• Title/Summary/Keyword: 양전자방출촬영

Search Result 128, Processing Time 0.045 seconds

Evaluation of Neoadjuvant Chemotherapy Effect in Osteosarcoma (골육종에서 술전 항암화학요법의 효과 판정)

  • Joo, Min Wook;Kang, Yong-Koo;Yoo, Ie Ryung;Choi, Woo Hee;Chung, Yang-Guk;Kim, Dong-Hyun;Kang, Jin-Woo
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.20 no.2
    • /
    • pp.66-73
    • /
    • 2014
  • Purpose: Various diagnostic imaging modalities have been used to evaluate the effect of neoadjuvant chemotherapy for osteosarcoma early and noninvasively. We evaluated the effectiveness of imaging studies of plain radiographs and positron-emission tomography/computed tomography (PET/CT) in predicting neoadjuvant chemotherapy effect for osteosarcoma and tried to establish a general principle in interpretation of PET/CT parameters. Materials and Methods: Eighteen patients who underwent two cycles of neoadjuvant chemotherapy and surgical excision for osteosarcoma were enrolled. There were 13 males and 5 females, with a median age of 19 (11-63) years. Fifteen patients of 18 had the American Joint Committe on Cancer (AJCC) stage IIB. They had plain radiographs and PET/CT before and after neoadjuvant chemotherapy. The resected tumor specimens were pathologically examined to determine histological response grade using a conventional mapping method. Statistical analysis was performed to evaluate the correlation between histopathological necrosis rate, and radiographic finding category, post-chemotherapy maximum standardized uptake value (SUVmax), average standardized uptake value and metabolic tumor volume (MTV) as well as reduction rates of them. Results: Eight patients were good responders to neoadjuvant chemotherapy based on histological evaluation. Median SUVmax reduction rate was 73 (23-77) % in good responders and 42 (-32-76) % in poor responders. Median MTV reduction rate was 93.5 (62-99) % in good responders and 46 (-81-100) % in poor responders. While radiographic finding category was not different according to histological response (p=1.0), SUVmax reduction rate was significantly different (p=0.041). Difference in MTV reduction rates approached statistical significance as well (p=0.071). Conclusion: While radiographic finding category was not reliable to assess neoadjuvant chemotherapy effect for osteosarcoma, reduction rate of SUVmax was a useful indicator in this study. As parameters of PET/CT can be influenced by various factors of settings, different centers have to make an effort to establish their own standard of judgement with reference of previous studies.

Singular Value Decomposition based Noise Reduction Technique for Dynamic PET I mage : Preliminary study (특이값 분해 기반 Dynamic PET 영상의 노이즈 제거 기법 : 예비 연구)

  • Pyeon, Do-Yeong;Kim, Jung-Su;Baek, Cheol-Ha;Jung, Young-Jin
    • Journal of radiological science and technology
    • /
    • v.39 no.2
    • /
    • pp.227-236
    • /
    • 2016
  • Dynamic positron emission tomography(dPET) is widely used medical imaging modality that can provide both physiological and functional neuro-image for diagnosing various brain disease. However, dPET images have low spatial-resolution and high noise level during spatio-temporal analysis (three-dimensional spatial information + one-dimensional time information), there by limiting clinical utilization. In order to overcome these issues for the spatio-temporal analysis, a novel computational technique was introduced in this paper. The computational technique based on singular value decomposition classifies multiple independent components. Signal components can be distinguished from the classified independent components. The results show that signal to noise ratio was improved up to 30% compared with the original images. We believe that the proposed computational technique in dPET can be useful tool for various clinical / research applications.

The analysis of 18F-FDG PET/CT Images According to the Time Flow (시간흐름에 따른 18F-FDG PET/CT의 영상 분석)

  • Lee, Hyo-Yeong
    • Journal of the Korean Society of Radiology
    • /
    • v.6 no.1
    • /
    • pp.47-51
    • /
    • 2012
  • PET/CT is taken 1 hour after $^{18}F$-FDG(F-18-fluoro-2-deoxy-D-glucose) injection. However, these would be often delayed for more than 2 or 3 hours due to equipment fault or unexpected situation. In the study, SUV(standardized uptake value) were measured from got image over time according to the parts of the body. As a result, there were great and small decrease in liver(middle of the right hepatic lobe), fat(Lt pelvis), lung (Rt upper lobe), aorta(ascending aorta level) of the body in delayed image, and ${\Delta}$SUVmax was increase of 37% in bone only(L5 vertebral body) of the body. ${\Delta}$SUVmax was increase of 37.6% in lesion, and the contrast degree was greater because of uptake increase in lesion and uptake decrease in the normal body.

