• Title/Summary/Keyword: Department of nuclear medicine

Search Result 4,095, Processing Time 0.029 seconds

Recent Advances in Nuclear Medicine Imaging Instrumentation (핵의학 영상기기의 최근 진보)

  • Jung, Jin-Ho;Choi, Yong;Hong, Key-Jo;Min, Byung-Jun;Hu, Wei;Kang, Ji-Hoon
    • Nuclear Medicine and Molecular Imaging
    • /
    • v.42 no.2
    • /
    • pp.98-111
    • /
    • 2008
  • This review introduces advances in clinical and pre-clinical single photon emission computed tomography (SPECT) and positron emission tomography (PET) providing noninvasive functional images of biological processes. Development of new collimation techniques such as multi-pinhole and slit-slat collimators permits the improvement of system spatial resolution and sensitivity of SPECT. Application specific SPECT systems using smaller and compact solid-state detector have been customized for myocardial perfusion imaging with higher performance. Combined SPECT/CT providing improved diagnostic and functional capabilities has been introduced. Advances in PET and CT instrumentation have been incorporated in the PET/CT design that provide the metabolic information from PET superimposed on the anatomic information from CT. Improvements in the sensitivity of PET have achieved by the fully 3D acquisition with no septa and the extension of axial field-of-view. With the development of faster scintillation crystals and electronics, time-of-flight (TOF) PET is now commercially available allowing the increase in the signal-to-noise ratio by incorporation of TOF information into the PET reconstruction process. Hybrid PET/SPECT/CT systems has become commercially available for molecular imaging in small animal models. The pre-clinical systems have improved spatial resolution using depth-of-interaction measurement and new collimators. The recent works on solid state detector and dual modality nuclear medicine instrumentations incorporating MRI and optical imagers will also be discussed.

Incidentally detected abnormal finding of femoral bone density image due to treatment of postoperative lymphatic leakage

  • Han-Kyung Seo;Do-Cheol Choi;Jae-Yung Jeong;Cheol-Min Shim;Yung-Hwan Jeong
    • The Korean Journal of Nuclear Medicine Technology
    • /
    • v.28 no.1
    • /
    • pp.13-17
    • /
    • 2024
  • Bone Mineral Densitometry (BMD) values is determined numerically with T or Z-score while the image is not considered in the interpretation. Abnormal finding was observed in the left femoral bone density image of a 64-year-old female patient who underwent a left kidney transplantation. This was due to the ethiodized oil used for embolization in the treatment of lymphatic leakage. Radiologic technologists should not only monitor changes of BMD values, but keep in mind to assess the changes in the image to provide accurate information to the patient.

Diagnosis of Coronary Artery Disease Using Myocardial Perfusion SPECT (심근 SPECT를 이용한 관상동맥질환의 진단)

  • Won, Kyoung-Sook;Kim, Hae-Won
    • Nuclear Medicine and Molecular Imaging
    • /
    • v.43 no.3
    • /
    • pp.196-202
    • /
    • 2009
  • Myocardial perfusion scintigraphy is currently by far the most commonly performed cardiac nuclear study, constituting approximately one third of all nuclear medicine procedure. It plays an important role in the diagnosis, prognosis, risk assessment and management of heart disease. Aim of this review is to describe recent evolution of myocardial perfusion imaging on the focus of diagnosis of coronary artery disease. In addition, current status of other imaging modalities will be reviewed.

Conventional Ultrasonography and Real Time Ultrasound Elastography in the Differential Diagnosis of Degenerating Cystic Thyroid Nodules Mimicking Malignancy and Papillary Thyroid Carcinomas

  • Wu, Hong-Xun;Zhang, Bing-Jie;Wang, Jun;Zhu, Bei-Lin;Zang, Ya-Ping;Cao, Yue-Long
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.14 no.2
    • /
    • pp.935-940
    • /
    • 2013
  • Background: To evaluate the diagnostic utility of conventional ultrasonography and real time ultrasound elastography in differentiating degenerating cystic thyroid nodules mimicking malignancy from papillary thyroid carcinoma. Methods: We retrospectively analyzed conventional ultrasonographic and elastographic characteristics of 19 degenerating cystic thyroid nodules mimicking malignancy in 19 patients, with 30 surgically confirmed PTCs as controls. Based on size, the nodules had been grouped into less than 10mm (group A) and greater than 10 mm (group B). We evaluated conventional parameters and elasticity pattern. Color-scaled elastograms were graded as to stiffness of nodules using an elasticity pattern from I (soft) to IV (stiff). Results: Degenerating cystic thyroid nodules were similar to PTCs in conventional ultrasonographic findings, but the former frequently showed oval to round in shape (group A, 69.2% vs 18.8%, P=0.017; group B, 66.7% vs 7.14%, P=0.017) and punctuate hyperechoic foci (group A, 61.5% vs 0, P<0.001; group B, 50% vs 0, P<0.001). On real time ultrasound elastography, 7 of 13 degenerating cystic thyroid nodules in group A were pattern I, 5 were pattern II, 1 was pattern III. One degenerating cystic thyroid nodule in group B was pattern II, 5 were pattern III. The area under the curve for elastography was 0.98 in group A (sensitivity 92.3%, specificity 100%, P = 0.002), and 0.88 in group B (sensitivity 16.7%, specificity 100%, P = 0.014). Conclusions: As a dependable imaging technique, elastography helps increase the performance in differential diagnosis of degenerating cystic thyroid nodule and malignancy.

