• Title/Summary/Keyword: 방사성 의약품

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A Study on the Extraction Rate of Brain Tissues from a $^{99m}Tc$-HMPAO Cerebral Blood flow SPECT Examination of a Patient ($^{99m}Tc$-HMPAO 뇌혈류 SPECT 검사 시 환자에 따른 뇌조직 추출률에 대한 고찰)

  • Kim, Hwa-San;Lee, Dong-Ho;Ahn, Byeong-Pil;Kim, Hyun-Ki;Jung, Jin-Yung;Lee, Hyung-Nam;Kim, Jung-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.1
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    • pp.17-26
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    • 2012
  • Purpose: This study mainly focuses on the patients treated with chemically stable radiopharmaceutical product $^{99m}Tc$-HMPAO (d,l-hexamethylpropylene amine oxime) which yielded reduced image quality due to a decreased brain extraction rate. $^{99m}Tc$-HMPAO will be examined further to determine whether this product may be accounted as a factor for this cause. Material and Methods: From January 2010 until December 2010, out of 272 patients who were all subjected to $^{99m}Tc$-HMPAO brain blood flow SPECT scans resulting from Cerebral Infarction; 23 patients(ages $55.3{\pm}9$, 21 males, 3 females) with decreased tissue extraction rate were examined in detail. The radiopharmaceutical product $^{99m}Tc$-HMPAO was used on patients with normal brain tissue exchange rate as well as those with reduced rate in order to prove its' chemical stability. The patients' age, sex, blood pressure, existence of diabetes, drug use, current health status, known side effects from CT/MRI, examination of the patients' past SPECT before/after images were accounted to determine the factors and correlations affecting the rate of blood tissue extractions. Result: After multiple linear regression analysis, there were no unusual correlations between the 6 factors excluding sex, and before/after examination images. Male subjects showed reduced brain tissue extraction rate than the females ($p$ > 0.05) 91.3% male, 8.7% female. Wilcoxon Matched-Pairs Signed-Ranks Test was used on the before/after images which yielded a value of 0.06, which did not indicate a significant amount of difference on the 2 tests ($p$ > 0.05). As a result, the before/after images indicated similar brain tissue extraction rates, and there were variations depending on the individual patient. Conclusion: The effects of the chemically stable radiopharmaceutical product $^{99m}Tc$-HMPAO depended on the patient's personal characteristics and status, therefore was considered to be a factor in reducing brain tissue extraction rate. The related articles of $^{99m}Tc$-HMPAO cerebral blood flow SPECT speculates a cerebrovascular disease and factors resulting from portal veins, and it was not possible to pin point the exact cause of decreasing brain tissue extraction rate. However, the $^{99m}Tc$-HMPAO cerebral blood flow SPECT scan proved to be extremely useful in tracking and inspecting brain diseases, as well as offering accurate results from patients suffering from reduced brain tissue extraction rates.

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Establishment of a Strategy for the Promotion of an Active Participation in the IAEA Program related to Applications of Radioisotopes and Ionizing Radiation (방사선동위원소.방사선 응용을 위한 IAEA 프로그램의 참여 제고 방안)

  • Kim, Kyeong-Pyo;Lee, Jun-S.;Jung, Sung-Hee
    • Journal of radiological science and technology
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    • v.28 no.2
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    • pp.79-89
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    • 2005
  • This paper presents the overall attributes of the current IAEA programs and their future prospects in the arena of applications of radioisotopes and ionizing radiation, thus dealing with the demand to achieve a condensed understanding of the Agency's programs for an effective and efficient deployment of the respective national R&D projects in Korea. The considerable and beneficial advantages of a participation in the IAEA programs have been reviewed and their immediate relevance has been emphasized. A strategic approach for the enhancement of an active participation in the program and its efficient implementation has also been established. It is anticipated that the proposed recommendations such as the long term strategy and the applicable guidelines will be useful in formulating a nuclear policy for the further development of the international cooperative projects in the future.

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A study on image registration and fusion of MRI and SPECT/PET (뇌의 단일 광자 방출 전산화 단층촬영 영상, 양전자 방출 단층 촬영 영상 그리고 핵자기공명 영상의 융합과 등록에 관한 연구)

  • Joo, Ra-Hyung;Choi, Yong;Kwon, Soo-Il;Heo, Soo-Jin
    • Progress in Medical Physics
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    • v.9 no.1
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    • pp.47-53
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    • 1998
  • Nuclear Medicine Images have comparatively poor spatial resolution, making it difficult to relate the functional information which they contain to precise anatomical structures. Anatomical structures useful in the interpretation of SPECT /PET Images were radiolabelled. PET/SPECT Images Provide functional information, whereas MRI mainly demonstrate morphology and anatomical. Fusion or Image Registration improves the information obtained by correlating images from various modalities. Brain Scan were studied on one or more occations using MRI and SPECT. The data were aligned using a point pair methods and surface matching. SPECT and MR Images was tested using a three dimensional water fillable Hoffman Brain Phantom with small marker and PET and MR Image was tested using a patient data. Registration of SPECT and MR Images is feasible and allows more accurate anatomic assessment of sites of abnormal uptake in radiolabeled studies. Point based registration was accurate and easily implemented three dimensional registration of multimodality data set for fusion of clinical anatomic and functional imaging modalities. Accuracy of a surface matching algorithm and homologous feature pair matching for three dimensional image registration of Single Photon Emission Computed Tomography Emission Computed Tomography (SPECT), Positron Emission Tomography (PET) and Magnetic Resonance Images(MRD was tested using a three dimensional water fill able brain phantom and Patients data. Transformation parameter for translation and scaling were determined by homologous feature point pair to match each SPECT and PET scan with MR images.

