Molecular and cellular interactions with foreign surfaces can be noninvasively measured by isotope imaging techniques. Long available for probing cell behavior, these techniques are now employed in molecular studies of disease progression, such as Alzheimer’s [1]. This paper reviews results obtained by noninvasive dual label gamma scintigraphy for the transient adhesion of platelets and neutrophils to pump-oxygenators during cardiopulmonary bypass (CPB). In this application, characteristic cell-foreign surface adhesion and release patterns are observed during CPB in the pig, as a function of oxygenator design and surface chemistry. Cell distributions in internal organs post-CPB are also affected by these processes. This method can be adapted to other settings where the understanding of protein-cell interactions with native and foreign surfaces is at issue, including fibrinogen-cell interactions, bacterial colonization, etc.

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