Study of occupational exposure in PET/CT (PET/CT 종사자의 방사선피폭에 관한 연구)

  • Na, Soo-Kyung;Park, Byung-Sub;Kang, Yong-Gil
    • Journal of Digital Convergence
    • /
    • v.10 no.11
    • /
    • pp.449-457
    • /
    • 2012
  • The purpose of this study is to investigate the relationship between radiation origin and health professionals, and to reduce exposed dose of radiation through efficient management. Increasing exposed dose of radiation to health professionals are caused by the increase of PET/CT use and a radioactive isotope. Hence, in this study, space dose from each origin of radiation generating was analyzed and the use of personnel protective clothing and shields was compared. As a result of this study, we confirmed that the exposed dose of radiation was much higher in case of wearing personnel protective clothing(0.5 mm pb) than no wearing personnel protective clothing under high energy gamma radiation(511 keV) of the position emitter($^{18}F$).

A Case of Pulmonary Paragonimiasis Presented as Solitary Pulmonary Nodule and Suspected as Lung Cancer on 18F-Fluorodeoxyglucose Positron Emission Tomography (양전자 방출 단층촬영에서 폐암으로 의심되었던 고립 폐 결절 형태의 폐흡충증 1예)

  • Moon, Jae Young;Jung, Ki Hwan;Kim, Je Hyeong;Park, Hyung Joo;Kim, Young Sik;Shin, Chol
    • Tuberculosis and Respiratory Diseases
    • /
    • v.64 no.2
    • /
    • pp.133-137
    • /
    • 2008
  • Pulmonary paragonimiasis continues to be a diagnostically challenging parasitic disease, despite a drastically decreased prevalence in South Korea during the past decade. Pulmonary paragonimiasis is characterized by fever, chest pain, and chronic cough with hemoptysis. Numerous radiographic and computed tomographic findings including the presence of pneumothorax, pleural effusion, and parenchymal lesions such as nodular or infiltrative opacities have been reported. The clinical and radiological manifestations of paragonimiasis can resemble those of lung cancer, tuberculosis or a metastatic malignancy. Furthermore, this disease can mimic lung cancer as seen on $^{18}F$-fluorodeoxyglucose positron emission tomography (FDG-PET). We report a case of pulmonary paragonimiasis in a 48-year old man that presented with a solitary pulmonary nodule and was suspected as a lung cancer based on FDG-PET imaging.

A Case of Primary Pericardial Malignant Mesothelioma (원발성 악성 심막 중피종 1예)

  • Kim, Do Youn;Kim, Young Kyun;Kim, Young;Chang, Yoon Soo;Kim, Hyung Jung;Ahn, Chul Min;Ryu, Young Hoon
    • Tuberculosis and Respiratory Diseases
    • /
    • v.57 no.6
    • /
    • pp.599-603
    • /
    • 2004
  • Primary pericardial malignant mesothelioma is a lethal and rare cardiac neoplasm of mesodermal origin. Most cases are associated with history of pericarditis with constriction and/or tamponade. Authors experienced a case of primary pericardial malignant mesothelioma in a 55-year old female who had suffered from dyspnea and chest pain. Pericardial nodules revealed intense uptake by FDG-PET scan and confirmed as primary pericardial malignant mesothelioma by thoracoscopic biopsy. Here we report this case with a brief review of the relevant literatures.

In the examination of PET/CT, Breast-tool production and availability of using FRP to check for breast disease. (양전자방출전산화단층촬영 검사에서 유방 질환 환자를 검사하기 위해 유리섬유강화플라스틱을 이용한 유방 틀의 제작 및 유용성)

  • Kim, Gab-Jung;Jeon, Min-Cheol;Han, Man-Seok;Seo, Sun-Youl;Kim, Nak-Sang;Bae, Won-Gyu
    • Journal of the Korea Convergence Society
    • /
    • v.8 no.9
    • /
    • pp.175-181
    • /
    • 2017
  • The purpose of this study is to evaluate the breast tool to improve the diagnostic value of the image in the breast examination. Breast tool was made of using FRP. And then it was compared by radioactivity counting rate and image. In the evaluation of the Breast tool, the left and right counts per $1{\mu}Ci$ are 185 counts and 189 counts, respectively. The image obtained in the prone position was close to the circle. To increase diagnostic value of image, it is considered to use Breast-tool in the breast examination.