• Title/Summary/Keyword: scintigraphy

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Clinical Application of $^{99m}Tc-DISIDA$ Scintigraphy with Nonvisualization of Biliary Excretion (담도계로 배설되지 않는 $^{99m}Tc-DISIDA$ 신티그램의 임상적 응용)

  • Moon, Tae-Yong;Kim, Yong-Ki;Kim, Dong-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.21 no.1
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    • pp.25-32
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    • 1987
  • Authors analysed biochemical studies and scintigraphic findings of obstructive jaundice and nonobstructive jaundice in 44 cases of $^{99m}Tc-DISIDA$ scintigraphy with nonvisualization of biliary excretion till 120 min or 240 min after injection of $^{99m}Tc-DISIDA$. Causative diseases of $^{99m}Tc-DISIDA$ scintigraphy with nonvisualization of biliary excretion were in order to choledocholithiasis (25%), hepatitis (25%), cholangiocarcinoma (14%), cholangitis (14%) and pancreas head tumor (11%). In obstructive jaundice, statistically significant findings were elevated alkaline phosphatase above 300 IU/L on biochemical study and single lobe enlargement of the liver, irregular radioisotope uptake of the liver and concave indentation of the gall bladder fossa of the liver on scintigraphy. In nonobstructive jaundice, statistically significant findings were persistent renal excretion of $^{99m}Tc-DISIDA$ and more increased uptake density of the heart than the liver on scintigraphy.

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Nuclear Medicine in Pediatric Urology

  • Jang, Su Jin
    • Childhood Kidney Diseases
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    • v.19 no.1
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    • pp.14-22
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    • 2015
  • Renal scintigraphic methods, which are physiologic and minimally invasive, have played important role in the management of various renal diseases in children, providing sensitive tool for early detection of disease even before structural changes become prominent and giving valuable functional and anatomical information to aid medical decision makings in the treatment and follow-up of patients. This review article focuses on the concept and advantages of renal scintigraphy in pediatric patients with various urologic diseases.

Transcolonic scintigraphy for diagnosis of canine portosystemic shunts

  • Lee, Young-won
    • Korean Journal of Veterinary Research
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    • v.39 no.2
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    • pp.390-393
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    • 1999
  • Transcolonic scintigraphy using $^{99m}Technetium$ pertechnetate ($^{99m}TcO_{4}$) was performed in 5 dogs with portosystemic shunts. In all dogs, the activity in the heart was seen before liver activity. Also time activity curve was revered. The mean shunt index in 5 dogs was 82.3% (range 79.6~87.1%). Transcolonic scintigraphy is quick, simple and useful diagnostic method for canine portosysternic shunts.

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COMPARISONS BETWEEN THE SIALOGRAPHIC AND SCINTIGRAPHIC FINDINGS IN SALIVARY GLAND DISEASE (타액선질환에 대한 타액선조영상과 스캔상의 비교연구)

  • Lee Kyung-Ho;Ahn Hyung-Kyu
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.17 no.1
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    • pp.185-194
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    • 1987
  • The purpose of this study was to aid in diagnosis of salivary gland disease by comparing the sialogram with the scintigram. In this study, 47 patients (52 glands) who had taken the sialography and the scintigraphy were examined. The result of two methods was compared with the clinical and operative diagnosis. The following results are obtained. 1. In inflammatory diseases of the salivary gland, the scintigraphy can be a valuable substitution for a sialography. 2. In inflammatory diseases of the salivary gland, we can get more informations in case of the combined use of the sialography and the scintigraphy. 3. In tumorous lesion of the salivary gland, the sialography is superior to the scintigraphy. But both methods are less valuable in diagnosing the extraglandular tumors.

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Biparietal Thinning Showing Typical Bilateral Photon Defects on Bone Scintigraphy and SPECT (골 신티그래피와 SPECT상 양측성 광자결손으로 나타난 Biparietal Thinning)

  • Sohn, Myung-Hee;Jeong, Hwan-Jeong;Lim, Seok-Tae;Yim, Chang-Yeol
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.3
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    • pp.260-262
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    • 2007
  • A 68-year-old man with small cell carcinoma of the lung and adenocarcinoma of the prostate underwent Tc-99m MDP bone scintigraphy for the evaluation of skeletal metastases. Bilateral symmetrical photon defects in both parietal bones of the skull were observed. The radiographs of the skull demonstrates biparietal thinning in the same area of the abnormality identified on bone scintigraphy. Although these findings in cancer patients can be mistaken for skeletal metastases, the symmetry and location of the photon defects are generally indicative of biparietal thinning.

Osteogenic Sarcoma with Osseous, Pulmonary, and Pericardial Metastases Simultaneously Demonstrated on Bone Scintigraphy at Initial Presentation (초기 골스캔에서 뼈, 폐와 심낭으로의 전이를 보인 골육종)

  • Lim, Seok-Tae;Kim, Min-Woo;Sohn, Myung-Hee;Hwang, Pyoung-Han
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.5
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    • pp.336-339
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    • 2003
  • Purpose: A 6-year-old boy with osteogenic sarcoma of the left humerus underwent bone scintigraphy. Tc-99m MDP was accumulated not only in the primary tumor but also in the osseous and extraosseous (pulmonary and pericardial) metastases. Osteogenic sarcoma directly produces osteoid, both in the primary and metastatic lesions. Tc-99m MDP is avidly taken up by tumor osteoid. At initial presentation, only 2% of cases have both pulmonary and osseous metastases. The patient had osseous, pulmonary, and pericardial metastases at presentation. This case presents that increased uptakes of Tc-99m MDP by the primary and metastatic tumor were demonstrated on bone scintigraphy at presentation.

