Japanese |
Title | 201Tl-chlorideによる副甲状腺腫瘍の描出 |
Subtitle | 研究速報 |
Authors | 福永仁夫*, 藤田透*, 米倉義晴*, 土光茂治*, 山本逸雄*, 森田陸司*, 鳥塚莞爾* |
Authors(kana) | |
Organization | *京都大学医学部放射線核医学科 |
Journal | 核医学 |
Volume | 16 |
Number | 3 |
Page | 327-331 |
Year/Month | 1979/5 |
Article | 報告 |
Publisher | 日本核医学会 |
Abstract | 「1. はじめに」近年, 血中カルシウム (Ca) 値が, ルーチンに測定されるようになって以来, 原発性副甲状腺機能亢進症 (PHP) の発見が容易になった. PHPの大部分の症例は, 手術により治癒が可能であるので, 術前に副甲状腺の病変部位を正確に知ることが, 手術侵襲と再手術の危険性を軽減するのに重要である. 術前の異常副甲状腺の局在診断として, angiography, lymphography, ultrasonotomography, thermography, computed tomography, scintigraphyおよび選択的甲状腺静脈サンプリングとその副甲状腺ホルモン (PTH) の測定などが行なわれている. これらの診断法のうち, 副甲状腺腫瘍の検出率が高いものは, 手技は煩雑で, しかも時間がかかる. 一方, 非侵襲な方法は信頼性に乏しいという欠点を有する. 今回, われわれは201Tl-chloride (Tl-Cl) を用いて過機能副甲状腺の描出を, 2例のPHP患者に試みたので報告する. |
Practice | 臨床医学:一般 |
Keywords | 201Tl-chloride, Primary Hyperparathyroidism, Pre-operative Localization, Parathyroid Adenoma |
English |
Title | Visualization of Parathyroid Tumor with 201Tl-Chloride |
Subtitle | Rapit Communication |
Authors | Masao FUKUNAGA, Toru FUJITA, Yoshiharu YONEKURA, Shigeharu DOKOH, Itsuo YAMAMOTO, Rikushi MORITA, Kanji TORIZUKA |
Authors(kana) | |
Organization | Department of Radiology and Nuclear Medicine, Kyoto University Hospital |
Journal | The Japanese Journal of nuclear medicine |
Volume | 16 |
Number | 3 |
Page | 327-331 |
Year/Month | 1979/5 |
Article | Report |
Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
Abstract | [Summary] In order to delineate the hyperfunctioning Parathyroid gland, a 201Tl-chloride scan was performed on two cases with primary hyperparathyroidism. After the injection of 201Tl-chloride of 2mCi, the serial scintiphoto on the neck and mediastinum were obtained. On the both cases, the abnormal accumulation of the tracer was obtained in the region of the right lower pole of the thyroid. Simultaneously the thyroid scan with 123I or 99mTO4-was done to eliminate the possibility of the uptake by the thyroid. These abnormal accumulations, extra-thyroidal, of 201Tl-chloride were confirmed to be the parathyroid adenoma by the neck surgery. The imaging of the hyperfunctioning parathyroid gland by 201Tl-chloride was thought to be useful for the detection of the localization of parathyroid adenoma. |
Practice | Clinical medicine |
Keywords | 201Tl-chloride, Primary Hyperparathyroidism, Pre-operative Localization, Parathyroid Adenoma |