{"title":"Aplicaciones neurológicas de la gammagrafía de inervación miocárdica con 123-I-MIBG","authors":"J.M. Jiménez-Hoyuela García","doi":"10.1016/j.remn.2011.02.001","DOIUrl":"10.1016/j.remn.2011.02.001","url":null,"abstract":"","PeriodicalId":54464,"journal":{"name":"Revista Espanola De Medicina Nuclear","volume":"30 3","pages":"Pages 197-204"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.remn.2011.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29770755","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}
G. Romero-Farina , J. Candell-Riera , S. Aguadé-Bruix , J. Castell-Conesa , D. García-Dorado
{"title":"Impacto de la gated-SPECT de perfusión miocárdica en la indicación de una coronariografía en pacientes con disfunción ventricular izquierda de origen isquémico","authors":"G. Romero-Farina , J. Candell-Riera , S. Aguadé-Bruix , J. Castell-Conesa , D. García-Dorado","doi":"10.1016/j.remn.2010.12.006","DOIUrl":"10.1016/j.remn.2010.12.006","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this study was to analyze how the myocardial perfusion gated-SPECT (Single Photon Emission Computed Tomography) influences the practice of a coronary angiography in patients with ischemic cardiomyopathy (IM).</p></div><div><h3>Patients and methods</h3><p>A total of 120 consecutive patients (mean age: 64.9<!--> <!-->±<!--> <!-->11.5 years, 25 female) with IM (left ventricular ejection fraction ≤40%) and without previous coronary angiography were evaluated by myocardial perfusion gated-SPECT (96 stress-rest and 24 only at rest). The ventricular ejection fraction (EF) was obtained at rest by gated-SPECT in all patients. The ischemic origin of the systolic dysfunction was established by means of coronary angiography in 64 patients and by previous myocardial infarction in the rest. Gated-SPECT results of these 64 patients were compared with those of 56 patients in whom coronary angiography had not been indicated.</p></div><div><h3>Result</h3><p>Scintigraphic myocardial ischemia (HR: 5.2; CI 95%: 2.68 to 10.35) in patients who were able to perform the stress-rest test) and who had severely impaired EF (<30%) (HR: 0.9; CI 95%: 0.89 to 0.99) were the best independent predictors of coronary angiography. On the contrary, scintigraphic criteria of viability were not a determinant, from the statistical point of view, of coronary angiography in this series.</p></div><div><h3>Conclusions</h3><p>In patients with IM, demonstration of ischemia and severe reduction of the EF, but not detection of viable myocardium, prompted the performance of coronary angiography.</p></div>","PeriodicalId":54464,"journal":{"name":"Revista Espanola De Medicina Nuclear","volume":"30 3","pages":"Pages 141-146"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.remn.2010.12.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29806195","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}
D. Boj Carceller , P. Liévano Segundo , P. Navarro Beltrán , A. Sanz París , P. de Castro Hernández , M. Monreal Villanueva , D. Abós Olivares
{"title":"Resultados a corto plazo del tratamiento con 131I en pacientes con bocio multinodular: influencia del grado de hipertiroidismo asociado y otras variables","authors":"D. Boj Carceller , P. Liévano Segundo , P. Navarro Beltrán , A. Sanz París , P. de Castro Hernández , M. Monreal Villanueva , D. Abós Olivares","doi":"10.1016/j.remn.2011.01.004","DOIUrl":"10.1016/j.remn.2011.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the effectiveness of radioactive iodine (RAI) therapy and the incidence of hypothyroidism post RAI in patients with subclinical hyperthyroidism or clinical hyperthyroidism with Multinodular Goiter (MNG).</p></div><div><h3>Methods</h3><p>A retrospective study of 69 consecutive patients treated with <sup>131</sup>I for MNG during the year 2008 observed for six months. All patients received a single fixed dose of 16 mCi (592 MBq) weighted by the gland size. They were categorized into two groups: subclinical hyperthyroidism or clinical hyperthyroidism. We compared the success rate and the incidence of hypothyroidism.</p></div><div><h3>Results</h3><p>The thyroid dysfunction was corrected in 82.09% of the patients. Success rate was 100% in the clinical hyperthyroidism group and 78.13% in the subclinical hyperthyroidism group (<em>P</em> <!