| Japanese |
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| Title | 99mTcピリドキシリデンイソロイシンによる肝・胆道シンチグラフィの臨床的意義 |
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| Subtitle | 原著 |
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| Authors | 中野哲*, 綿引元*, 武田功*, 北村公男*, 市川秀男**, 金森勇雄**, 木村得次**, 佐々木常雄*** |
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| Organization | *大垣市民病院第二内科, **大垣市民病院特殊放射線センター, ***名古屋大学放射線科 |
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| Journal | 核医学 |
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| Volume | 15 |
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| Number | 3 |
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| Page | 325-333 |
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| Year/Month | 1978/5 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」肝, 胆道, 膵疾患の計21例について99mTc-PIによる肝・胆道シンチグラムを行った. 1)99mTc-PIによる肝・胆道シンチは従来から行われている131I-BSP, 131I-Rose Bengalによる肝・胆道シンチより明瞭な胆道像を描出しうる. 2)DICと対比すると47.6%は明らかに本法による肝・胆道シンチによる胆道像の方が優れていた. とくに肝内胆管の異常像を呈する肝内結石, 胆管癌などの肝内胆管病変の診断には極めて有用な検査法である. しかし右肝内胆管の描出は満足すべきものではなく, 今後の何らかの工夫が必要と思われる. 3)胆石症, とくに胆のう内結石の診断にはDICの方が優れていた. 4)中等度の黄疸例(T. B. 8.8 mg/dl)でも本法による肝・胆道シンチで胆道系が描出された例があり, 肝機能障害のためDICが不能の場合でも本法の適応となりうることがある. また, ヨード過敏症のためDICができない症例にも本法は適応となる. 5)肝シンチでみられる陰影欠損の性状の確認にも本法は有用な検査法である. 6)副作用は全く認めなかった. |
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| Practice | 臨床医学：一般 |
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| Keywords | Hepato-bilary Scintigraphy, 99mTc-pyridoxiridene isoleucine, obstructive jaundice. |
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| English |
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| Title | The Hepato - biliary Scan Using 99mTc - pyridoxylidene Isoleucine (99mTc - PI) and its Clinical Significance |
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| Subtitle | Original Articles |
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| Authors | S. NAKANO*, H. WATAHIKI*, I. TAKEDA*, K. KITAMURA*, H. ICHIKAWA**, I. KANAMORI**, T. KIMURA**, T. SASAKI*** |
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| Authors(kana) | |
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| Organization | *Ogaki Municipal Hospital, Second Department of Internal Medicine(Department of Gastroenterology), **Ogaki Municipal Hospital, Radioisotope Labolatory Section, ***Nagoya University Hospital, Radiology Department |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 15 |
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| Number | 3 |
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| Page | 325-333 |
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| Year/Month | 1978/5 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | 1. The hepato-biliary scan with 99Tc-PI was able to demonstrate the biliary system much more clearly than that using usual radiopharmaceuticals such as 131I-BSP or 131I-Rose Bengal. 2. The hepato-biliary scan with 99mTc-PI demonstrated the hepatobiliary system more clearly than DIC in 47.6% of all cases studied. Especially the demonstration of changes of intra-hepatic biliary tree in cases with intra-hepatic gall stone and cholangiocarcinoma was quite superior to DIC, although there was somewhat difficulty in getting information about the right hepatic duct. 3. For the diagnosis of gall stone in the gall bladder, DIC was more suitable than 99mTc-PI hepato-biliary scan. 4. The 99mTc-PI hepato-biliary scan was able to demonstrate the biliary system even in cases having moderate jaundice, in which cases DIC could not demonstrate the biliary system. 5. This 99mTc-PI hepato-biliary scan was proved to be useful in determing a certain cause of defects shown on the conventional liver scan. 6. No side effect was noticed in this series of the study. |
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| Practice | Clinical medicine |
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| Keywords | Hepato-bilary Scintigraphy, 99mTc-pyridoxiridene isoleucine, obstructive jaundice. |
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