Bone scintigraphy in patients with pain

  • Shin, Seung Hyeon;Kim, Seong Jang
    • The Korean Journal of Pain
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    • v.30 no.3
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    • pp.165-175
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    • 2017
  • Nuclear medicine imaging is widely used in pain medicine. Low back pain is commonly encountered by physicians, with its prevalence from 49% to 70%. Computed tomography (CT) or magnetic resonance imaging (MRI) are usually used to evaluate the cause of low back pain, however, these findings from these scans could also be observed in asymptomatic patients. Bone scintigraphy has an additional value in patients with low back pain. Complex regional pain syndrome (CRPS) is defined as a painful disorder of the extremities, which is characterized by sensory, autonomic, vasomotor, and trophic disturbances. To assist the diagnosis of CRPS, three-phase bone scintigraphy is thought to be superior compared to other modalities, and could be used to rule out CRPS due to its high specificity. Studies regarding the effect of bone scintigraphy in patients with extremity pain have not been widely conducted. Ultrasound, CT and MRI are widely used imaging modalities for evaluating extremity pain. However, SPECT/CT has an additional role in assessing pain in the extremities.

Multifocal Peritoneal Splenosis in Tc-99m-Labeled Heat-Denatured Red Blood Cell Scintigraphy (Tc-99m-가열처리 적혈구 스캔에서 다발성 복막비증)

  • Yoon, Min-Ki;Hwang, Kyung-Hoon;Choe, Won-Sick
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.3
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    • pp.190-191
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    • 2006
  • A 44-year-old man with a past medical history of splenectomy came to hospital because of epigastric pain. Abdominopelvic computed tomography(CT) showed a soft tissue mass and multifocal variable-sized nodules as well as findings suggestive of cholecystitis. Subsequently, he underwent Tc-99m-labeled heat-denatured red blood cell(RBC) scintigraphy to evaluate the mass and nodules. The scintigraphy confirmed multifocal peritoneal splenosis in the abdominopelvic cavity.

Quantitative Evaluation of Liver Function with Hepatic Receptor Scintigraphy using Tc-99m Galactosylated Serum Albumin (GSA) (Tc-99m Galactosylated Serum Albumin (GSA)을 이용한 정량적 간수용체 영상술)

  • Lee, Jae-Tae
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.4
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    • pp.305-313
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    • 1998
  • The reduction in the amount of asialoglycoprotein (ASGP) receptor, which resides exclusively on the plasma membrane of functioning mammalian hepatocytes, as a consequence of hepato-cellular damage has been demonstrated in various pathologic conditions of the liver. Galac-tosylated human serum albumin (GSA) is a newly developed receptor-binding agent, specific for the ASGP receptor. Tc-99m GSA binds quantitatively to liver ASGP receptors and the rate of accumulation in the liver is dependent on hepatic function represented as the amount of receptor, as well as the amount of ligand injected, its affinity to the receptor and the hepatic blood flow. The findings of Tc-99m GSA scintigraphy were reported to reflect the hepatic function of the patients with large hepatic tumors, obstructive jaundice, acute and chronic liver disease. Tc-99m GSA scintigraphy is an easy and reliable test and has the clinical potentials to evaluate the liver function in the patients with hepatic disorders.

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Submandibular sialolithiasis with CT and scintigraphy: CT values and salivary gland excretion in the submandibular glands

  • Ogura, Ichiro;Hayama, Kazuhide;Sue, Mikiko;Oda, Takaaki;Sasaki, Yoshihiko
    • Imaging Science in Dentistry
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    • v.47 no.4
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    • pp.227-231
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    • 2017
  • Purpose: Sialolithiasis is one of the most prevalent large obstructive disorders of the submandibular glands. The aim of this study was to investigate submandibular sialolithiasis with computed tomography (CT) and scintigraphy, with a particular focus on the relationship between CT values of the submandibular glands and their excretion rate. Materials and Methods: Fifteen patients with submandibular sialolithiasis who underwent CT and salivary gland scintigraphy were included in this study. The relationship between the CT values of submandibular glands with and without sialoliths and salivary gland excretion measured using salivary gland scintigraphy was statistically analyzed. Dynamic images were recorded on the computer at 1 frame per 20 seconds. The salivary gland excretion fraction was defined as A (before stimulation test [counts/frame]) / B (after stimulation test [counts/frame]) using time-activity curves. Results: The CT values in the submandibular glands with and without sialoliths was $9.9{\pm}44.9$ Hounsfield units(HU) and $34.2{\pm}21.8HU$, respectively (P=.233). Regarding the salivary gland excretion fraction using scintigraphy, the A/B value in the submandibular glands with sialoliths ($1.09{\pm}0.23$) was significantly lower than in the submandibular glands without sialoliths($1.99{\pm}0.57$, P=.000). Conclusion: Assessments of the CT values and the salivary gland excretion fraction using scintigraphy in the submandibular glands seem to be useful tools evaluating submandibular sialolithiasis.