Clin Nuclear Med最新文献

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Quantitative Analysis of Regional Wall Motion and Thickening by Quantitative Gated SPECT: Comparison with Visual Analysis 定量门控SPECT定量分析局部壁运动和增厚:与目视分析的比较
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00004
M. Konno, K. Morita, I. Adachi, Yoshinori Ito, T. Kohya, A. Kitabatake, E. Tsukamoto, N. Tamaki
{"title":"Quantitative Analysis of Regional Wall Motion and Thickening by Quantitative Gated SPECT: Comparison with Visual Analysis","authors":"M. Konno, K. Morita, I. Adachi, Yoshinori Ito, T. Kohya, A. Kitabatake, E. Tsukamoto, N. Tamaki","doi":"10.1097/00003072-200103000-00004","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00004","url":null,"abstract":"Purpose Electrocardiograph-gated myocardial SPECT permits a quantitative assessment of global and regional functions by quantitative gated SPECT software. To validate quantitative indexes of wall motion and wall thickening, the authors compared these indexes with visual scores. Materials and Methods Gated myocardial SPECT was performed 60 minutes after the administration of Tc-99m sestamibi at rest in 42 patients with coronary artery disease. Regional wall motion (measured in millimeters and wall thickening (expressed as a percentage) were calculated by quantitative gated SPECT software in nine left ventricular myocardial segments and the results were compared with the five-point visual score interpretations of cinematic display. Results A high correlation of wall motion was observed between the quantitative and visual analyses (r = 0.810;P < 0.001). In addition, a high but somewhat less significant correlation of wall thickening was observed between the quantitative and visual analyses (r = 0.606;P < 0.001). Conclusions In conclusion, regional wall motion and wall thickening can be evaluated quantitatively by electrocardiograph-gated myocardial SPECT and quantitative gated SPECT software. This will be useful for functional assessments made with various interventions.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125061097","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
Utility of Tc-99m GSA Whole-Body Scintigraphy in Detecting Bone Metastases from Hepatocellular Carcinoma Tc-99m GSA全身显像检测肝细胞癌骨转移的应用
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00008
K. Sueyoshi, Taizo Aratani, K. Doi, T. Komori, Y. Ogura, K. Utsunomiya, T. Shimidzu
{"title":"Utility of Tc-99m GSA Whole-Body Scintigraphy in Detecting Bone Metastases from Hepatocellular Carcinoma","authors":"K. Sueyoshi, Taizo Aratani, K. Doi, T. Komori, Y. Ogura, K. Utsunomiya, T. Shimidzu","doi":"10.1097/00003072-200103000-00008","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00008","url":null,"abstract":"Recent advances in the treatment of hepatocellular carcinoma (HCC) have prolonged patient survival. However, the number of patients with bone metastases identified during follow-up examinations has increased. Tc-99m Sn-N-pyridoxy-5-methyltryptophan (Tc-99m PMT) has been reported to accumulate at a high rate in HCC lesions and bone metastases. In the patient described here, whole-body scintigraphy showed accumulation of DTPA galactosyl human serum albumin (Tc-99m GSA) and Tc-99m PMT in bone metastases from HCC. The authors suggest that asialoglycoprotein receptors may be present in bone metastases from well-differentiated HCC. Tc-99m GSA whole-body imaging can be used to detect bone metastases from HCC and to evaluate hepatic reserve.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"275 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129941479","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
Pelvic Metastases from Pancreatic Carcinoma: A Pattern Observed on Bone Scan 胰腺癌盆腔转移:骨扫描观察的一种模式
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00010
Jack D. Lyons, B. Alibazoglu, J. Harris, Amjad Ali, E. Hollinger
{"title":"Pelvic Metastases from Pancreatic Carcinoma: A Pattern Observed on Bone Scan","authors":"Jack D. Lyons, B. Alibazoglu, J. Harris, Amjad Ali, E. Hollinger","doi":"10.1097/00003072-200103000-00010","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00010","url":null,"abstract":"Metastases to the bony pelvis is an unusual pattern of the spread of primary pancreatic tumors. The authors report the presence of metastatic disease in the bony pelvis observed on bone scans in several patients who had been treated recently for pancreatic carcinoma. When bone scans that show metastatic disease in the pelvis are evaluated in patients with unknown primaries, the diagnosis of pancreatic carcinoma should be considered.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126144299","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
Asymptomatic Large Main Pulmonary Artery Thromboembolism with a Low-Probability Ventilation–Perfusion Lung Scan 无症状大主干血栓栓塞伴低概率肺通气灌注扫描
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00007
A. Civelek, E. A. Wang, L. Barr, B. Urban, J. Eng
