Revista Espa?ola de Medicina Nuclear (English Edition)最新文献_第10页

Evaluation by “statistical parametric mapping” of cerebral perfusion changes in patients with carotid artery stenosis after endarterectomy 颈动脉内膜切除术后颈动脉狭窄患者脑灌注变化的“统计参数映射”评价

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70001-2

L. Rodríguez-Bel , J. Mora Salvadó , M. Bajén Lázaro , R. Puchal Añé , I. Sancho Kolster , S. Guirao Marín , A. Doménech Vilardell , C. Sánchez Catasus , M. Font Padrós , Y. Krupinspy , J. Martín Comín

{"title":"Evaluation by “statistical parametric mapping” of cerebral perfusion changes in patients with carotid artery stenosis after endarterectomy","authors":"L. Rodríguez-Bel , J. Mora Salvadó , M. Bajén Lázaro , R. Puchal Añé , I. Sancho Kolster , S. Guirao Marín , A. Doménech Vilardell , C. Sánchez Catasus , M. Font Padrós , Y. Krupinspy , J. Martín Comín","doi":"10.1016/S1578-200X(10)70001-2","DOIUrl":"https://doi.org/10.1016/S1578-200X(10)70001-2","url":null,"abstract":"<div><p>The efficacy of carotid endartectomy (CE) in cerebrovascular accidents produced by carotid stenosis can be evaluated with the cerebral perfusion with single photon emission tomography, using statistical parametric mapping (SPM).</p></div><div><h3>Material and methods</h3><p>Twelve patients with significant carotid stenosis who underwent endartectomy were included in the study. All underwent a cerebral perfusion study with <sup>99m</sup>Tc-ethylene dicysteine diethyl ester (ECD) at baseline and after the endartectomy. Using SPM, the baseline/post-surgery study was compared independently with the control group made up of 20 patients and the corresponding parametric statistical mappings were obtained. Changes in extension (k<sub>E</sub> or voxel number) and intensity (change in the T value) of the significantly hypoperfused zones and direction of these changes were evaluated.</p></div><div><h3>Results</h3><p>In the group of 12 patients, improvement of the post-surgical cerebral perfusion was observed in 5 patients with an average 50.56% decrease in the extension of the hypoperfused zones and average 30.9% decrease of intensity. Four patients showed an average 85.53% increase in the extension of cerebral hypoperfusion and of 34.21% in intensity. No significant changes between both studies were found in three patients.</p></div><div><h3>Conclusions</h3><p>SPM has been shown to be a useful tool that makes it possible to objectify the cerebral blood flow changes produced after the surgical intervention, evaluating the changes in extension and intensity of the significantly hypoperfused zones.</p></div>","PeriodicalId":101111,"journal":{"name":"Revista Espa?ola de Medicina Nuclear (English Edition)","volume":"29 1","pages":"Pages 3-7"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1578-200X(10)70001-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91713683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bone scintigraphy and scintigraphy with 111In-Octreotide in the diagnosis of bone metastasis in bronchial carcinoid tumor 骨显像及111in -奥曲肽显像对支气管类癌骨转移的诊断价值

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70007-3

F. Pérez Ángel, J. Sánchez Catalicio, L. Mohamed Salem, M.I. Castellón Sánchez, J.L. Navarro Fernández, M.A. Claver Valderas

引用次数: 0

Evaluation of the quality of the sentinel lymph node biopsy procedure in patients with breast cancer 评价乳腺癌患者前哨淋巴结活检的质量

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70027-9

M. Pajares, J.M. Freire, P. Moreno, A. Utor, A. Tocino, E. Alonso

{"title":"Evaluation of the quality of the sentinel lymph node biopsy procedure in patients with breast cancer","authors":"M. Pajares, J.M. Freire, P. Moreno, A. Utor, A. Tocino, E. Alonso","doi":"10.1016/S1578-200X(10)70027-9","DOIUrl":"10.1016/S1578-200X(10)70027-9","url":null,"abstract":"<div><p>The Sentinel Lymph Node Biopsy (SLNB) has been demonstrated to be a safe alternative to axillary lymph node dissection in breast cancer staging. The multidisciplinary team must do it with rigor and demonstrate that they have fulfilled some essential criteria.</p></div><div><h3>Objective</h3><p>To evaluate the quality of the procedure in the Breast Pathology Unit of Hospital Puerta del Mar, using the self-evaluation guidelines of the Spanish Society of Senology and Breast Pathology.</p></div><div><h3>Material and method</h3><p>These guidelines establish some objective and measurable evaluation criteria related to the aspects that intervene in the SLNB. Each criterion is associated to 4 levels of quality standards. There are 3 essential criteria of mandatory fulfillment to implement SLNB in the clinical practice. They evaluate care experience (6 criteria), operative aspects (18 criteria, 3 essential) and scientific activity (8 indicators).</p><p>The initial validation phase included 50 patients and the application phase 120 patients (February 2009).</p></div><div><h3>Results</h3><p>Three essential criteria related to the detection of the sentinel node (98%), accredited sensitivity (90%), and mean number of axillary sentinel nodes (2.1) were fulfilled. The application of self-evaluation guidelines in our Unit obtained a global score of 39 out of 71 points, quality level II being the most prevalent.</p></div><div><h3>Conclusion</h3><p>During the validation phase, our unit fulfilled the criteria established to implement the procedure. Following that, the use of this guideline accredits the good practice of the SLNB procedure and makes it possible to identify the areas of improvement, in our case, those related to the scientific and training activities.</p></div>","PeriodicalId":101111,"journal":{"name":"Revista Espa?ola de Medicina Nuclear (English Edition)","volume":"29 5","pages":"Pages 236-240"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1578-200X(10)70027-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84423531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Short exercise-rest versus long myocardial perfusion gated SPECT protocols in patients with ischemic cardiomyopathy 缺血性心肌病患者的短时间运动-休息与长时间心肌灌注门控SPECT方案

