• 한국수정란이식학회지
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• 제27권3호
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• pp.163-169
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• 2012

The 3-isobutyl-1-methylxanthine (IBMX) is non-selective phosphodiesterase and is able to prevent resumption of meiosis by maintaining elevated cyclic AMP (cAMP) concentrations in the oocyte. The present study was conducted to analyze: (1) nuclear maturation (examined by the Hoechst staining), (2) whether cytoplasmic maturation (examined by the intracellular glutathione (GSH) concentration) of porcine oocytes is improved during meiotic arrest after prematuration (22 h) with IBMX. Before in vitro maturation (IVM), oocytes were treated with 1 mM IBMX for 22 h. After 22 h of pre-maturation, the higher rate of IBMX treated group oocytes were arrested at the germinal vesicle (GV) stage (42.3%) than control IVM oocytes (10.1%). It appears that the effect of IBMX on the resumption of meiosis has shown clearly. In the end of IVM, the reversibility of the IBMX effect on the nuclear maturation has been corroborated in this study by the high proportions of MII stage oocytes (72.5%) reached after 44 h of IVM following the 22 h of inhibition. However, intracellular GSH concentrations were lower in the oocytes treated with IBMX than the control oocytes (6.78 and 12.94 pmol/oocyte, respectively). These results demonstrate that cytoplasmic maturation in porcine oocytes pre-treated with IBMX for 22 h did not equal that of control oocytes in the current IVM system. These results indicate that pre-maturation with IBMX for 22 h may not be beneficial in porcine IVM system.

• 대한핵의학회지
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• 제25권1호
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• pp.53-60
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• 1991

Extracorporeal shock wave lithotripsy (ESWL) with adjunctive oral litholytic therapy has proven to be a useful treatment in selected patients with gallbladder stones. To study the effect of ESWL on gallbladder dynamics, $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy was done for 25 patients with symptomatic gallstones and 10 normal controls. Of these 25 patients, 15 were treated with ESWL and adjunctive oral litholytic agents (ESWL group) and 10 were treated only with oral litholytic agents (UDCA group). After overnight fast and gallbladder visualization on a routine hepatobiliary scintigraphy with 7mCi of $^{99m}Tc-DISIDA$, subjects were given fatty meal and imaged with a gamma camera interfaced to a computer (1 frame/minute for 70 minutes). A gallbladder time-activity curve was generated and latent period (LP), ejection period (EP), ejection fraction (EF) and ejection rate (ER) were calculated. ESWL group were studied before, 1day after and 2weeks after ESWL, and WDCA group were studied before and 2weeks after starting oral medication. Mean basal EF was significantly reduced in patients but other parameters were not reduced. In ESWL group, mean EF and mean ER at lday after ESWL were reduced. In 3 of them, gallbladder was not visualized at all. Two weeks after ESWL, however, all parameters were recoverd to basal level. In UDCA group, all parameters were not changed significantly during medication. We can conclude that ESWL has such immediate adverse effect on gallbladder dynamics as reducing contractility and nonvisualization of gallbladder but it has no long-term effect.

• 핵의학기술
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• 제27권1호
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• pp.29-35
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• 2023

Purpose The concentration of PSA (Prostate Specific Antigen) after radical prostatectomy in prostate cancer patients is a predictor of biochemical recurrence, and the AUA (American Urological Association) is defined as biochemical recurrence when the concentration of PSA is measured at 0.2 ng/mL or more, and when the concentration is measured at 0.2 ng/mL or more at the retest. This standard is also applied our hospital. In this laboratory, the PSA reagent using IRMA (Immunoradiometric Assay) is used, and the sensitivity at a very low value was not as good as the reagent used in the department of laboratory medicine. This study aims to increase the reliability of the results by improving the precision and sensitivity of very low values. Materials and Methods As a reagent for the study, PSA reagent using IRMA was used. As a method to improve the precision and sensitivity of very low values, a variation method on the serum volume(25 uL, 50 uL, 100 uL, 200 uL) was studied, and variation usefulness evaluation was conducted. The evaluation items were compared the results of precision, analytical sensitivity, recovery rate, dilution test, high-dose hook effect test, parallel test and very low concentration values(n = 20). Results The validation results were displayed in the order of 25 uL, 50 uL, 100 uL, 200 uL. As the serum volume increased, it was confirmed that CV (Coefficient of Variation)(%) improved. Analytical sensitivity(ng/mL) was 0.038, 0.041, 0.017, 0.015 and recovery rate(%) was 101±3, 101±3, 99±2, 97±4. very low concentration values(ng/mL) between each volume(n=20) were 0.135±0.068, 0.076±0.050, 0.048±0.034, 0.046±0.034. and high dose hook effect appeared as the serum volume increased. Conclusion Through the variation usefulness evaluation, it was confirmed that as the serum volume increased, the precision and sensitivity improved at very low concentration values. However, it is necessary to pay special attention to the occurrence of high-dose hook effect as the serum volume increases. In the case of tests that requires very low concentration values, it is thought that the reliability of the result will be increased if the variation method is properly used after the variation usefulness evaluation.