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Analysis of Relationship Between Injection Dose and Exposure Dose in PET/CT Scan: Initial Study (PET/CT에서 방사성 의약품 주입량이 방사선 피폭에 미치는 영향분석: 초기연구)

  • Park, Hoon-Hee;Lyu, Kwang-Yeul
    • Journal of radiological science and technology
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    • v.34 no.4
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    • pp.351-357
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    • 2011
  • The $^{18}F$-FDG is one of the widely used isotopes for PET/CT scans. Dose amount injected to the patient depends on the characteristics of PET/CT systems. Obviously, the technologists who contact with patients would be exposed as well. In this study, we evaluated the exposed dose of the technologist who works on the PET/CT scanner. The exposed dose were measured every month with the TLDs from 6 technologists. Each technologist is shift-worker who manages 3 different PET/CT systems(Scanner 1(S1): 0.15 mCi/kg, Scanner 2(S2): 0.17 mCi/kg, Scanner 3(S3): 0.12 mCi/kg). The average exposed doses of technologists for each PET/CT system were measured as 0.76 mSv for S1, 0.93 mSv for S2 and 0.47 mSv for S3. The maximum dose was 1.12 mSv and minimum was 0.42 mSv. The results showed that there was a correlation between exposed dose and PET/CT system(p<0.005). Less injected dose for patient occurs less exposed dose for technologist. Various studies for the low dose PET/CT system are required for not only the patient but also the technologist.

Testing and Analysis of Tube Voltage and Tube Current in The Radiation Generator for Mammography (유방촬영용 방사선발생장치의 관전압과 관전류 시험 분석)

  • Jung, Hong-Ryang;Hong, Dong-Hee;Han, Beom-Hui
    • Journal of radiological science and technology
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    • v.37 no.1
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    • pp.1-6
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    • 2014
  • Breast shooting performance management and quality control of the generator is applied to the amount of current IEC(International Electrotechnical Commission) 60601-2-45 tube voltage and tube current are based on standards that were proposed in the analysis of the test results were as follows. Tube voltage according to the value of the standard deviation by year of manufacture from 2001 to 2010 as a 42-3.15 showed the most significant, according to the year of manufacture by tube amperage value of the standard deviation to 6.38 in the pre-2000 showed the most significant, manufactured after 2011 the standard deviation of the devices, the PAE(Percent Average Error) was relatively low. This latest generation device was manufactured in the breast of the tube voltage and tube diagnosed shooting the correct amount of current to maintain the performance that can be seen. The results of this study as the basis for radiography diagnosed breast caused by using the device's performance and maintain quality control, so the current Food and Drug Administration "about the safety of diagnostic radiation generator rule" specified in the test cycle during three years of self-inspection radiation on a radiation generating device ensure safety and performance of the device using a coherent X-ray(constancy) by two ultimately able to keep the radiation dose to the public to reduce the expected effect is expected.

Synthesis and Small Animal Brain PET Study of a Serotonin Receptor Radiotracer, 18F-Mefway (세로토닌 5-HT1A수용체 방사성 추적자 18F-Mefway의 합성과 소동물 뇌 PET 연구)

  • Ahn, Sung-Min;Hong, Tae-Kee;Ryu, Young-Hoon;Choi, Jae-Yong;Kim, Sung-Chul
    • The Journal of the Korea Contents Association
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    • v.9 no.11
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    • pp.262-270
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    • 2009
  • $^{18}F$-mefway has been developed as radioligand for serotonin receptor 5-$HT_{1A}$. The object of this study was to obtain the mefway precursor with the higher yield than previous method and to identify whether $^{18}F$-mefway can bind to 5-$HT_{1A}$ or not. from microPET imaging of small animal brain. Precursor was prepared by a modification of the reported procedure then [$^{18}F$] labeling was performed by adding $^{18}F$ ion at $130^{\circ}C$ in the hot cell for 30min. After purification of reaction mixture using alumina Sep-pak and HPLC, microPET images of small animal brain were determined. The chemical yield of precursor was increased from 9% to 34% using oxalyl chloride and LAH/diethylether. We synthesized a precursor which was successfully labeled with no-carrier-added $^{18}F$-by new synthetic route. This research suggest that $^{18}F$-mefway will be used a radiopharmaceutical for evaluation of central nerve system disorder as imaging a gent for 5-$HT_{1A}$ receptor.

