lesions showed increased FDG uptake in extra-pulmonary tubercular lesions in 16 patients. The mean SUVmax value of the involved lymph nodes were 9.4 ± 6.0 and the mean size (maximum diameter) 19.8 ± 10.4 mm (mean ± SD). One histologically proven EPTB patient had non avid lesions in FDG PET-CT scan.</p> <p><strong><em>Conclusion:</em></strong> 18F FDG PET-CT scan plays an important role in the localization, extension and differentiation between active and latent TB. In this study, the metabolic activity and size of the involved tubercular lymph nodes were increased in active lesions. Increased FDG uptake in active tubercular lesions may help in treatment monitoring of EPTB. Non avid lesions in EPTB patients <span style="text-decoration: line-through;">revealed</span> suggested latent TB which can change further management plan. Although PET-CT is an expensive technology, application of this sophisticated imaging technique in atypical or doubtful cases of EPTB might modify the treatment plan significantly after proper evaluation of the disease status. , 18F FDG PET-CT scan will be helpful to evaluate the disease status and modification of treatment regime in non-responders cost-effectively. A nationwide large-scale study would be the better way for clinical validation.</p> <p>Bangladesh J. Nuclear Med. 22(1): 9-14, Jan 2019&nbsp; &nbsp;</p> 2019-12-11T03:46:21+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40498 Value of PET-CT Staging in Lymphoma Patients at Baseline over Clinical Staging 2019-12-11T04:12:42+00:00 Tasnim Ahmed dr.synthi@gmail.com Fatima Begum dr.synthi@gmail.com Shamim MF Begum dr.synthi@gmail.com <p><strong><em>Objectives:</em></strong>Lymphoma is the cancer of lymphatic system.Treatment strategy of lymphoma depends upon the staging of disease.Accurate staging can guide the required regimen and can minimize the therapeutic toxic effect and reduces the morbidity and mortality associated with over treatment. The purpose of this study was to observe the upstaging or down staging of lymphoma patients at baseline by performing PET-CT imaging over clinical staging who were referred to National Institute of Nuclear Medicine &amp; Allied Sciences (NINMAS) for baseline staging.</p> <p><strong><em>Patients and Methods: </em></strong>This cross sectional observational type of study was carried out in NINMAS from July 2017 to June 2018. A total of 26 newly diagnosed lymphoma patients referred to NINMAS for PET-CT scan for baseline staging were included in this study. &nbsp;<em>Results: </em>Out of the 26 patients (14male and 12 female; mean age: 43.42 ± 17.98 years), 14(53.8%) patients were diagnosed with Hodgkin Lymphoma and 12(46.2%) with Non Hodgkin Lymphoma. In this study, 14(53%) patients were upstaged in PET-CT scan based staging in comparison to clinical staging. Key lesion was assessed by SUVmax in PET-CT scan of different stages of lymphoma. Highest key lesion was found in stage IV. Out of 26 patients, 7(27%) showed extranodal involvement in bone (3 lesions), liver (3 lesions), lung (1 lesion) and spleen (1 lesion).</p> <p><strong><em>Conclusion: </em></strong>This study was undertaken to assess the role of FDG PET-CT scan for staging of lymphoma patient at baseline. In this study, 53% of the patients were upstaged in PET-CT scan based staging in comparison to clinical staging. PET-CT plays animportant role for accurate staging in lymphoma patients at baseline which increases the accuracy of subsequent response assessment.</p> <p>Bangladesh J. Nuclear Med. 22(1): 15-22, Jan 2019</p> 2019-12-11T03:46:30+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40500 Myocardial Perfusion Imaging in the Evaluation of Outcome of Coronary Intervention in Coronary Artery Disease Patients 2019-12-11T04:12:43+00:00 Sanhita Majumder sanhita136@gmail.com Shamim Momtaz Ferdousi Begum sanhita136@gmail.com Ankan Kumar Paul sanhita136@gmail.com Chayan Singha sanhita136@gmail.com <p><strong><em>Background: </em></strong>Coronary artery disease (CAD) is an important medical and public health issue because it is one of the leading causes of death and disability throughout the world and is rapidly emerging as a major cause of mortality in developing countries including Bangladesh. SPECT-MPI is a cost- effective and non invasive means of identifying ischemic and viable myocardium along with its vascular distribution. This study is aimed to evaluate prospectively the ability of MPI to predict the outcome of Coronary Intervention in CAD patients of Bangladesh who are referred to National Institute of Nuclear Medicine &amp; Allied Sciences (NINMAS) for performing MPI.