대한핵의학회지 (The Korean Journal of Nuclear Medicine)

대한핵의학회 (The Korean Society of Nuclear Medicine)
권호 표지

담도계로 배설되지 않는 $^{99m}Tc-DISIDA$ 신티그램의 임상적 응용

Clinical Application of $^{99m}Tc-DISIDA$ Scintigraphy with Nonvisualization of Biliary Excretion

  • 문태용 (부산대학교 의과대학 부속병원 핵의학과) ;
  • 김용기 (부산대학교 의과대학 부속병원 핵의학과) ;
  • 김동수 (부산대학교 의과대학 부속병원 핵의학과)
  • Moon, Tae-Yong (Department of Nuclear Medicine, College of Medicine, Pusan National University) ;
  • Kim, Yong-Ki (Department of Nuclear Medicine, College of Medicine, Pusan National University) ;
  • Kim, Dong-Soo (Department of Nuclear Medicine, College of Medicine, Pusan National University)
  • 발행 : 1987.05.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Authors analysed biochemical studies and scintigraphic findings of obstructive jaundice and nonobstructive jaundice in 44 cases of $^{99m}Tc-DISIDA$ scintigraphy with nonvisualization of biliary excretion till 120 min or 240 min after injection of $^{99m}Tc-DISIDA$. Causative diseases of $^{99m}Tc-DISIDA$ scintigraphy with nonvisualization of biliary excretion were in order to choledocholithiasis (25%), hepatitis (25%), cholangiocarcinoma (14%), cholangitis (14%) and pancreas head tumor (11%). In obstructive jaundice, statistically significant findings were elevated alkaline phosphatase above 300 IU/L on biochemical study and single lobe enlargement of the liver, irregular radioisotope uptake of the liver and concave indentation of the gall bladder fossa of the liver on scintigraphy. In nonobstructive jaundice, statistically significant findings were persistent renal excretion of $^{99m}Tc-DISIDA$ and more increased uptake density of the heart than the liver on scintigraphy.

키워드