{"title":"Asymptomatic Large Main Pulmonary Artery Thromboembolism with a Low-Probability Ventilation–Perfusion Lung Scan","authors":"A. Civelek, E. A. Wang, L. Barr, B. Urban, J. Eng","doi":"10.1097/00003072-200103000-00007","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00007","url":null,"abstract":"&NA; The incidence of the interpretation of low-probability lung scans in asymptomatic patients with large central pulmonary embolisms and the prognostic implication of the ventilation–perfusion scan appearance in this clinical setting is not documented.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130636100","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
Tc-99m DTPA Renography in Patients with Collagen Disease Tc-99m DTPA成像在胶原蛋白疾病患者中的应用
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00001
Mikio Tezuka, Y. Murata, R. Ishida, Y. Sawada, H. Shibuya
{"title":"Tc-99m DTPA Renography in Patients with Collagen Disease","authors":"Mikio Tezuka, Y. Murata, R. Ishida, Y. Sawada, H. Shibuya","doi":"10.1097/00003072-200103000-00001","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00001","url":null,"abstract":"Purpose This study evaluated the use of Tc-99m DTPA renography in patients with collagen disease. Materials and Methods Tc-99m DTPA renal scintigraphy was performed in 28 patients with clinically diagnosed collagen disease. Twenty-two other patients who underwent renal scintigraphy and were subsequently shown to have no kidney abnormalities served as the control group. Results One quarter of the patients with collagen disease had abnormal findings of renography, despite the absence of abnormal laboratory data. Renograms were 100% sensitive for the detection of renal disease in patients with collagen disease, and their specificity was 53% when serum blood urea nitrogen, serum creatinine concentration, and proteinurea were the only measures of renal impairment considered. The glomerular filtration rate was not significantly different between the groups, but the bilateral time to peak was significantly greater in the patients with collagen disease. Hydronephrosis was present in 7% of patients with collagen disease. Conclusion Renography is useful for detecting early changes of renal involvement when the clinical state of collagen disease is evaluated.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130298102","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: 2
False-Positive I-131 Accumulation in a Liver Cyst in a Patient with Thyroid Carcinoma 甲状腺癌患者肝囊肿中假阳性I-131积累
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00003
C. Okuyama, Y. Ushijima, M. Kikkawa, T. Yamagami, Kana Kobayashi, T. Hirota, T. Nishimura
{"title":"False-Positive I-131 Accumulation in a Liver Cyst in a Patient with Thyroid Carcinoma","authors":"C. Okuyama, Y. Ushijima, M. Kikkawa, T. Yamagami, Kana Kobayashi, T. Hirota, T. Nishimura","doi":"10.1097/00003072-200103000-00003","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00003","url":null,"abstract":"Iodine-131 uptake was seen in the right upper abdominal quadrant of a patient with postoperative differentiated thyroid cancer that corresponded with a large liver cyst.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126978410","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: 29
Tc-99m Infecton Scan in Possible Pelvic Inflammatory Disease Tc-99m感染扫描在可能的盆腔炎中的应用
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00005
R. Sharma, A. Mondal, Manisha Sharma, M. Popli, M. Chopra, K. Sawroop, R. Kashyap
{"title":"Tc-99m Infecton Scan in Possible Pelvic Inflammatory Disease","authors":"R. Sharma, A. Mondal, Manisha Sharma, M. Popli, M. Chopra, K. Sawroop, R. Kashyap","doi":"10.1097/00003072-200103000-00005","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00005","url":null,"abstract":"Tc-99m Infecton imaging was used to examine patients thought to have pelvic inflammatory disease (PID) based on clinical and sonographic findings. Twenty-one patients with PID had Tc-99m Infecton scans. Eleven patients underwent a second radionuclide scan after 1 month of antibiotic treatment. The diagnosis of PID was confirmed by laparoscopy in one patient who was later found to have a tubercular infection. In the remaining patients, the diagnosis was based on uterine tenderness, fever and lower abdominal pain that responded to antibiotics, and ultrasound findings. These patients had infection of the uterus, fallopian tubes, the cul-de-sac, or all of these. The Tc-99m Infecton scan appears to be useful in the diagnosis of possible PID and is recommended after a complete course of antibiotics for monitoring treatment response.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121008286","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: 11
Incidental Focal Thyroid Uptake on FDG Positron Emission Tomographic Scans May Represent a Second Primary Tumor FDG正电子发射断层扫描显示偶发局灶性甲状腺摄取可能代表第二原发肿瘤
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00002
Celso Dario Ramos, R. Chisin, Henry W. D. YEUNG, S. Larson, H. Macapinlac