</p> <p><strong><em>Patients and Methods</em></strong><em>: </em>This prospective longitudinal and observational type of study was carried out in National Institute of Nuclear Medicine &amp; Allied Sciences (NINMAS) located at Bangabandhu Sheikh Mujib Medical University&nbsp;(BSMMU) campus, from July 2017 to June 2018with 12 CAD patients who were referred here. Gated SPECT MPI was performed on the selected patients before any coronary intervention to predict myocardial viability &amp; probable outcome of intervention. A follow up MPI of the same patients was performed after minimum 3 to 4 months of&nbsp; revascularization procedure to determine the outcome of intervention and to detect in stent restenosis or new onset ischemia if present which can be prevented by additional revascularization procedure. Finally pre and post intervention MPI results were analyzed by standard statistical analysis by using the Statistical Package for Social Sciences version 20.0 for Windows (SPSS Inc., Chicago, Illinois, USA). P values &lt;0.05 was considered as statistically significant.</p> <p><strong><em>Results: </em></strong>The sensitivity of MPI for the initial evaluation and risk stratification by diagnosing perfusion defect in the enrolled 12 CAD patients have been found to be 90%,77.8% and 81.8% in case of LAD, LCX and RCA territories respectively. Whereas the specificity and positive predictive value have been found 100% for LAD and RCA territories. About 16.67% patients were found to have restenosis in this study diagnosed by early post-intervention MPI. It was observed that majority of the patients had perfusion defect in LAD territory. 3(25.0%) patients had fixed defect, 5(41.7%) patients had partial reversible defect and 4(33.3%) patients had complete reversible defect in pre intervention MPI. In post intervention MPI, 4(33.3%) patients had partially reversible perfusion defect, 2(16.7%) patients had fixed perfusion defect, 1(3.3%) patient was found with completely reversible perfusion defect and 5(41.7%) patients had normal MPI findings. The result was found statistically significant (P value &lt;0.05) in case of partially reversible perfusion defect and normal MPI findings when before and after intervention MPI results were compared. The difference of mean percentage of involved myocardium by fixed defect between pre and post intervention MPI was found statistically significant (P&lt;0.05) in case of LAD territory and total LV myocardium involvement. 33.3% patients were in high risk before undergoing intervention, whereas it was found to be 25% after intervention which was calculated on the basis of their pre and post intervention SSS(Summed Stress Score) result.</p> <p><strong><em>Conclusion: </em></strong>The results of this study have indicated that SPECT MPI provides significant independent information concerning the outcome of coronary intervention in CAD patients. Furthermore, early SPECT MPI after intervention successfully identified significant improvement of myocardial viability after revascularization in patients having complete or reversible perfusion defects found in pre intervention MPI along with identifying those having restenosis. It could also depict the reduction of percentage of myocardial fixed defects within 3-4 months after intervention which is also a positive outcome of coronary revascularization.