Radionuclide Urodynamic Studies in Patients with Bladder Outlet Obstruction (방사성핵종 요류역학검사를 이용한 하부요로폐색의 평가)

  • Lee, Jae-Tae;Kim, Kwang-Won;Sohn, Sang-Kyun;Chung, Jin-Hong;Lee, Kyu-Bo;Whang, Kee-Suk;Yoon, Yeo-Deuk;Sohn, Houng-Gyu;Chung, Sung-Kwang
    • The Korean Journal of Nuclear Medicine
    • /
    • v.24 no.1
    • /
    • pp.24-28
    • /
    • 1990
  • Various urodynamic studies have been used in patients with bladder outlet obstruction in order to evaluate the degree of obstruction, the results of therapy and postprostatectomy conditions. Radionuclide urodynamic study was performed in 27 patients with bladder outlet obstruction and 30 normal controls. The parameters evaluated were voiding time, 50% voiding time, average flow rate, peak flow rate, corrected peak flow rate, ejection fraction of the bladder and residual urine. Voiding time, 50% voiding time and residual urine of patients were significantly larger than controls and average flow rate, Peak flow rate, peak corrected flow rate and ejection fraction were significantly lower in patients. This method was noninvasive procedure for determining of voiding parameters and it avoids the extraexamination needs to determine the residual urine.

  • PDF

Development of Integration Protocol of Nuclear Medicine Image with A Commercial PACS (핵의학 영상을 상용 PACS에 연동 전송하는 프로토콜 개발)

  • Im, Ki-Chun;Choi, Yong;Park, Jang-Chun;Song, Tae-Yong;Choi, Yeon-Sung;Lee, Kyung-Han;Kim, Sang-Eun;Kim, Byung-Tae
    • Journal of Biomedical Engineering Research
    • /
    • v.23 no.6
    • /
    • pp.431-436
    • /
    • 2002
  • The purpose of this study was to develop an integration protocol of Nuclear Medicine image with a commercial PACS. Two independent local networks. PACS network and Nuclear Medicine network, were connected using a Nuclear Medicine DICOM gateway A DICOM converter Program was developed to convert Interfile 3.3. which is used in nuclear medicine scanners in our hospital. to DICOM 3.0. The Program converts Interfile format images to those of DICOM format and also transfers converted DICOM files to PACS DICOM gateway. PACS DICOM gateway compares and matches the DICOM image information with patient information in Hospital Information System and then saves to PACS database. The transfer protocol was designed to be able to transfer Interfile. screen dumped file. and also scanned file. We successfully transferred Nuclear Medicine images to PACS. Images transferred by Interfile transfer protocol could be further processed using various tools in PACS. The graphs, numerical information and comments could be conveniently transferred by screen dumped file. The image in a hard copy can be transferred after scanning using an ordinary scanner. The developed protocol can easily transfer Nuclear Medicine images to PACS in various forms with low cost.

Clinical Significance of Brain SPECT in Zipeprol Abusers (Zipeprol 남용환자에서 뇌 단일광자방출 전산화단층촬영술의 임상적 의의)

  • Cho, Dai-Ok;Kim, Jae-Phil;Kim, Deog-Yoon;Yang, Hyung-In;Koh, Eun-Mi;Kim, Kwang-Won;Choi, Young-Kil
    • The Korean Journal of Nuclear Medicine
    • /
    • v.27 no.1
    • /
    • pp.22-27
    • /
    • 1993
  • Drug abuse is widespread in worldwide and has been associated with neurologic complication. Zipeprol is one of the drugs which been abused for psychological satisfaction in some adolescents. This agent is non-opioid antitussive agent, which is not legally considered as being capable of creating dependence or abuse liability at therapeutic serum levels. But it has been reported that acute or chronic overdose create neurologic complication such as convulsion as well as dependence. Recently we experienced six zipeprol abusers who admitted due to convulsion and variable neurologic symptoms. The aim of our study was to determine the role of $^{99m}Tc$-HMPAO brain SPECT in those patients. EEG and brain CT showed no abnormal finding, but brain SPECT showed focal or multiple perfusion abnormalities in frontal, parietal, occipital cortex, basal ganglia, thalamus and especially at temporal cortex. These results suggest that brain SPECT may be a useful diagnostic tool to evaluate the cerebral dysfunction infused by zipeprol abuse.

  • PDF