{"title":"Incidental Focal Thyroid Uptake on FDG Positron Emission Tomographic Scans May Represent a Second Primary Tumor","authors":"Celso Dario Ramos, R. Chisin, Henry W. D. YEUNG, S. Larson, H. Macapinlac","doi":"10.1097/00003072-200103000-00002","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00002","url":null,"abstract":"Purpose This article discusses the value of incidental thyroid uptake of fluorodeoxyglucose (FDG) on whole-body positron emission tomography (PET) scans performed in patients with cancer. This issue has been reported diversely in the literature. Materials and Methods Whole-body PET scans of four patients with cancer (two of them women; age, 49 to 78 years) in whom focal thyroid uptake was visualized and subsequently correlated with thyroid carcinoma based on cytologic or histopathologic data were reviewed. The clinical outcomes of these patients were analyzed retrospectively. Maximum and average standardized uptake values (SUVs) of thyroid accumulation were recalculated in all patients. Results Two of the four patients referred for FDG PET scans had lung adenocarcinomas, one had prostrate carcinoma, and one had an unknown primary tumor. Focal thyroid uptake was visualized, with maximum and average SUVs ranging from 3.7 and 2.3 to 53 and 34, respectively. These findings were correlated with cytologic (two patients) or histopathologic data (two patients) that indicated thyroid carcinoma. In two patients, their treatment was changed and total thyroidectomy was performed; in one of them the SUVs of the focal thyroid accumulation (maximum and average values of 7.9 and 4.8, respectively) were less than the cutoff values for thyroid cancer noted in the literature. The clinical condition of the other two patients did not permit additional investigation or treatment for thyroid carcinoma. Conclusion Increased focal thyroid uptake on whole-body FDG PET scans should not be overlooked, even when it is not marked, and should prompt further investigation to rule out cancer.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121867197","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: 65
Microvascularized Fibular Graft for Mandibular Reconstruction: Detection of Viability by Bone Scintigraphy and SPECT 微血管化腓骨移植物用于下颌骨重建:骨显像和SPECT检测其生存能力
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00009
I. Hervás, L. MIGUEL FLORIA, P. Bello, MA CARMEN BAQUERO, R. Pérez, J. Barea, AM Eugenia Iglesias, A. Mateo
{"title":"Microvascularized Fibular Graft for Mandibular Reconstruction: Detection of Viability by Bone Scintigraphy and SPECT","authors":"I. Hervás, L. MIGUEL FLORIA, P. Bello, MA CARMEN BAQUERO, R. Pérez, J. Barea, AM Eugenia Iglesias, A. Mateo","doi":"10.1097/00003072-200103000-00009","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00009","url":null,"abstract":"Bone allografts are often used in reconstructive mandibular surgery, generally after extensive oncologic resection, post-traumatic pseudoarthrosis, or osteomyelitis. Vascularized fibular bone grafts have advantages compared with other bone grafts in the restoration of the contour and function of defective mandibles. Bone scintigraphy is often used to assess bone revascularization, because positive uptake of Tc-99m hydroxy methylene disphonate (HDP) reflects patent anastomoses and viability of the grafted bone. Mandibular reconstruction with a free fibular flap was performed in 11 patients. Bone scintigraphy and SPECT were applied in the follow-up of eight patients. The grafts were assessed semiquantitatively using a six-grade scoring system based on a comparison of tracer uptake in the graft and in the calvarium. Complications were observed in one graft. Planar scintigrams showed a tracer uptake greater than grade 5 in grafts with an uncomplicated course. SPECT was performed in addition to planar imaging in two patients who had greater graft uptake. A lack of tracer uptake was observed in the failed graft. Bone scintigraphy performed within the first week after the mandibular reconstruction is a useful tool to monitor the viability and early complications of microvascularized fibular grafts and plays an important role in the decision-making process during repeated surgical exploration. SPECT is more sensitive than planar imaging for assessing graft viability.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114366169","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: 40
Comparison of Tc-99m Sestamibi and Tl-201 Uptake in Multiple Myeloma Tc-99m与Tl-201在多发性骨髓瘤中摄取的比较
Clin Nuclear Med Pub Date : 2001-03-01 DOI: 10.1097/00003072-200103000-00006
Kyung Ah Chun, Ihn HO CHO, Kyu Chang Won, Kyung-Hee Lee, Hyung WOO LEE, Myung Soo Hyun, K. Hayashida
{"title":"Comparison of Tc-99m Sestamibi and Tl-201 Uptake in Multiple Myeloma","authors":"Kyung Ah Chun, Ihn HO CHO, Kyu Chang Won, Kyung-Hee Lee, Hyung WOO LEE, Myung Soo Hyun, K. Hayashida","doi":"10.1097/00003072-200103000-00006","DOIUrl":"https://doi.org/10.1097/00003072-200103000-00006","url":null,"abstract":"The authors report abnormal Tc-99m sestamibi (MIBI) and Tl-201 uptake in a 62-year-old patient with histologically and biochemically proved myeloma. Tl-201 imaging was undertaken for tumor evaluation, and 3 days later a Tc-99m MIBI study showed diffuse and focal marrow uptake with focal skull lesions, whereas Tl-201 did not show skull lesions. After treatment, follow-up Tc-99m MIBI whole-body imaging was performed and the marrow uptake was decreased.","PeriodicalId":236509,"journal":{"name":"Clin Nuclear Med","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130643151","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
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