Development of an Automated Synthesizer for the Routine Production of Ga-68 Radiopharmaceuticals (임상용 Ga-68 표지 방사성의약품의 합성을 위한 자동합성장치 개발)

  • Jun Young PARK;Jeongmin SON;Won Jun KANG
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.4
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    • pp.253-260
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    • 2023
  • The germanium-68/gallium-68 (68Ge/68Ga) generator has high spatial utilization and requires little maintenance, making it economical and easy to produce. Thus, the frequency of use of 68Ga radiopharmaceuticals is rapidly increasing worldwide. Therefore, this study attempted to develop an automated synthesizer for the routine clinical application of 68Ga radiopharmaceuticals. The automated synthesizer was based on a fixed tubing system and the structure was designed after adjusting the position of the parts to reflect the synthesis method. Using various components that can be supplied in Korea, the automated synthesizer was manufactured at a much lower price cost than that of a commercialized automated synthesizer sold by companies. 68Ga-DOTA-[Tyr3]-octreotide (68Ga-DOTATOC) was synthesized to evaluate the performance of the automated synthesizer. 68Ga-DOTATOC could be synthesized with about 65% of non-decay corrected yield, and the synthesized 68Ga-DOTATOC met all quality control standards. We have synthesized 68Ga-DOTATOC more than 100 times, and only faced a few problems caused by mechanical errors. In this study, we successfully developed a simple automated synthesizer for 68Ga radiopharmaceuticals with high reproducibility. As various 68Ga radiopharmaceuticals have recently been developed, it is expected that the automated synthesizer developed in this study will be useful for routine clinical use.

The changes of cerebral blood flow by brain imaging algorithm in the Normal Brains : Analysis by Statistical Parametric Mapping (정상 뇌혈류 영상에서 재구성 알고리즘 적용에 따른 섭취율 차이 : 통계적 파라미터 지도를 사용한 분석)

  • Lee, Hyo-Yeong;Kim, Yun-Jin;Sin, Sung-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5311-5316
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    • 2012
  • Single Photon Emission Computed tomography(SPECT) was performed on 13 healthy adults (average age: 39) to investigate the changes of cerebral blood flow according to brain imaging analysis algorithm. The acquired images were filtered and reconstructed through Filtered Back Projection (FBP) and Ordered Subset Expectation Maximization (OSEM). The brain distribution data of radiopharmaceuticals were compared using Statistical Parametric Mapping (SPM), and the changes of blood flow was expressed in Cluster. As a result, uptake rate was increased in Sub-gyral, Sub-Lobar, Extra-Nuclear, Limbic lobe and Cingulate Gyrus, while uptake rate was decreased in Middle frontal gyrus, Inferior Frontal Gyrus and Precentral Gyrus. The discriminable SPM was shown according to cerebral blood flows in Cluster by the reconstruction algorithm.

Evaluation of the Apron Effectiveness during Handling Radiopharmaceuticals in PET/CT Work Environment (PET/CT 업무 환경에서 선원 취급 시 Apron의 실효성 평가)

  • Cho, Yong-In;Ye, Soo-Young;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.38 no.3
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    • pp.237-244
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    • 2015
  • Health professionals in nuclear medicine were known that they get high radiation exposure. To reduce radiation exposure, using shielding materials is needed. In this study, we analyzed the shielding effect about apron during 18F-FDG treatment by using simulation based on Monte Carlo techniques and actual measurement. As a result, absorbed dose distribution of organ varies with handling position of the source. Dose reduction ratio by lead thickness of apron tended to decease, when handling position of the source come close to organ and away from radiation source for simulation. In the case of actual measurement with the dosimetry device, It showed that mean spatial dose distribution was different due to characteristics of dosimetry device. However, spatial dose rate was exponentially reduced according to distance with increasing lead content.

Study of SUVm Cut-off Value for the Distinction of Pancreatic Cancer In PET/CT Exam (PET/CT 검사에서 췌장암 판별을 위한 SUVm 경계값 연구)

  • Chang, Boseok;Kim, Jae Ho;Liu, Guoxu;Jang, Eun Sung
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.567-575
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    • 2017
  • In this study, when diagnosis pancreatic cancer by dual time point PET/CT, we propose SUVm 2.52 as the threshold value for performing the dual time point PET/CT exam. The hypothesis of normal distribution was adopted through data conversion of 60 pancreatic diseases. The proposed SUVm2.52 boundary value showed a significance level that could be applied to both 120 and 180 minutes of delay time scan for pancreatic cancer determination (p<0.05). C-value variation shows that delay time 2 hour test is more useful than delay time 3 hour test. When the SUVm 2.52 is set to the boundary value and the double-time point PET/CT exam is performed, the probability of distinguishing cancer from inflammation in the delayed image is 95%. When the delayed test is performed with the proposed boundary value SUVm 2.52, Compared with general PET / CT scans, it is thought that it may be helpful to distinguish pancreatic cancer.