</p> <p>Bangladesh J. Nuclear Med. 22(1): 23-29, Jan 2019 &nbsp;</p> 2019-12-11T03:46:36+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40501 Role of Gated SPECT MPI in Follow-up of Patients afterCoronary Revascularization 2019-12-11T04:12:45+00:00 Azmal Kabir Sarker aksninmas@gmail.com Faria Nasreen aksninmas@gmail.com Lutfun Nisa aksninmas@gmail.com Raihan Hussain aksninmas@gmail.com <p><strong><em>Objective</em></strong><strong>: </strong>Gated SPECT myocardial perfusion imaging (GSMPI) is a preferred modality for non invasive assessment following coronary revascularization (CR) of both symptomatic and asymptomatic patients. This study was conducted to observe the impact of GSMPI results on further management of patients who after CR had underwent GSMPI at National Institute of Nuclear Medicine and Allied Sciences (NINMAS).</p> <p><strong><em>Patients and methods</em></strong><strong>: </strong>Record files of GSMPI of all patients who underwent GSMPI over a period of 31 months from June 2011 to December 2013 at NINMAS for assessment of perfusion after CR were selected from the Nuclear Cardiology Divisional archive of patient studies in order to retrieve their clinical and demographic data including the contact numbers. The results of GSMPI scan were categorized as normal scan (NS) and perfusion defect (PD) which included reversible and/or fixed PD. All the contact numbers were called up by a nuclear medicine physician who conducted a semi-structured telephonic interview either with the patients or with a concerned family member. Management strategies adopted after GSMPI were categorized as conservative (CM) and interventional (IM).Cramer’s V (φc) test were done to find strength of relation among patients’ symptoms, scan findings and management strategies.</p> <p><strong><em>Results</em></strong><strong>: </strong>Follow up data of 55 patients (54M, 1F) among 68 (66M, 2F) were available who underwent MPI for the purpose of post CR assessment. MPI was performed in between six months to 13 years after CR (mean 43.8 ± 48.2 months). Categorically 33 patients had percutaneous transluminal coronary angioplasty (PTCA) with stent, 16 patients had coronary artery by-pass grafting (CABG) and 6 patients had both CABG &amp; PTCA. There were 38PD (27symptomatic) and 17NS(12 symptomatic).Since all patients (n=12) who had fixed PD were symptomatic, a strong relation was found between being symptomatic and fixed perfusion defect (φ<sub>c</sub>&gt; 0.3). Symptoms were found to be weakly related with reversible PD i.e. ischemia (φ<sub>c</sub>&lt; 0.2). Management strategies were conservative in 44 (30 symptomatic and 28 PD) and interventional in 11 (nine symptomatic and 10 PD). Management strategies were found to be weakly related with symptoms (φ<sub>c</sub>&lt; 0.2) but moderately related with perfusion status (φ<sub>c</sub> = 0.24).</p> <p><strong><em>Conclusions: </em></strong>While symptoms were observed to be poorly related with perfusion status following CR, GSMPI guided to choose further interventional management strategies with rationality in lower proportion of patients.</p> <p>Bangladesh J. Nuclear Med. 22(1): 30-35, Jan 2019 &nbsp;</p> 2019-12-11T03:46:45+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40503 Comparison of Gates’ Method and CKD-EPI Equation with Plasma Sample Method for Estimation of GFR 2019-12-11T04:12:47+00:00 Suraya Sarmin surayasarmin@gmail.com Sadia Sultana surayasarmin@gmail.com Madhuchhanda Hazra Mou surayasarmin@gmail.com Naheed Khan surayasarmin@gmail.com Pupree Mutsuddy surayasarmin@gmail.com Ahsan Habib surayasarmin@gmail.com <p><strong><em>Objectives:</em></strong> Glomerular Filtration Rate (GFR) is an important parameter of kidney function. Many methods are used to measure GFR namely: inulin clearance, double plasma sample method (DPSM), Gates’ method, and equation based method. DPSM has become the gold standard in clinical research. Gates’ method is routinely practiced at National Institute of Nuclear Medicine and Allied Sciences. Chronic kidney disease epidemiology collaboration (CKD-EPI ) equation is encouraged as it is simple and reliable. The aim of the study was assesment of agreement between Gates’ method and CKD-EPI equation with plasma sample method for estimation of GFR.</p> <p><strong><em>Patients and methods:</em></strong> This cross sectional observational study was carried out at NINMAS, during July 2017 to June 2018. A total of 70 subjects referred for <sup>99m</sup>TC-DTPA renography along with GFR estimation, were included in this study.