• 핵의학기술
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• 제26권1호
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• pp.38-41
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• 2022

Testosterone에 대한 방사면역측정법(radioimmunoassay, RIA) 검사는 남성의 사춘기 지연 및 androgen 결핍 시, 여성과 어린이의 경우 androgen 과잉(다모증) 및 내분비 치료 모니터링 시 시행된다. 현재 본원 핵의학 검체검사실에서는 testosterone RIA 검사를 A사 kit로 사용하고 있지만, 최근 RIA kit의 생산이 중단되거나 공급에 어려움이 발생하여, 다른 회사에서 판매되고 있는 testosterone RIA kit에 대한 유효성 평가 실험을 실시하여 비교하였다. 2021년 10월 서울대학교병원 본원에 의뢰된 검체를 대상으로 실시하였으며, 정밀도, 민감도, 회수율, 직선성, 상관성을 분석하여 비교 평가하였다. 실험 방법은 각 회사에서 제공하는 testosterone RIA kit의 매뉴얼을 준수하였으며, 검체의 양, incubation, 세척(washing) 방법에서 차이가 있었다. 실험 결과 민감도, 직선성, 상관성 실험의 경우 모두 우수한 결과를 나타내었지만, 정밀도와 회수율의 경우 허용범위를 벗어났는데, 이는 낮은 농도의 검체로 실험을 진행하여 벗어난 것으로 사료된다. 이 실험을 바탕으로 각 병원에서 사용 중인 kit가 생산이 중단되거나 공급에 문제가 생길 경우 상호 호환이 가능할 것으로 생각되나, 본 실험에서 고농도의 검체로 실험을 진행하지 못했다는 아쉬움이 있다. 따라서 추후 검사실별로 다양한 농도와 고농도의 검체를 획득하여 추가적으로 실험을 진행해야 할 것으로 사료된다.

• 핵의학기술
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• 제16권1호
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• pp.44-49
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• 2012

최근 영상 의학 분야의 발전으로 인한 보편화와 일본의 후쿠시마 원전사태가 일어나면서 방사선 노출에 대한 대중들의 관심이 높아지게 되었다. 이러한 방사선 피폭에 대한 대중들의 관심으로 현재 거의 대부분의 PET/CT검사에서 사용되고 있는 AEC (Automatic Exposure Control) 시스템은 환자의 피폭선량 감소를 위해 피사체의 두께에 따라 최적의 관전류를 조사한다. 또한, 서울아산병원에서는 전신 PET/CT 검사 시선속 경화 인공물(Beam hardening artifact)의 발생을 줄이기 위해 환자의 팔을 머리 위로 올리고 검사를 시행하고 있다. 본 연구에서는 전신 PET/CT검사 시 환자의 팔 위치에 따라 AEC 시스템을 적용한 CT 유효선량의 차이를 비교하고자 한다. 2008년 12월부터 2011년 7월까지 서울아산병원 핵의학과를 내원하여 동일 장비에서 팔을 올렸을 경우와 팔을 내렸을 경우의 전신 18F-FDG PET/CT 검사를 시행한 환자 45명을 연구의 대상으로 하였고, 실험 장비는 Biograph Truepoint 40 (Bio 40), Biograph Sensation 16 (Bio 16), Discovery STe 8 (DSTe 8)을 사용하였다. 각 장비당 15명의 동일 환자를 대상으로, 팔을 올리고 검사하였을 경우와 팔을 내리고 검사하였을 경우의 CT 유효선량을 산출하여 비교 분석하였다. CT 유효선량의 측정 방법은 ImPACT v1.0 프로그램을 사용하였다. 이 연구를 통해 팔을 올리고 검사한 경우에 팔을 내리고 검사한 경우보다 총 15.2%의 환자 유효선량이 감소된 것을 확인할 수 있었다. 전신 PET/CT 검사 시 환자의 팔을 올린 자세는 선속 경화 인공물 발생을 줄이고, 영상의 질을 향상시킬 수 있을 것이라 생각된다.

• 대한핵의학회지
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• 제25권2호
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• pp.280-285
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• 1991

We analyzed Radioisotope scan findings of 46 patients of thyroiditis which were proven pathologically at K.C.H. The results were as follows 1) 45 patients were female, one was male and average age of patients was 37 years old. 2) The lesion site was predominant in both lobe (67%) 3) Hashimoto's thyroiditis showed enlarged thyroid (85%) with cold nodule (20%), diffuse decreased activity (10%), while subacute thyroiditis was presented absent activity (53%), poor visualization (20%) or cold nodule (7%) 4) Radioisotope scan was valuable in evaluations function of thyroid gland and detection of lesion but there was a limit of pathological nature.