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70046-2

J. Candell-Riera , G. Romero-Farina , S. Aguadé-Bruix , J. Castell-Conesa , V. Aliaga , G. Cuberas-Borrós , D. García-Dorado

{"title":"Short exercise-rest versus long myocardial perfusion gated SPECT protocols in patients with ischemic cardiomyopathy","authors":"J. Candell-Riera , G. Romero-Farina , S. Aguadé-Bruix , J. Castell-Conesa , V. Aliaga , G. Cuberas-Borrós , D. García-Dorado","doi":"10.1016/S1578-200X(10)70046-2","DOIUrl":"https://doi.org/10.1016/S1578-200X(10)70046-2","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to analyze left systolic ventricular function and myocardial perfusion characteristics between short one day exercise-rest and long two days gated SPECT (Single Photon Emission Computed Tomography) protocols in patients with ischemic cardiomyopathy (ICM).</p></div><div><h3>Methods</h3><p>A prospective study of 40 patients (59.6±8.9 years, 3 women) with IHD (left ventricular ejection fraction (EF) ≤40%) was performed with myocardial perfusion gated SPECT. From 5 to 10 days after a one-day exercise-rest study (gated SPECT-1), patients were called back for a second rest study (gated SPECT-2) in order to compare EF and differences in perfusion summed rest score (ΔSRS=SRS1-SRS2) and summed difference score (ΔSDS=SDS1-SDS2) between both protocols.</p></div><div><h3>Results</h3><p>Between rest-gated SPECT-1 (short protocol) and rest-gated SPECT-2 (long protocol) EF increased (34% vs 37%, P=0.008) in 26 patients (65%), and in 11 patients (27.5%) the increase was ≥5%. There were no significant differences in clinical and coronary angiography variables between patients with and without increase of the EF ≥5%. In the multivariate analysis, ΔSRS (95% CI: −1.1 to −29.2) and ΔSDS (0.179–1.236) were predictors for this EF increase between both studies.</p></div><div><h3>Conclusions</h3><p>Exercise-rest short protocol can underestimate EF in patients with ICM. Stunning but also contamination of rest images by previous exercise images in a short protocol could explain these results.</p></div>","PeriodicalId":101111,"journal":{"name":"Revista Espa?ola de Medicina Nuclear (English Edition)","volume":"29 4","pages":"Pages 151-156"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1578-200X(10)70046-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136554611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Image fusion of gated SPECT and CT angiography in coronary artery disease. Importance of anatomic-functional correlation 门控SPECT与CT血管造影在冠状动脉疾病中的图像融合。解剖功能相关性的重要性

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70040-1

M. Nazarena Pizzi , S. Aguadé Bruix , H. Cuéllar Calabria , V. Aliaga , J. Candell Riera

引用次数: 0

Renal graft artery thrombosis diagnosed by 99mTc-MAG3 renal scan in a patient with polycystosis 99mTc-MAG3肾扫描诊断肾移植动脉血栓1例多囊症

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70008-5

B. Domenech, D. Fuster, S. Haddad, X. Setoain, S. Lafuente, F. Pons

引用次数: 0

Angiosarcoma of the scalp. Extent study with PET-CT 头皮血管肉瘤。PET-CT范围研究

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70014-0

P. Sopena , E. Uruburu , P. Abreu , A. Giménez , B. Martínez , C. Martínez

引用次数: 0

Influence of extracardiac activity and perfusion abnormalities on myocardial perfusion gated SPECT parameters: Interobserver analysis 心外活动和灌注异常对心肌灌注门控SPECT参数的影响:观察者间分析

