| Japanese |
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| Title | Tc-99m-pyrophosphate心筋SPECTが診断上有用であった心アミロイドーシスの1例 - Tl-201心筋シンチグラフィーとの対比 - |
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| Subtitle | 症例報告 |
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| Authors | 今本哲郎*, 森田一豊*, 小野寺壮吉*, 棚沢哲*, 天羽一夫**, 石川幸雄***, 村上昇***, 河地英樹*** |
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| Authors(kana) | |
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| Organization | *旭川医科大学第一内科, **放射線科, ***附属病院放射線部核医学部門 |
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| Journal | 核医学 |
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| Volume | 25 |
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| Number | 10 |
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| Page | 1117-1123 |
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| Year/Month | 1988/10 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」家族性アミロイドポリニューロパチーの患者に, テクネチウム-99mピロ燐酸(Tc-99m-PYP)およびタリウム-201(Tl-201)心筋シンチグラフィーを施行した. planar像ではTc-99m-PYPの両室への強いび漫性の集積を認めたが, Tl-201の集積欠損はなかった. しかし, single photon emission computed tomography(SPECT)ではTc-99m-PYPの不均一な分布が明らかに描出され, 断層心エコー図でgranular sparkling appearanceが認められた部位に一致して同核種の高度の分布を認めた. また, circumferential profileでTc-99m-PYPの高集積部にTl-201の低集積部が一致することも認められた. Tc-99m-PYP SPECT所見およびTl-201 SPECTとの比較は本疾患の心筋組織病変の程度と分布の検索に有用と考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Cardiac amyloidosis, Single photon emission computed tomography, Technetium-99m-pyrophosphate, Thallium-201. |
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| English |
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| Title | Technetium-99m-Pyrophosphate Single Photon Emission Computed Tomography of the Heart in Familial Amyloid Polyneuropathy : Comparison with Thallium-201 Myocardial Scintigraphy - A Case Report |
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| Subtitle | |
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| Authors | Tetsuro IMAMOTO*, Kazutoyo MORITA*, Sokichi ONODERA*, Satoshi TANAZAWA*, Kazuo AMOH**, Yukio ISHIKAWA***, Noboru MURAKAMI***, Hideki KAWACHI*** |
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| Authors(kana) | |
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| Organization | *The First Department of Internal Medicine, **Department of Radiology, Asahikawa Medical College, ***Section of Nuclear, Asahikawa Medical College Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 25 |
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| Number | 10 |
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| Page | 1117-1123 |
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| Year/Month | 1988/10 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | A patient with familial amyloid polyneuropathy underwent myocardial imaging using technetium-99m-pyrophosphate and thallium-201. The planar scintigraphy showed a diffuse, intense biventricular uptake of technetium-99m-pyrophosphate, and normal left ventricular uptake of thallium-201. The single photon emission computed tomography using technetium-99m-pyrophosphate showed an uneven distribution of the radionuclide. The maximum activity of technetium-99m-pyrophosphate corresponded to the region with granular sparkling appearance of the echocardiography. Comparison of circumferential profile of technetium-99m-pyrophosphate with those of thallium-201 scintigraphy was valuable in order to detect moderate myocardial damage. Single photon emission computed tomography may aid in assessing the degree and distribution of cardiac amyloid deposit. |
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| Practice | Clinical medicine |
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| Keywords | Cardiac amyloidosis, Single photon emission computed tomography, Technetium-99m-pyrophosphate, Thallium-201. |
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