| Japanese |
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| Title | 癌患者における骨シンチグラフィでの肋骨異常像の鑑別 |
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| Subtitle | 原著 |
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| Authors | 綾部善治*, 一矢有一*, 和田誠*, 桑原康雄*, 桂木誠*, 鬼塚英雄*, 松浦啓一* |
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| Authors(kana) | |
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| Organization | *九州大学医学部放射線科学教室 |
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| Journal | 核医学 |
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| Volume | 20 |
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| Number | 10 |
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| Page | 1467-1474 |
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| Year/Month | 1983/12 |
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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」骨シンチグラム所見による転移の有無判定の可能性を, 異常像の数, 配列性, 型, 部位, 肋骨以外の異常集積の有無および経時的変化について検討した. 対象は肋骨に異常像が認められ, しかも, 2回以上の骨シンチグラフィが施行された90例で, 内訳は転移の証明されたものが45例 (50%) , 転移なしとされたものが26例 (29%) , 不詳が19例 (21%) であった. 異常像の示す所見が 1) 3個以上 (開胸手術例を除く) ある, 2) 配列性なし, 3) linear, expansile, diffuse, cold型である, 4) 肋骨骨部に認められる, 5) 肋骨以外にも集積が認められる, 6) 経時的に集積の増強が見られるか, 不変である場合において, 肋骨転移の頻度が有意に高かった. |
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| Practice | 臨床医学：一般 |
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| Keywords | bone scintigraphy, 99mTc methylene diphosphonate, metastatic bone tumor, fracture, rib |
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| English |
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| Title | Bone Scintigraphic Differential Diagnosis of Rib Lesions in Cancer Patients |
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| Subtitle | Original Articles |
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| Authors | Zenji AYABE, Yuichi ICHIYA, Makoto WADA, Yasuo KUWABARA, Makoto KATSURAGI, Hideo ONITSUKA, Keiichi MATSUURA |
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| Authors(kana) | |
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| Organization | Department of Radiology, Faculty of Medicine, Kyushu University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 20 |
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| Number | 10 |
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| Page | 1467-1474 |
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| Year/Month | 1983/12 |
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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 bone scans of 90 cancer patients with one or more rib lesions were studied. Of these, 45 (50%) had rib metastases, 26 (29%) had no metastasis, and 19 (21%) were undetermined. Rib lesions were analyzed regarding the number, pattern of distribution, pattern of abnormal findings, location in the rib, and coexistence of other bony lesions as well as interval changes. It was concluded that scintigraphic findings in favor of metastasis were as follows, 1) multiple lesions (3 or more) (p<0.005) , 2) no alignment of neighboring rib lesions in the same location (p<0.001) , 3) linear, expansile, diffuse, or cold lesions (p<0.025) , 4) lesions in the bony rib instead of in the costchondral junction (p<0.001) , 5) coexisted scintigraphic abnormalities in other regions (p<0.001) , 6) "increased" or "unchanged" interval changes (p<0.01) . |
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| Practice | Clinical medicine |
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| Keywords | bone scintigraphy, 99mTc methylene diphosphonate, metastatic bone tumor, fracture, rib |
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