| Japanese |
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| Title | 慢性甲状腺炎の201Tl-Chlorideシンチグラフィ |
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| Subtitle | 原著 |
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| Authors | 岡村光英*, 福田照男*, 沢久*, 井上佑一*, 中島秀行*, 越智宏暢*, 小野山靖人*, 森井浩世** |
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| Organization | *大阪市立大学医学部放射線科, **大阪市立大学医学部第二内科 |
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| Journal | 核医学 |
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| Volume | 19 |
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| Number | 6 |
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| Page | 909-918 |
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| Year/Month | 1982/7 |
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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」慢性甲状腺炎32症例に123Iおよび201Tl-chlorideによる甲状腺シンチグラフィを行った. 123Iシンチグラム上, 慢性甲状腺炎はびまん性均一像, まだら像, 部分欠損, 全欠損とさまざまな像を呈した. 201Tlシンチグラムでは201Tl-Choloride静注後10分のearlyスキャンで甲状腺全体に均一な強い集積が認められ, 3〜5時間後のdelayedスキャンではバックグラウンドより強いRI集積の残存を認め, 一定のパターンを示した. このことは慢性甲状腺炎の補助診断法の一つとして応用可能と考えられ, 201Tlシンチで甲状腺癌を診断する上にも慢性甲状腺炎がこのような一定のパターンを示す事実を知っておくことは重要なことと考えられた. さらに, 慢性甲状腺炎に合併した甲状腺癌の診断の可能性や, 123Iシンチグラム上全欠損を示す慢性甲状腺炎と甲状腺全体が癌によって占められている場合の123Iシンチグラム上の鑑別診断についても考察した. |
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| Practice | 臨床医学：一般 |
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| Keywords | Chronic thyroiditis, 201Tl thyroid scintigraphy, 123I thyroid scintigraphy. |
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| English |
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| Title | Clinical Usefulness of the 201Tl-Chloride Scintigraphy in the Chronic Thyroiditis |
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| Subtitle | |
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| Authors | Terue OKAMURA*, Teruo FUKUDA*, Hisashi SAWA*, Yuichi INOUE*, Hideyuki NAKAZIMA*, Hironobu OCHI*, Yasuto ONOYAMA*, Hirotoshi MORII** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, Osaka City University Medical School, **2nd Department of Internal Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 19 |
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| Number | 6 |
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| Page | 909-918 |
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| Year/Month | 1982/7 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]The thyroid scintigraphy with 123I and 201Tl-Chloride was performed for 32 patients with clinically proven chronic thyroiditis. Iodine-123 scintigrams showed various appearances, which were diffusely enlarged, mottled, cold nodullar and non visualizing patterns. The mottled pattern was the most common and seen in 16 out of 32 patients (50%). On the other hand, the 201Tl early scintigram performed within 15 minutes after intravenous injection demonstrated homogeneous high activity in the whole thyroid gland and in the 201Tl delayed scintigram performed 3 hours after the injection, the accumulation of 201Tl remained in the whole thyroid gland relatively strong compared to the background activity. The possibility to detect coexisting thyroid carcinoma in the chronic thyroiditis was described. Differential points between chronic thyroiditis and analplastic carcinoma involving whole thyroid gland in which thyroid gland was not visualized with 123I scintigram was discussed. We believe that 201Tl early and delayed scintigrams could be one of useful non-invasive methods to diagnose chronic thyroiditis. |
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| Practice | Clinical medicine |
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| Keywords | Chronic thyroiditis, 201Tl thyroid scintigraphy, 123I thyroid scintigraphy. |
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