Nuclear Medicine and Molecular Imaging

The Korean Society of Nuclear Medicine (대한핵의학회)
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A Static Scintigraphy for Imaging Aspiration Using Semi-Solid Food

반고형식을 이용한 정적 흡인 영상법

  • Yoon, Min-Ki (Department of Nuclear Medicine, Gachon University Gil Medical Center) ;
  • Hwang, Kyung-Hoon (Department of Nuclear Medicine, Gachon University Gil Medical Center) ;
  • Choe, Won-Sick (Department of Nuclear Medicine, Gachon University Gil Medical Center)
  • 윤민기 (가천의과학대학교 길병원 핵의학과) ;
  • 황경훈 (가천의과학대학교 길병원 핵의학과) ;
  • 최원식 (가천의과학대학교 길병원 핵의학과)
  • Published : 2006.12.31
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Abstract

Purpose: Aspiration scintigraphy is a procedure of nuclear imaging to evaluate aspiration and of quantifying the amount of aspirate. The ultimate goal of our study is to define the correlation between aspiration and aspiration pneumonia by aspiration scintigraphy and this is a preliminary report of its trial. Materials and methods: Ten patients with positive findings by videofluoroscopy were selected. The patients ingested semi-solid food containing Tc-99m tin colloid 92.5 MBq (2.5 mCi) and images were acquired immediately after the ingestion and 3 hrs later. A fraction of aspiration to the ingested was calculated using an equation with a decay correction. Results: Five patients were interpreted positive by aspiration scintigraphy. Four patients were positive at initial images and the fractions of aspiration were 0.11%, 0.11%, 0.81%, and 0.11%. The one patient who was shown aspirated at both images had initial 5.82% and delayed 2.26%. Conclusion: Aspiration scintigraphy enables us to localize the aspiration at any desired time of the test and to quantify its amount. Follow-up studies are warranted.

목적: 흡인 영상법은 흡인의 유무를 확인하고 흡인된 물질의 양을 정량화하기 위한 핵의학적 영상법이다. 본 연구의 최종 목적은 흡인 영상법으로 흡인과 흡인성 폐렴의 상관관계를 규명하는 것이고, 이 논문은 그 시도에 대한 예비적 보고이다. 대상 및 방법: 비디오투시연하검사에서 양성으로 확인된 10명의 환자들을 선택하였다 환자들이 Tc-99m tin colloid 92.5 MBq (2.5 mCi)을 넣은 반고형식을 먹은 직후 초기영상을 얻었고, 3시간 후에 지연영상을 얻었다. 식사한 양에 대한 흡인량의 비율인 흡인분율을 붕괴 보정을 이용한 방정식에 의하여 계산하였다. 결과: 5명의 환자들이 흡인 영상법에 의해 양성으로 판독되었다. 4명은 초기영상에서만 양성으로 판독되었고, 1명은 초기영상과 지연영상 모두에서 양성으로 판독되었다. 흡인분율은 0.11%, 0.11%, 0.81%, 그리고 0.11% 였다. 초기영상과 지연영상 모두에서 흡인된 환자의 흡인분율은 초기에 5.82%, 지연에 2.26% 였다. 결론: 흡인 영상법에 의해 시간의 경과에 따라 흡인의 위치를 확인할 수 있고 흡인된 물질의 양을 정량화 할 수 있다. 앞으로 환자에 대한 추적관찰이 필요하다.

Keywords

References

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