-->=<!--> <!-->0.105). The overall incidence of hypothyroidism was 16.42%; 25.00% of patients with clinical hyperthyroidism and 14.55% with subclinical hyperthyroidism developed this secondary effect (<em>P</em> <!-->=<!--> <!-->0.400). No statistically significant differences were found in the success rate in the incidence of hypothyroidism when the results were analyzed according to the thyrotropin decrease in patients with subclinical hyperthyroidism. Seven patients had positive anti-thyroid peroxidase antibodies (anti-TPO) before therapy. The incidence of hypothyroidism was significantly higher in them (57.14% vs 11.67%; <em>P</em> <!-->=<!--> <!-->0.011). Cardiac arrhythmias were four times more frequent in patients with clinical hyperthyroidism. Previous treatment with thiamazol positively affected the outcome.</p></div><div><h3>Conclusions</h3><p>A single fixed weighted dose of <sup>131</sup>I is highly effective and safe for the control of clinical and subclinical hyperthyroidism due to MNG. Patients with anti-TPO antibodies may have a high risk of developing post-iodine hypothyroidism.</p></div>","PeriodicalId":54464,"journal":{"name":"Revista Espanola De Medicina Nuclear","volume":"30 3","pages":"Pages 156-161"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.remn.2011.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29806605","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}
I. Lanchas Alfonso , M.B. Miguel Martínez , J.F. CuezvaGuzmán , P. Rupérez Arribas , S. Martínez Blanco , J.M. Yartu San Millán , J.J. Duque Gallo
{"title":"Inyección intratumoral versus subareolar en el diagnóstico de la biopsia del ganglio centinela, en el carcinoma de mama. A propósito de un caso","authors":"I. Lanchas Alfonso , M.B. Miguel Martínez , J.F. CuezvaGuzmán , P. Rupérez Arribas , S. Martínez Blanco , J.M. Yartu San Millán , J.J. Duque Gallo","doi":"10.1016/j.remn.2010.07.006","DOIUrl":"10.1016/j.remn.2010.07.006","url":null,"abstract":"<div><p>The use of deep (intratumoral, peritumoral) and superficial (subdermal, subareolar) administration is recognized as valid in sentinel lymph node biopsy for breast cancer. Herein, we are presenting a clinical case in which a personalized methodology was a determining factor in axillary staging.</p><p>Initially, the radiotracer was injected intratumorally guided by ultrasound. The ultrasound scan identified a previously unknown axillary lymphadenopathy, with focal cortical thickening, this being a non-specific ultrasound finding, but with possibility of biopsy.</p><p>The lymphoscintigraphy did not show uptake in the mentioned node, hence, a second subareolar dose was administered. On this occasion, the lymphoscintigraphy detected drainage to the sentinel node, which was the only one positive for micrometastases.</p></div>","PeriodicalId":54464,"journal":{"name":"Revista Espanola De Medicina Nuclear","volume":"30 3","pages":"Pages 171-173"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.remn.2010.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29690155","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}
{"title":"PET-TAC: estructura y calidad del informe","authors":"J. Fernández Sánchez","doi":"10.1016/j.remn.2010.10.015","DOIUrl":"10.1016/j.remn.2010.10.015","url":null,"abstract":"<div><p>PET-CT has the inherent methodological difficulty of having to report on two different diagnostic modalities combined and fused into one. Therefore, the PET-CT report may be very extensive and sometimes even confusing for the referring physicians. In order to make a clear and concise written transcription of the results, a standardized, formatted report (“PET-CT-compact-report”) is proposed and discussed. In this way, better acceptance of the PET/CT report can be obtained from the referring physicians. This could also provide a positive influence on health administrators to make the decision to extend the use of PET-CT equipment to the majority of the hospitals.</p></div>","PeriodicalId":54464,"journal":{"name":"Revista Espanola De Medicina Nuclear","volume":"30 3","pages":"Pages 191-196"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.remn.2010.10.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29787953","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}