Japanese |
Title | 小児気管支喘息の肺換気・血流シンチグラフィ |
Subtitle | 原著 |
Authors | 小野誠治*, 星博昭**, 渡辺克司** |
Authors(kana) | |
Organization | *国立療養所宮崎東病院放射線科, **宮崎医科大学放射線医学教室 |
Journal | 核医学 |
Volume | 25 |
Number | 12 |
Page | 1395-1402 |
Year/Month | 1988/12 |
Article | 原著 |
Publisher | 日本核医学会 |
Abstract | 「要旨」 小児気管支喘息18例を対象として, 133Xeガスを用いた肺換気シンチグラフィ(肺換気シンチ)および99mTc-MAAを用いた肺血流シンチグラフィ(肺血流シンチ)を施行し, 個々の症例の自覚症状の有無, 聴診所見, %FVC, %FEV1.0等の肺機能検査結果との比較検討を行った. 結果は, 非発作時17例中12例(70.6%)に肺換気シンチ上, また17例中7例(41.2%)に肺血流シンチ上異常所見が認められ, 非発作時においてすでに肺換気・肺血流異常が存在していた. また, 聴診所見と核医学的検査所見(RI検査)との比較では, 聴診所見で異常が高度の症例ほどRI検査上の異常の程度も大きく, 肺機能検査結果とRI検査所見との比較では, %FVC, %FEV1.0が低値の症例ほどRI検査上の異常の程度も大きい傾向が認められた. 喘息における肺換気・肺血流シンチは, 非発作時においてもその病態把握に有効な検査法と思われた. |
Practice | 臨床医学:一般 |
Keywords | Bronchial asthma, Lung ventilation scintigraphy, Lung perfusion scintigraphy |
English |
Title | Pulmonary Ventilation and Perfusion Scintigraphy in Patients with Bronchial Asthma |
Subtitle | |
Authors | Seiji ONO*, Hiroaki HOSHI**, Katsushi WATANABE** |
Authors(kana) | |
Organization | *Department of Radiology, Miyazaki Higashi Byouin National Sanatorium, **Department of Radiology, Miyazaki Medical College |
Journal | The Japanese Journal of nuclear medicine |
Volume | 25 |
Number | 12 |
Page | 1395-1402 |
Year/Month | 1988/12 |
Article | Original article |
Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
Abstract | [Summary] Pulmonary ventilation and perfusion scan using Xe-133 gas and Tc-99m MAA were performed in 18 patients with bronchial asthma to evaluate the regional pulmonary function. The scintigraphic findings were compared with the results of the auscultation and the conventional pulmonary functioning examination (%FVC, %FEV1.0). Ventilation image showed abnormality in 12 (70.6%) out of the asymptomatic 17 patients and perfusion image showed abnormality in 7 (41.2%) out of 17 patients. These 7 patients with abnormality on perfusion image all showed abnormality on ventilation image. The grade of abnormality in scintigraphic findings was compatible with the values of %FVC and %FEV1.0. In conclusion Xe-133 ventilation and Tc-99m MAA perfusion scan were useful procedures to estimate the pulmonary function of patients with bronchial asthma. |
Practice | Clinical medicine |
Keywords | Bronchial asthma, Lung ventilation scintigraphy, Lung perfusion scintigraphy |