• Journal of Yeungnam Medical Science
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• 제6권2호
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• pp.113-119
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• 1989

본 교실에서 Co-60치료기를 이용한 전신조사에 대한 선량의 측정 및 분석 결과는 다음과 같았다. 1. 폐부위는 기준되는 복부(24cm)에 비해 두께는 두껍지만(25.6cm) 폐의 낮은 밀도 때문에 6% 정도 더 많은 선량이 측정되어 폐손상이나 폐동맥 합병증의 예방을 위하여 적절한 보상판이 필요함을 시사하였다. 2. inverse square law에 의한 이론치 보다 실제의 측정치는 3% 정도 적게 측정되었다. 3. 머리부위(두께 15.8cm)와 목부위(11.0cm)는 얇은 두께 때문에 10%, 18% 정도 더 많은 선량이 측정되었고, 골반부위(두께 36.0cm)는 12% 정도 더 적은 선량이 측정되어 전신조사시 모든 부위에 등선량을 조사하기 위해서는 적당한 보상판이 필수적임을 시사하였다.

• 대한핵의학회지
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• 제34권4호
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• pp.360-365
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• 2000

We experienced a case of cerebral hypoperfusion due to cyclosporine neurotoxocity confirmed only by Tc-99m ECD brain SPECT. A 53-year-old female had received allogenic peripheral blood stem cell transplantation due to refractory plasmacytoid lymphoma. Cyclosporine and steroid had been administrated to prevent graft versus host disease. Twenty days after transplantation, she became delirious and suffered from generalized tonic-clonic seizure. Immediately, brain MRI and MR angiography were performed and these studies did not show any abnormal findings. However, Tc-99m ECD brain SPECT showed diffuse hypoperfusion in the left cerebral hemisphere and blood cyclosporine level was 962.6 ng/ml. Cyclosporine administration was stopped and discontinuation of cyclosporine resulted in disappearance of all neurological symptoms. The same neurological symptoms recurred with cyclosporine re-administration for management of exacerbated graft versus host disease. In this case, Tc-99m ECD brain SPECT proved very helpful in the diagnosis of cycloporine neurotoxicity.