</p> <p><strong><em>Result: </em></strong>The mean GFR value evaluated by DPSM, Gates’ and CKD-EPI&nbsp; equation were, 81.86 ± 22.42, 86.13 ± 26.70 and 78.48 ± 23.87 mL/min/1.73 m<sup>2 </sup>respectively. A strong positive correlation (r = 0.922) was found between DPSM and Gates’ method and also between DPSM and CKD-EPI equation (r= 0.930). The Gates’ and CKD-EPI equation also showed strong positive correlation (r = 0.872). The mean difference between DPSM and Gates’, between DPSM and CKD-EPI equation,&nbsp; between Gates’ and CKD-EPI equation were 4.26 ± 10.45, 3.38 ± 8.78&nbsp; and&nbsp; 7.64 ± 13.09 mL/min/1.73 m<sup>2 </sup>respectively.</p> <p><strong><em>Conclusion:</em></strong> Strong positive correlation and excellent agreement were observed between DPSM and Gates’ and also between DPSM and CKD-EPI equation. Strong correlation was also found in between Gates’ and CKD-EPI equation. So, DPSM, Gates’ method and CKD-EPI equation can reflect GFR almost equally and used interchangeably.</p> <p>Bangladesh J. Nuclear Med. 22(1): 36-40, Jan 2019 &nbsp;</p> 2019-12-11T03:46:52+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40504 Assessment of Agreement of Wrist Bone Mineral Density with Spine and Hip Bone Mineral Density in Postmenopausal Women 2019-12-11T04:12:48+00:00 Madhuchhanda Hazra Mou dr.mouhazra1986@gmail.com Sadia Sultana dr.mouhazra1986@gmail.com Pupree Mutsuddy dr.mouhazra1986@gmail.com Suraya Sarmin dr.mouhazra1986@gmail.com Naheed Khan dr.mouhazra1986@gmail.com Anik Biswas dr.mouhazra1986@gmail.com <p><strong>Objective:</strong> Worldwide, osteoporosis in postmenopausal women is a common public health problem. The measurement of bone mineral density (BMD) of spine and hip using central dual energy X-ray absorptiometry (DXA) is the most standard technique to diagnose osteoporosis. But in many circumstances, measurement of spine or hip BMD is quite difficult to carry out where wrist BMD can be used as an alternative. Moreover, wrist BMD can be done with smaller, cheaper, portable peripheral devices for screening osteoporosis at primary health care level. The objective of the study was to explore the agreement of wrist BMD with spine and hip BMD in postmenopausal women.</p> <p><strong>Patients and Methods: </strong>This observational, cross sectional study was carried out at National Institute of Nuclear Medicine &amp; Allied Sciences (NINMAS), Bangabandhu Sheikh Mujib Medical University&nbsp;(BSMMU) campus, from July 2017 to June 2018. A total of 110 postmenopausal women referred to NINMAS for BMD measurement were enrolled in this study after fulfilling selection criteria.&nbsp; BMD of spine, right and left hip and wrist of enrolled subjects were measured by dual energy X-ray absorptiometry (DXA) scan by Stratos DR Bone densitometer.</p> <p><strong>Results: &nbsp;</strong>Agreement analysis done by kappa statistics revealed kappa value of 0.930 (<em>p</em>&lt;0.05), 0.782 (<em>p</em>&lt;0.05) and 0.635 (<em>p</em>&lt;0.05) between wrist and spine BMD, wrist and right hip BMD and wrist and left hip BMD, respectively. In Bland-Altman analysis, the mean difference of T-score measured by wrist and spine was -0.007 ± 1.361, wrist and right hip was -0.645 ± 1.271 and wrist and left hip was -0.450 ± 1.259 with 95% of differences were found in between -2.674 and 2.660, -3.136 and 1.846 and -2.917 and 2.017, respectively. Positive significant Pearson’s correlation was observed between wrist BMD and spine BMD (r=0.664; <em>p</em>=0.001), wrist BMD and right hip BMD (r=0.719; <em>p</em>=0.001) and wrist BMD and left hip BMD (r=0.727; <em>p</em>=0.001).</p> <p><strong>Conclusion: </strong>This study results showed an excellent kappa agreement between wrist and spine BMD with good kappa agreement of wrist with right and left hip BMD as well as in Bland-Altman analysis, the mean differences of T-score between wrist andspine, wrist and right hip and wrist and left hip were small. The biases between the methods were considered not significant suggesting that these sites can be used interchangeably for measurement of BMD. Hence, wrist BMD can be used with regular skeletal sites (spine and hip) as an effective method of diagnosing osteopenia and osteoporosis by DXA where spine or hip BMD is difficult to carry out as well as it can be used for osteoporosis screening at primary health care level by portable peripheral DXA device to initiate early treatment to reduce fracture risks.