• 대한핵의학회지
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• 제35권4호
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• pp.231-240
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• 2001

Purpose: Normal aging results in detectable changes in the brain structure and function. We evaluated the changes of regional cerebral glucose metabolism in the normal aging process with FDG PET. Materials and Methods: Brain PET images were obtained in 44 healthy volunteers (age range 20-69 'y'; M:F = 29:15) who had no history of neuropsychiatric disorders. On 6 representative transaxial images, ROIs were drawn in the cortical and subcortical areas. Regional FDG uptake was normalized using whole brain uptake to adjust for the injection dose and correct for nonspecific declines of glucose metabolism affecting all brain areas equally. Results: In the prefrontal, temporoparietal and primary sensorimotor cortex, the normalized FDG uptake (NFU) reached a peak in subjects in their 30s. The NFU in the prefrontal and primary sensorimotor cortex declined with age after 30s at a rate of 3.15%/decade and 1.93%/decade, respectively. However, the NFU in the temporoparietal cortex did not change significantly with age after 30s. The anterior (prefrontal) posterior (temporoparietal) gradient peaked in subjects in their 30s and declined with age thereafter at a rate of 2.35%/decade. The NFU in the caudate nucleus was decreased with age after 20s at a rate of 2.39%/decade. On the primary visual cortex, putamen, and thalamus, the NFU values did not change significantly throughout the ages covered. These patterns were not significantly different between right and left cerebral hemispheres. Of interest was that the NFU in the left cerebellar cortex was increased with age after 20s at a rate of 2.86%/decade. Conclusion: These data demonstrate regional variation of the age-related changes in the cerebral glucose metabolism, with the most prominent age-related decline of metabolism in the prefrontal cortex. The increase in the cerebellar metabolism with age might reflect a process of neuronal plasticity associated with aging.

• 대한핵의학회지
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• 제34권6호
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• pp.487-496
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• 2000

목적: 국소 심근 벽 운동과 수축기 심근두꺼워짐에 대한 자동정량화 소프트웨어의 재현성을 알아보고자 하였다. 대상 및 방법: 31명의 무작위 추출한 관상동맥질 환자에서 부하 게이트 Tc-99m-MIBI SPECT를 시행하는 중에, 게이트 심근 SPECT를 1회 시행한 이후 바로 이어 한번 더 게이트 SPECT를 시행하였다. 얻어진 영상으로부터 AutoQUANT 소프트웨어를 이용하여 분절별, 심근벽별로 심근벽 운동과 수축기 심근두꺼워짐의 자동정량값을 얻어, 1회째 값과 2회째 값 사이의 상관계수를 계산하고 Bland-Altman 도표를 통해 변이의 범위를 보았다. 또 각 값들을 등급화한 수치 간에 kappa 값을 구해보았다. 결과: 재현성 분석에서 1회와 2회 시행간의 상관계수는 각각 0.948, 0.878이었으며, weighted kappa 값은 0.807, 0.708로 아주 좋은 일치도를 보였다. Bland-Altman 분석에서 변이의 2 표준편차 범위는 각각 ${\pm}2.0mm,\;{\pm}20.2%$였다. 각각의 재현성은 분절영역, 성별, 관류의 수준에 따라 차이를 보이지 않았다. 결론: 이 연구에서 우리는, 심근 벽 운동과 수축기 심근두꺼워짐의 자동정량화 소프트웨어가 좋은 재현성을 가지고 있음을 알았으며, 또한 추적 검사나 치료효과 판정시 심근 벽 운동과 수축기 심근두꺼워짐의 변화 판정 기준을 마련하였다.