• 대한핵의학회지
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• 제5권1호
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• pp.71-76
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• 1971

7 laboratories located in Seoul were surveyed for the standardization of radioiodine thyroid uptake test in Korea. The result revealed that the currently utilized methods are almost standardized now, when the reference standard is IAEA recommendation method, 1962. Mean 24 hour uptake of thyroidal $^{131}I$ in Korean euthyroids is $31.6{\pm}8.80%$, and no significant interlaboratory differences are noticed. These results were caused probably by the late introduction of detector facilities into Korea after the appearance of publication of IAEA recommendations.

• 대한핵의학회지
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• 제16권2호
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• pp.97-102
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• 1982

Avascular necrosis of bone has become a well-recognized complication of renal transplantation. While preexisting metabolic bone disease, especially hyperparathyroidism, and metabolic disturbances induced by steroids have been implicated as etiological factors, the pathogenesis is controversial. The diagnosis of avascular necrosis of bone had been based on a history of joint pain and radiographic demonstration of bone necrosis. Recently the bone scan using 99mTc-methylene diphosphonate is helpful in determining the early stage of bone necrosis. We report two cases of avascular necrosis of femur head, of which diagnosis was made by the bone scan using 99mTc-methylene diphosphonate.

• 대한핵의학회지
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• 제27권2호
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• pp.233-238
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• 1993

Esophageal motility was evaluated from the analysis of 10 consecutive swallows using liquid bolus containing 0.5 mCi of $^{99m}Tc$ tin colloid. We have reviewed our experience of esophageal transit study in the 20 normal volunteers and 55 patients with dysphagia that was not related to mechanical obstruction. The purpose of this study is to measure the esophageal transit in normal subjects and in patients with various esophageal motility disorders. The overall sensitivity and specificity of radionuclide esophageal transit study in detecting esophageal motor abnormality were compared with manometric results as a gold standard, which were 80% and 100% respectively. Radionuclide transit study is a safe, rapid, noninvasive test and suitable as a screening test for esophageal motor disorders.

• Nuclear Medicine and Molecular Imaging
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• 제43권3호
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• pp.165-173
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• 2009

Nuclear cardiology in Korea is less active, compared to nuclear oncology, but it has been specialized and ramified. Lately, sophisticated nuclear cardiac imaging methods provide more convenience for patients. It is necessary to accurately estimate the recent progress in the imaging devices for nuclear cardiology. Myocardial perfusion imaging is a well established study to evaluate heart function. Myocardial perfusion SPECT and PET have been used for assessment of coronary artery disease with various radiopharmaceuticals. And of late, the development of advanced imaging devices - multi-pinhole technique and high definition imaging technique - and software made the scanning time shorter and expanded the application field. Therefore, it is required to review the nuclear cardiology hardware/software for the clinical practice and research. In this review, the characteristics about recently-developed SPECT/PET and software for nuclear cardiology are described. It is hoped that this information would contribute to improving the activity of nuclear cardiac research in Korea where the research for the fusion imaging combining a and nuclear imaging is drawing more attention.

• 대한핵의학회지
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• 제19권2호
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• pp.65-68
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• 1985

The radioisotope study using $^{99m}Tc-macroaggregated$ Albumin is a simple, non-invasive test for the diagnosis of pulmonary arteriovenous fistula(PAVF). It can show the presence. of the right-to-left shunt at the lung level using the dynamic study, and also the shunt fraction can be estimated. Here we presented the results of the radioisotope study on two patients with PAVF. In one patient, the cardiac catheterization was clone and calculated shunt fractions by both method were well matched.

• 대한핵의학회지
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• 제39권2호
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• pp.82-86
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• 2005

In myocardial perfusion scintigraphy, the results of this evalution now confront the practitioner of nuclear medicing with methodologic options. Most nuclear cardiologic studies are performed using thallium-201, Tc-99m sestamibi and Tc-99m tetrofosmin. Some part of these studies use some form of pharmacologic stress test. While tailoring each test to the individual is ideal, this may be impractical for a busy department. Accordingly, established protocols to be used for patients with similar clinical presentations will be helpful. The following review presents methodology of various imaging protocols mainly according to the guidelines of nuclear cardiology procedures in American Society of Nuclear Cardiology.

• 대한핵의학회지
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• 제39권2호
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• pp.107-113
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• 2005

Pharmacologic stress testing for myocardial perfusion imaging is a widely used noninvasive method for the evaluation of known or suspected coronary artery disease. The use of exercise for cardiac stress has been practiced for over 60 years and clinicians are familial with its using. However, there are inevitabe situations in which exorcise stress is inappropriate. A large number of patients with cardiac problems are unable to exercise to their full potential due to comorbidity such as osteoarthritis, vascular disease and pulmonary disease and a standard exercise stress test for myocardial perfusion imaging is suboptimal means for assessment of coronary artery disease. This problem has led to the development of the pharmacologic stress test and to a great increase in its popularity. All of the currently used pharmacologic agents have well-documented diagnostic value. This review deals the physiological actions, clinical protocols, safety, nuclear imaging applications of currently available stress agents and future development of new vasodilating agents.