</p> <p>Bangladesh J. Nuclear Med. 22(1): 41-46, Jan 2019 &nbsp;</p> 2019-12-11T03:47:01+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40506 Serum Vitamin D Status in Newly Diagnosed Hypothyroid Patients 2019-12-11T04:12:50+00:00 Naheed Khan drnaheed264@gmail.com Sadia Sultana drnaheed264@gmail.com Madhuchhanda Hazra Mou drnaheed264@gmail.com Suraya Sarmin drnaheed264@gmail.com <p>More than billion people worldwide are vitamin D deficient. It is recognized to have function in bone and muscle development by regulating calcium and phosphorus metabolism. Its role as an immune modulator has recently been discovered. Deficiency of vitamin D has been discovered to be associated with various cardiovascular, infectious, malignant, hypothyroidism and autoimmune thyroid diseases. Prevalence of hypothyroidism and hypovitaminosis D in Bangladesh is not known but supposed to be high because our neighbor country India has high prevalence. Vitamin D mediates its effect through binding to vitamin D receptor (VDR) and activation of VDR- responsive genes. VDR gene polymorphism was found to be associated with autoimmune thyroid diseases. On the other way hypothyroidism either decreases the metabolism of vitamin D or prevents to activate it. A total of 38 adult hypothyroid otherwise healthy patients and age, sex, BMI, socioeconomic status matched euthyroid adults were included in the study. The mean age in the hypothyroid group was 37.82 ± 7.95 years and in the euthyroid group was 34.84 ± 8.61 years. Male participants were14 and female participants were 24 in each group. The mean value of serum vitamin D of healthy group was 17.11 ± 5.62 ng/ml&nbsp; and in hypothyroid patients was 13.16 ± 4.29 ng/ml., Hypothyroid patients had significantly lower levels of serum Vitamin D<sub>3</sub> as compared to controls (<em>p</em> =0.037,&lt;0.05). Negative correlation was observed between serum TSH and serum vitamin D (r=-.119, <em>p</em>=.034), moderate positive correlation was observed between serum FT<sub>4 </sub>and serum vitamin D ((r=0.457, p=0.01, <em>P</em>&lt;0.05).</p> <p>Bangladesh J. Nuclear Med. 22(1): 47-52, Jan 2019 &nbsp;</p> 2019-12-11T03:47:07+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40507 68Ga PSMA PET-CT: New Hope in Prostate Cancer Imaging and Therapy 2019-12-11T04:12:51+00:00 Shankar Kumar Dey drskdey707@gmail.com <p>Prostate cancer is the second most common cancer in men. Its diagnosis and management are still challenging as both PSA levels and imaging have had their limitations. Prostate specific membrane antigen (PSMA) is aprostate specific cell surface protein and has been emerging as a novel target for PET imaging of prostate cancer. <sup>68</sup>Ga PSMA PET-CT imaging have been shown as a better imaging technology in primary prostate cancer and at the same time detecting lymph node and bone metastases even in low PSA levels. Moreover, its counterpart <sup>177</sup> Lu PSMA has a great prospectto be used for the treatment of castration resistantprostate cancer.</p> <p>Bangladesh J. Nuclear Med. 22(1): 53-57, Jan 2019 &nbsp;</p> 2019-12-11T03:47:16+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40508 Different Chemical Forms of Calcium Supplementation in Perimenopausal Patients of Differentiated Thyroid Cancer with Normal Parathormone Levels 2019-12-11T04:12:53+00:00 Zeenat Jabin zeenatjabin@yahoo.com Fatima Begum zeenatjabin@yahoo.com Jasmin Ferdous zeenatjabin@yahoo.com Urnas Islam zeenatjabin@yahoo.com Nurun Nahar zeenatjabin@yahoo.com <p>Abstract not available.</p> <p>Bangladesh J. Nuclear Med. 22(1): 58-60, Jan 2019&nbsp;</p> 2019-12-11T03:47:24+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40511 Parathyroid Adenoma: A Case Report with Unusual Clinical Features 2019-12-11T04:12:54+00:00 Urnas Islam nitu_049@yahoo.com Jasmin Ferdous nitu_049@yahoo.com Zeenat Jabin nitu_049@yahoo.com Sharmin Reza nitu_049@yahoo.com Fatima Begum nitu_049@yahoo.com <p>Abstract not available.