• 대한핵의학회지
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• 제39권3호
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• pp.200-208
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• 2005

목적: 비침습적으로 간의 상태를 예측하기 위하여 여러 검사법들이 시도되고 있으나 각각의 제한점이 있다. 간 신티그라피는 방사성교질과 방사능 표지 iminodiacetic acid (IDA) 화합물이 가장 널리 사용되고 있으나, 실제 간세포의 상태를 나타내는데는 부족한 점이 있다. 최근에는 간세포 표면에 발현되는 asialoglycoprotein (ASGP) 수용체 (ASGP receptor: ASGPR)에 특이적으로 결합 할 수 있는 제제인 galactosylated serum albumin (GSA)이 간 신티그라피에 유용한 방사성의약품으로 성장하고 있으나 제한점을 가지고 있다. 본 연구는 현재 상용화된 GSA보다 유용한 ASGPR 영상용 방사성의약품인 lactosylated serum albumin (LSA)이 간세포의 ASGPR 발현 정도의 평가에 이용될 수 있는지와 조직학적 간손상정도 비침습적 평가 하는데 이용될 수 있는 방사성의약품인지를 알아보고자 시행하였다. 대상 및 방법: $^{99m}Tc$-LSA의 간기능 평가 성능을 알아보기 위하여 diethylnitrosamine (DEN)과 thioacetamide (TAA) 투여로 간손상을 일으킨 생쥐에서 생체내 분포변화를 알아보았으며, DEN 투여로 간손상을 일으킨 흰쥐에서 영상을 통하여 간 및 혈액내 방사능 분포 변화 양상을 알아보았다. 방사성의약품의 체내 분포 변화 및 간 및 혈액내 분포 변화가 간손상 여부를 잘 반영하는 지를 알아보기 위하여 간조직 검사를 시행하여 비교하였다. 결과: 체중 kg당 DEN 60 mg이 주당 1회 5번 투여된 생쥐는 광학현미경상 간손상 정도가 미약하였으며, 면역조직화학검사상 ASGPR의 발현이 높았으며, $^{99m}Tc$-LSA의 체내 분포는 정상생쥐와 유의한 차이가 없었다. 체중 kg당 DEN 180 mg이 주당 1회 2번 투여된 생쥐는 조직검사상 간조직의 괴사가 광범위하였으며, 면역조직화학검사상 ASGPR의 발현이 감소되어 있었고, $^{99m}Tc$-LSA의 체내 분포는 정상생쥐에 비해 간섭취가 감소되어 있었으며, 혈액에서의 제거나 늦었다. TAA를 투여하여 간조직의 괴사가 발생한 생쥐에서도 $^{99m}Tc$-LSA의 체내 분포는 정상생쥐에 비해 간섭취가 감소되어 있었으며, 혈액에서의 제거가 늦었다. 결론: 새로이 개발된 $^{99m}Tc$-LSA는 정상 간조직에 섭취정도가 높으며, ASGPR 발현정도에 비례하여 간섭취를 나타내며, 간손상 정도에 따라 섭취가 감소하여, 간손상 정도를 비침습적으로 잘 반영해 주는 것으로 나타나 향후 간기능 평가용 방사성의약품으로 임상에 손쉽게 쓰일 수 있을 것으로 기대된다.

