Japanese |
Title | カラー表示法による心筋炎急性期の[99mTc]-pyrophosphate, [201Tl]-chloride dual isotope SPECT像 |
Subtitle | ≪症例報告≫ |
Authors | 北原公一*, 鈴木紳*, 高山泰雄*, 廣江道昭** |
Authors(kana) | |
Organization | *日本心臓血圧研究振興会附属榊原記念病院内科, **東京女子医科大学放射線科核医学部 |
Journal | 核医学 |
Volume | 26 |
Number | 6 |
Page | 773-779 |
Year/Month | 1989/6 |
Article | 報告 |
Publisher | 日本核医学会 |
Abstract | 「要旨」心筋炎急性期の2症例に対し[99mTc]-pyrophosphate, [201Tl]-chloride dual isotope SPECTを施行し, これを重ね合わせカラー表示したところ炎症の部位と広がりを明確に表示し得たので報告する. 「I. はじめに」心筋炎の急性期において[99mTc]-pyrophosphate (PYP)による心筋イメージングがその診断に有用であるが, planar像では炎症の部位や範囲を同定し, 重症度を診断することは困難な場合もあった. 近年[99mTc]PYPと[201Tl]Clによる2核種同時収集法([99mTc]PYP, [201Tl]Cl, dual isotope SPECT-以下dual SPECT)が開発され, また廣江らにより[99mTc]PYPイメージと[201Tl]Clイメージを重ね合わせてカラー表示する方法が考案され, 心筋梗塞における梗塞部位や範囲の同定, 心内膜下梗塞や梗塞部周囲の虚血領域の診断により有力な情報を提供することが可能になってきた. |
Practice | 臨床医学:一般 |
Keywords | Myocarditis, SPECT, Dual isotope. |
English |
Title | New Color Imaging of [99mTc]-pyrophosphate and [201Tl]-chloride Dual Isotope Single Photon Emission Computed Tomography for Acute Myocarditis |
Subtitle | - Case Reports - |
Authors | Koichi KITAHARA*, Shin SUZUKI*, Yasuo TAKAYAMA*, Michiaki HIROE** |
Authors(kana) | |
Organization | *Division of Cardiology, Sakakibara Heart Institute, **Department of Radiology, Tokyo Women's Medical College |
Journal | The Japanese Journal of nuclear medicine |
Volume | 26 |
Number | 6 |
Page | 773-779 |
Year/Month | 1989/6 |
Article | Report |
Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
Abstract | [Summary] [99mTc]-pyrophosphate (PYP) and [201Tl]-chloride dual isotope single photon emission computed tomography (SPECT) is now available to detect the site and extent of acute myocardial infarction. In inflammatory myocardial disease, [99mTc]PYP makes hot image on damaged area. We performed dual isotope SPECT of [99mTc]PYP and [201Tl]Cl in two patients with acute myocarditis and severe rhythm disturbance to evaluate the severity of inflammation. Myocardial damage was estimated by [201Tl] perfusion coloring blue and myocardial inflammation was estimated by [99mTc]PYP uptake coloring red. The overlap display of both images made it clear to detect spatial extent of myocardial inflammation. Using this technique, we expect to estimate the severity of myocarditis and to make a decision of therapeutic plan. |
Practice | Clinical medicine |
Keywords | Myocarditis, SPECT, Dual isotope. |