General NM · GI

GI bleed (RBC)

Active gastrointestinal bleeding localization with Tc-99m labeled autologous RBCs — in vivo / modified in vivo vs in vitro (kit/UltraTag) labeling as a living study template, a facility acquisition journey with Maggoo, interpretation cases, and board-style questions.

Preparation

Facts follow the labeling protocol selected under Image acquisition (In vitro kit vs In vivo, top-right toggle). Values are typical SNMMI teaching ranges.

Image acquisition

Top-down facility view. Maggoo follows the in vitro (kit) labeling protocol: check-in → blood draw and kit labeling in the dose room → IV reinjection of labeled RBCs → continuous anterior dynamic imaging for 60–90 minutes → optional delayed imaging at 2–24 hours → departure.

0:00

Additional imaging?

PARKING FRONT DESK / WAITING Desk → hallway HALLWAY DOSE ROOM Prep table Draw & label RBCs CAMERA ROOM Table bed H F Ant Post Entrance

Ready. Press Play to watch Maggoo’s study day.

Image interpretation

Open-access clinical Tc-99m RBC GI-bleed scintigrams (Radiopaedia, CC BY-NC-SA) for active bleeding patterns (serial frames from one small-bowel bleed case), with synthetic filmstrip schematics for normal and artifact cards.

ABR practice questions

Board-style items on RBC labeling methods, dosing, the active-bleeding sign, and interpretive pitfalls.