• 대한방사성의약품학회지
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• 제9권1호
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• pp.9-16
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• 2023

Liposomes as drug delivery system have proved useful carrier for various disease, including cancer. In addition, perfluorocarbon cored microbubbles are utilized in conjunction with high-intensity focused-ultrasound (HIFU) to enable simultaneous diagnosis and treatment. However, microbubbles generally exhibit lower drug loading efficiency, so the need for the development of a novel liposome-based drug delivery material that can efficiently load and deliver drugs to targeted areas via HIFU. This study aims to develop a liposome-based drug delivery material by introducing a substance that can burst liposomes using ultrasound energy and confirm the ability to target tumors using PET imaging. Liposomes (Lipo-DOX, Lipo-DOX-Au, Lipo-DOX-Au-RGD) were synthesized with gold nanoparticles using an avidin-biotin bond, and doxorubicin was mounted inside by pH gradient method. The size distribution was measured by DLS, and encapsulation efficiency of doxorubicin was analyzed by UV-vis spectrometer. The target specificity and cytotoxicity of liposomes were assessed in vitro by glioblastoma U87mg cells to HIFU treatment and analyzed using CCK-8 assay, and fluorescence microscopy at 6-hour intervals for up to 24 hours. For the in vivo study, U87mg model mouse were injected intravenously with 1.48 MBq of ⁶⁴Cu-labeled Lipo-DOX-Au and Lipo-DOX-Au-RGD, and PET images were taken at 0, 2, 4, 8, and 24 hours. As a result, the size of liposomes was 108.3 ± 5.0 nm at Lipo-DOX-Au and 94.1 ± 12.2 nm at Lipo-DOX-Au-RGD, and it was observed that doxorubicin was mounted inside the liposome up to 52%. After 6 hours of HIFU treatment, the viability of U87mg cells treated with Lipo-DOX-Au decreased by around 20% compared to Lipo-DOX, and Lipo-DOX-Au-RGD had a higher uptake rate than Lipo-DOX. In vivo study using PET images, it was confirmed that ⁶⁴Cu-Lipo-DOX-Au-RGD was taken up into the tumor immediately after injection and maintained for up to 4 hours. In this study, drugs released from liposomes-gold nanoparticles via ultrasound and RGD targeting were confirmed by non-invasive imaging. In cell-level experiments, HIFU treatment of gold nanoparticle-coupled liposomes significantly decreased tumor survival, while RGD-liposomes exhibited high tumor targeting and rapid release in vivo imaging. It is expected that the combination of these models with ultrasound is served as an effective drug delivery material with therapeutic outcomes.

• 대한핵의학회지
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• 제37권5호
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• pp.301-307
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• 2003

목적: 리피오돌은 간암환자의 간동맥으로 투여시 암에 많이 섭취된다. 이 연구에서는 Re-188-황 교질/리피오돌을 제조하여 생체내분포를 보았다. 재료 및 방법: Re-188-황 교질/리피오돌을 마우스의 꼬리정맥으로 주사한후 1 시간 후에 생체내 분포를 확인하였다. 간암을 유발시킨 백서의 좌심실로 Re-188-황 교질/리피오돌을 주사하고 5 분후의 생체내 분포와 간의 자가방사사진을 보았다. 결과: Re-188-황 교질/리피오돌을 마우스의 꼬리정맥으로 주사한 후 1시간(n=3)섭취율(% ID/organ)은 간에서 $5.2{\pm}0.7$, 폐는 $91.0{\pm}1.7$이었다. 간암을 유발시킨 백서의 좌심실로 Re-188-황 교질/리피오돌을 주사한 후 5 분(n=4)의 정상간의 섭취율(% ID/g)은 $0.41{\pm}0.28$, 간암은 $1.88{\pm}1.57$, 폐는 $1.65{\pm}1.54$였으며, 자가방사사진에서도 간암부위의 섭취가 정상적인 간조직 보다 증가되었다. 결론: Re-188-황 교질/리피오돌을 동맥으로 투여시 간암부위의 섭취가 정상적인 간조직보다 많아 간암치료용 방사성의약품으로서 사용할 수 있음을 알았다.

