Japanese
TitleSPECTを併用した経内視鏡的RI-Lymphographyの試み
Subtitle研究速報
Authors河野良寛*, 折田薫三*, 平木祥夫**, 青野要**
Authors(kana)
Organization*岡山大学医学部第一外科教室, **放射線医学教室
Journal核医学
Volume23
Number1
Page55-58
Year/Month1986/1
Article報告
Publisher日本核医学会
Abstract「I. 緒言」近年, 胃のリンパ流の研究にRI-Lymphographyが多く用いられているが, これらは術前にRI-コロイドを経内視鏡的に胃壁に注入し, 術後, 個々のリンパ節へのRIの集積をみるものである. われわれは, この経内視鏡的RI-LymphographyにSPECTを併用することにより, 胃を中心とした上腹部のリンパ流の画像化に関して, 興味ある結果を得たので報告する. 「II. 対象および方法」(1)対象:昭和59年12月より昭和60年7月までに岡山大学第一外科にて手術を施行した胃癌20例, 膵癌1例, 胆管癌1例の計22症例で, リンパ節転移の激しい症例はこの中に含めておらず, 正常のリンパ流に近いものを対象とした. (2)方法:核種は99mTc-レニウムコロイド(TCK-17キット:ミドリ十字)を使用し, 調整法は丸尾らの方法によった.
Practice臨床医学:一般
KeywordsEndoscopic lymphoscintigraphy, Tc-99m-Rhenium colloid, Lymph flow of the stomach.
English
TitleEndoscopic Lymphoscintigraphy with SPECT
SubtitleRapid Communication
AuthorsYoshihiro KOHNO*, Kunzo ORITA*, Yoshio HIRAKI**, Kaname AONO**
Authors(kana)
Organization*The First Department of Surgery, **Department of Radiology, Okayama University School of Medicine
JournalThe Japanese Journal of nuclear medicine
Volume23
Number1
Page55-58
Year/Month1986/1
ArticleReport
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
AbstractEndoscopic lymphoscintigraphy was performed using Tc-99m-Rhenium colloid on 22 patients with carcinoma of the stomach or pancreas or gall bladder. The day before operation, each subject was injected 4 mCi of the colloid into the submucosal layer of the stomach through a gastrofiberscope. SPECT was performed 3 hrs after the colloid was administered using a SIEMENS ZLC-7500 rotating gamma camera. At the same time, 400 μCi of Tl-201 in 50 ml water, was ingested by the subject as an imaging agent of the stomach. Thereafter, 5 mCi of Tc-99m-DMSA was injected intravenously to visualize the kidney. In some cases, 5 mCi of Tc-99m-MAA was administered intravenously, to visualize the lung. SPECT was performed successively to obtain an image of each organ. Each organ was indicated by setting the region of interest. The images were then reconstructed and composed by a SCINTIPAC-2400 Computer (Simadzu). SPECT could visualize the lymph flow from several areas of the stomach multilaterally. In conclusion, endoscopic lymphoscintigraphy with SPECT was thought to be helpful for detecting and depicting the lymph flow of the stomach.
PracticeClinical medicine
KeywordsEndoscopic lymphoscintigraphy, Tc-99m-Rhenium colloid, Lymph flow of the stomach.

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