</p> <p>Bangladesh J. Nuclear Med. 22(1): 61-63, Jan 2019</p> 2019-12-11T03:47:32+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40514 Scintigraphic Pattern in Meckel's diverticulum – A Pictorial Cascade Analysis 2019-12-11T04:12:56+00:00 Sadia Salam dr.sadiasalam@gmail.com Simoon Salekin dr.sadiasalam@gmail.com Mostofa Shamim Ahsan dr.sadiasalam@gmail.com Nafees Fahmi Ali dr.sadiasalam@gmail.com Jasmine Ara Haque dr.sadiasalam@gmail.com Sadia Sultana dr.sadiasalam@gmail.com <p><strong>OBJECTIVES: </strong>Meckel's diverticulum, the most common congenital malformation in paediatric patients, usually presents with gastrointestinal bleeding. Nuclear medicine scintigraphy can detect heterotrophic gastric mucosa in Meckel’s diverticula. The aim of these case studies was to highlight the different scintigraphic patterns and presentations of Technetium (Tc) 99m pertechnetate scintigraphy of paediatric patients with gastrointestinal (GI) bleeding due to Meckel's diverticulum with a view towards providing guidance in interpretation of variable positive results.</p> <p><strong>CASE REPORTS: </strong>A retrospective image analysis was performed in 6 positive and complicated cases of Meckel’s diverticuli between January 2016 and October 2018.</p> <p><strong>CONCLUSION: </strong>Diverse scan findings were observed. Apart from the usual anatomical location, few other areas like umbilical and para-umbilical regions were found to contain ectopic gastric mucosa. So, these regions should be observed meticulously while reporting.</p> <p>Bangladesh J. Nuclear Med. 22(1): 64-67, Jan 2019&nbsp; &nbsp;</p> 2019-12-11T03:47:42+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40515 Multiple Brown Tumors in a Normocalcemic Patient with Primary Hyperparathyroidism - A Case Report 2019-12-11T04:12:58+00:00 Nazmun Nahar nazmunshapla81@gmail.com Nasim Khan nazmunshapla81@gmail.com Ratan Kumar Chakraborty nazmunshapla81@gmail.com Shakila Zaman Rima nazmunshapla81@gmail.com Nadiruzzaman - nazmunshapla81@gmail.com Rawshan Ara nazmunshapla81@gmail.com Fahima Akter Dowel nazmunshapla81@gmail.com Mohammad Kamrozzaman Swapan nazmunshapla81@gmail.com ABM Nurul Alam nazmunshapla81@gmail.com Saiyeeda Mahmood nazmunshapla81@gmail.com Gazi Abul Hossain nazmunshapla81@gmail.com <p>Brown tumor is a benign bone lesion that arises as a direct result of parathyroid hormone on bony tissue in some patients with hyperparathyroidism. Multiple brown tumors may simulate malignant disease and it is a real challenge for the clinicians in the differential diagnoses. Brown tumor as the only and initial symptom of normocalcemic primary hyperparathyroidism is a rare clinical entity. Here, we present a case with multiple brown tumors in a young normocalcemic woman as a sequele of primary hyperparathyroidism mimicking bone metastases.</p> <p>Bangladesh J. Nuclear Med. 22(1): 68-72, Jan 2019</p> 2019-12-11T03:47:51+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40516 Assessment of Focal Hot Spot in Right Supra-orbital Region Characterized with 99m Tc-MDP SPECT-CT- A Case Report 2019-12-11T04:13:01+00:00 Puja Bhattacharjee pujadmc68@gmail.com Jasmine Ara Haque pujadmc68@gmail.com Simoon Salekin pujadmc68@gmail.com Tapati Mandal pujadmc68@gmail.com Sadia Salam pujadmc68@gmail.com Sharmin Reza pujadmc68@gmail.com Sharmin Quddus pujadmc68@gmail.com Mostofa Shamim Ahsan pujadmc68@gmail.com Abu Bakker Siddique pujadmc68@gmail.com <p>Lesion at the superior orbital margin is infrequently seen on MDP bone scintigraphy, however the exactetiology cannot always be clearly explained. Here, acase is presented showing focal uptakeof MDP tracer in right supra-orbital region. Single photon emission computed tomography/computed tomography (SPECT/CT) was done to localize and characterize this undetermined lesion.</p> <p>Bangladesh J. Nuclear Med. 22(1): 73-75, Jan 2019</p> 2019-12-11T03:48:01+00:00 ##submission.copyrightStatement## https://www.banglajol.info/index.php/BJNM/article/view/40517 Plenary Session 2019-12-11T04:13:02+00:00 Mizanul Hasan drhasan_m@yahoo.com <p>Abstract not available.</p> <p>Bangladesh J. Nuclear Med. 22(1): 77-86, Jan 2019&nbsp;</p> 2019-12-11T03:48:19+00:00 ##submission.copyrightStatement##