• 핵의학기술
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• 제12권1호
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• pp.57-61
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• 2008

Purpose: $^{18}F$-FDG PET is to evaluate the tumor using glucose metabolism. Blood Glucose Level (BGL) is important factor that affects on a result of examination. But it often appears the distort result on diabetic patient due to a failure of BGL control. The aim of this study is to make a effective guideline for diabetic patient prescribed $^{18}F$-FDG PET and improve accuracy and reliability of examination. Materials and methods: A subject of study is 69 diabetic patients and divided them into 3 groups; 1) BGL is less than 120 mg/dl & performed PET, 2) BGL is over than 120 mg/dl & performed PET, 3) BGL is over than 120 mg/dl & not performed PET. And we investigated the type of diabetic medications and the time of dosage, whether they have meal or not. And we analyzed SUV of liver and mediastinum to recognize the effect of BGL on PET images. Results: As a methods to diabetic control, Amalyl showed high percentage of 27.5% in oral medication and Humulin R showed 14.5% in insulin. Their peak time was 2-3 hrs, 2-4 hrs and duration time was 24 hrs, 5-7 hrs. The number of that had a breakfast was 16, 7 mens (43.8%) couldn't perform PET as over 120 mg/dl and 5 mens (31.3%) performed PET as less than 120 mg/dl after they took a medication. When we set the SUV of normal for 1.5-2.0, 1.0-1.5 on liver and mediastinum, the percentage out of the range was 31.8%, 52.9%, 62.5% in 120-139 mg/dl, 140-159 mg/dl, 160-200 mg/dl respectively. Conclusions: We completed standardized guideline for diabetic patients. As a result of this study, improved customer satisfaction and increased economic benefits. It is expect to be a effective model in other PET centers.

• 대한핵의학회지
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• 제39권5호
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• pp.278-283
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• 2005

목적 : 저자들은 이전 연구에서 $^{99m}Tc$-GC을 합성해 생체내 분포를 확인했다. 그 결과 GC은 고도의 간 특이성을 보였으며, 간 특이 영상을 위한 방사성 의약품으로서의 가능성을 확인할 수 있었다. 그러나 $^{99m}Tc$-GC는 표지 수율과 안정성 면에서 불만족스러운 결과를 보였다. 이번 연구는 GC를 메틸화하는 방법과 HYNIC의 도입을 통해 표지수율과 안정성을 향상시킬 수 있는지 알아보고, 그와 함께 이 화합물들의 세포 독성에 대해 연구해 보고자 하였다. 대상 및 방법 : 합성한 GC, GMC, GCH를 $^{99m}Tc$로 표지하고 상온과 사람 혈청에서 표지 안정성을 측정하였으며, 6시간까지 시행하였다. 각 화합물을 0, 0.5, 1, 1.25, 5, 10, 25, 100 ${\mu}g/ml$ 농도로 첨가한 HeLa와 HepG2 세포를 18시간동안 배양한 뒤 세포 생존능을 MTT를 이용해 측정하였다. 결과 : 표지 후 실온에서의 안정성 실험을 한 결과 이동상으로 아세톤을 사용한 경우 $^{99m}Tc$-GC는 15분에 96%, 1시간에 88%였고, $^{99m}Tc$-GMC는 15분, 1시간. 6시간에서 각각 100%, 97%, 89%의 향상된 표지율을 보였고 $^{99m}Tc$-GCH는 6시간까지 95% 이상을 보여 안정성이 보다 더 향상됨을 확인하였다. 또한 이동상으로 생리 식염수를 사용한 경우 $^{99m}Tc$-GC는 15분, 1시간에 73.9%, 72%를 보였고, $^{99m}Tc$-GMC의 경우 15분, 1시간, 6시간에서 96.3%, 95.8%, 75.6%의 표지율을 보였다. $^{99m}Tc$-GCH는 90% 이상의 표지 안정성을 보였고, 사람 혈청에서 6시간까지 95.7%의 표지율을 보였다. MTT를 시행한 결과. 각 화합물을 처리한 세포주의 생존능은 대조군과 비교할 때 통계적으로 유의한 차이가 없었다. 결론 : 저자들은 GC를 메틸화하는 방법과 HYNIC의 도입을 통해 새로운 간세포 특이적 지향성을 갖는 키토산 화합물을 합성하였고, 이 화합물들은 $^{99m}Tc$으로 표지할 때 향상된 표지 수율과 뛰어난 표지 안정성을 보였다. 그리고 각 화합물들의 세포 독성 역시 원래 키토산과 의의있는 차이가 없이 매우 낮은 정도임을 증명하였다.