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70039-5

R. Jaimovich, D. Gutiérrez, H. Lavados, C. Aqueveque, L. Quevedo, R. Alay, T. Massardo

{"title":"Influence of extracardiac activity and perfusion abnormalities on myocardial perfusion gated SPECT parameters: Interobserver analysis","authors":"R. Jaimovich, D. Gutiérrez, H. Lavados, C. Aqueveque, L. Quevedo, R. Alay, T. Massardo","doi":"10.1016/S1578-200X(10)70039-5","DOIUrl":"10.1016/S1578-200X(10)70039-5","url":null,"abstract":"<div><h3>Objective</h3><p>Extracardiac activity (ECA) may affect interpretation of gated SPECT myocardial perfusion studies (MPSs). To solve this problem, available softwares include myocardial edge delimitation.</p></div><div><h3>Purpose</h3><p>To evaluate the influence of ECA in automatic myocardial edge detection under normal conditions and with abnormal perfusion and also evaluate the reproducibility of semi-automatic processing.</p></div><div><h3>Methods</h3><p>A total of 100 MPSs, 50 with ECA, were analyzed. Each subgroup included 25 cases with perfusion abnormalities. The cases were processed automatically and by 4 independent operators with different levels of experience. Commercial QGS and QPS softwares were used with tools to mask and relocate the left ventricle area. Functional parameters (final diastolic and systolic volumes and ejection fraction) and perfusion parameters such as the reversibility perfusion score and rest perfusion defect extension were analyzed. The data were compared with Pearson's correlation and Student's test.</p></div><div><h3>Results</h3><p>Interobserver correlation significantly worsened with the presence of ECA and was moderately affected by perfusion abnormalities. More experienced observers presented better correlation. Reproducibility was greater for the functional perfusion parameters, independently of the observer's experience.</p></div><div><h3>Conclusions</h3><p>ECA significantly affects automatic edging delimitation, affecting the MPS values. Interobserver reproducibility with manual processing was more altered regarding funtional parameters than in the perfusion scores. Perfusion abnormalities did not interfere with software reproducibility, and when present, better correlation was found. If ECA is not present, manual intervention should be avoided.</p></div>","PeriodicalId":101111,"journal":{"name":"Revista Espa?ola de Medicina Nuclear (English Edition)","volume":"29 6","pages":"Pages 293-298"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1578-200X(10)70039-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85430154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the anxiety state in patients receiving radioiodine treatment or who undergo a sentinel lymph node examination in the Nuclear Medicine Department 核医学科接受放射性碘治疗或前哨淋巴结检查患者焦虑状态的评价

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70010-3

A. Domènech , P. Notta , A. Benítez , D. Ramal , L. Rodríguez-Bel , C. Massuet , J. Martín-Comín

{"title":"Evaluation of the anxiety state in patients receiving radioiodine treatment or who undergo a sentinel lymph node examination in the Nuclear Medicine Department","authors":"A. Domènech , P. Notta , A. Benítez , D. Ramal , L. Rodríguez-Bel , C. Massuet , J. Martín-Comín","doi":"10.1016/S1578-200X(10)70010-3","DOIUrl":"10.1016/S1578-200X(10)70010-3","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the presence of anxiety in patients referred to a Nuclear Medicine Department (NMD).</p></div><div><h3>Material and methods</h3><p>A total of 148 patients were included: 67 were referred for radioiodine therapy, 48 with hyperthyroidism (HT), 19 with differentiated thyroid carcinoma (DTC), and 81 were referred for detection and biopsy of the sentinel node in breast cancer (BC).</p><p>The following documents were filled out: personal data, a state-trait anxiety inventory (STAI), a scale of pre-disposing factors causing anxiety and an information questionnaire.</p><p>Anxiety-predisposing factors and the influence of the information on the presence of anxiety were studied.</p></div><div><h3>Results</h3><p>HT patients: 47% had anxiety in the moment of the visit that was not related to the level of information received. The factor that worried them the most was the radioiodine administration. Being the first visit to a NMD significantly influenced (<em>p</em> < 0.05) on the presence of anxiety.</p><p>DTC patients: 42% had anxiety in the moment of the visit not related to the level of information received. The factor that worried them the most was the illness itself. No factor had a significant influence on the presence of anxiety.</p><p>BC patients: 53% had anxiety in the moment of the visit that was not related to the level of information received. What worried them the most were the results. Having anxiety and/or depression significantly influenced (<em>p</em> < 0.05) the presence of anxiety.</p></div><div><h3>Conclusion</h3><p>The quantity of information given before a procedure in a NMD does not influence the presence of anxiety. Nevertheless, it is our duty to give the best possible information.</p></div>","PeriodicalId":101111,"journal":{"name":"Revista Espa?ola de Medicina Nuclear (English Edition)","volume":"29 2","pages":"Pages 63-72"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1578-200X(10)70010-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85502363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Radioguided surgery of intestinal carcinoid tumor relapse. Role of SPECT-CT 放射引导手术治疗肠类癌复发。SPECT-CT的作用

Revista Espa?ola de Medicina Nuclear (English Edition) Pub Date : 2010-01-01 DOI: 10.1016/S1578-200X(10)70050-4

J. Serrano Vicente , M.L. Domínguez Grande , J.R. Infante De La Torre , C. Duran Barquero , L. Garcia Bernardo , J.I. Rayo Madrid , I. Pérez Andrés , R. Sánchez Sánchez

引用次数: 3