| Japanese |
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| Title | Single photon emission CTによる上咽頭癌頭蓋底骨浸潤の診断 |
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| Subtitle | 原著 |
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| Authors | 油井信春*, 関谷雄一*, 秋山芳久*, 木下富士美*, 小圷正木*, 嶋田文之** |
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| Organization | *千葉県がんセンター核医学診療科, **頭頸科 |
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| Journal | 核医学 |
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| Volume | 23 |
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| Number | 4 |
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| Page | 367-373 |
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| Year/Month | 1986/4 |
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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」99mTc-MDPによる骨SPECTで上咽頭癌の頭蓋底骨浸潤を早期に診断できるか否かを検討した. 17例の上咽頭癌患者でCTを含めた臨床的な進行度が頭蓋底に及んでいると考えられた5症例はすべてSPECTでも陽性であった. 臨床的に頭蓋底に波及していないと考えられていた12症例でもSPECTでは8例が陽性であった. 検査後1年以上経過した患者の治療後の予後を見るとSPECT陽性例では著しく悪く, 頭蓋底浸潤が存在すると考えられるT4の成績に準じた. 骨SPECTが上咽頭癌の頭蓋底骨浸潤の早期検出の可能性があり, 陽性例での予後が悪いことを示唆する結果が得られた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Nasopharyngeal carcinoma, Bone scintigraphy, SPECT, Tumor imaging, Skull base. |
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| English |
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| Title | Single Photon Emission Computed Tomography in the Diagnosis of Skull Base Invasion of Nasopharyngeal Carcinoma |
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| Subtitle | Original Articles |
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| Authors | Nobuharu YUI*, Yuichi SEKIYA*, Yoshihisa AKIYAMA*, Fujimi KINOSHITA*, Masaki KOAKUTSU*, Fumiyuki SHIMADA** |
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| Authors(kana) | |
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| Organization | *Division of Nuclear Medicine, **Division of Head and Neck Surgery, Chiba Cancer Center Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 23 |
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| Number | 4 |
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| Page | 367-373 |
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| Year/Month | 1986/4 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | Single photon emission computed tomography (SPECT) using Tc-99m methylene diphosphonate was clinically evaluated how soon show skull base invasion from nasopharyngeal carcinoma (NPC). Seventeen patients with NPC were performed SPECT and the results were discussed in comparing with clinical staging on physical examination with reference to CT and other diagnostic modalities. In all patients known to be involved skull base, SPECT revealed positive results. Eight out of 12 patients, who were clinically thought to be free from skull base invasion also showed positive SPECT. The prognoses of the SPECT positive patients were bad in comparison with those of the SPECT negative patients. Bone SPECT was considered to be more reflective in showing early skull base invasion from NPC than other diagnostic modalities. Combined use of SPECT to conventional bone scintigraphy presented precise informations regarding distribution and localization of the radionuclide and prognostic informations. |
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| Practice | Clinical medicine |
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| Keywords | Nasopharyngeal carcinoma, Bone scintigraphy, SPECT, Tumor imaging, Skull base. |
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