Japanese
Title急性心筋梗塞におけるIn-111標識抗ミオシンモノクローナル抗体心筋シンチグラフィ
Subtitle《短報》
Authors成瀬均*, 森田雅人*, 板野緑子*, 山本寿郎*, 福武尚重*, 川本日出雄*, 大柳光正*, 岩崎忠昭*, 福地稔**
Authors(kana)
Organization*兵庫医科大学第一内科, **核医学科
Journal核医学
Volume27
Number6
Page661-665
Year/Month1990/6
Article報告
Publisher日本核医学会
Abstract「要旨」急性心筋梗塞17例に対してIn-111標識抗ミオシンモノクローナル抗体心筋シンチグラフィ(InAM)を施行した(発症後15±6日に撮像). InAMの集積は骨髄と同程度から肝の集積とほぼ同程度まで種々の段階で見られたが, 弱い集積まで含めると全例が陽性であった. 梗塞部位診断に関しては全例で心電図, 冠動脈所見により推定される病変部位および発症後5±2日に撮像したTc-99mピロリン酸心筋シンチグラフィ(PYP)と一致していた. InAMの集積パターンは5例においてPYPで見られるようなdoughnuts状, またはdiffuseなパターンを示し, これらはいずれもPYPにおいてParkey分類IV度のdoughnutsパターンであり, 冠動脈の支配領域はすべて前下行枝病変であった. PYPとの比較では一部の症例で若干集積の拡がりにおける違いがみられた.
Practice臨床医学:一般
KeywordsAcute myocardial infarction, Indium-111 antimyosin, Technetium-99m pyrophosphate.
English
Title111In-Antimyosin Scintigraphy on Acute Myocardial Infarction
Subtitle
AuthorsHitoshi NARUSE*, Masato MORITA*, Midoriko ITANO*, Juro YAMAMOTO*, Naoshige FUKUTAKE*, Hideo KAWAMOTO*, Mitsumasa OHYANAGI*, Tadaaki IWASAKI*, Minoru FUKUCHI**
Authors(kana)
Organization*The First Department of Internal Medicine, **Department of Nuclear Medicine, Hyogo College of Medicine
JournalThe Japanese Journal of nuclear medicine
Volume27
Number6
Page661-665
Year/Month1990/6
ArticleReport
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
AbstractIndium-111 antimyosin (InAM) scintigraphy was performed in 17 patients with acute myocardial infarction (on 15+-6 days from the onset). The degree of myocardial uptake was classified into 3 groups. They were ranged from low intensity as in bone marrow to high intensity as in liver. All of 17 cases showed positive myocardial uptake including low intensity. The locations of infarction judged by InAM were in agreement with those by electrocardiography, coronary angiography (CAG), and 99mTc-pyrophosphate scintigraphy (PYP, performed on 5+-2 days from the onset). In 5 cases, the uptake of InAM showed doughnuts or diffuse pattern which was occasionally observed on PYP. These cases showed myocardial uptake of 4th degree of Parkey’s classification with doughnuts-like pattern on PYP, and showed involvement of left anterior descending artery on CAG. In some cases, the extent of myocardial uptake on InAM did not agree with those on PYP.
PracticeClinical medicine
KeywordsAcute myocardial infarction, Indium-111 antimyosin, Technetium-99m pyrophosphate.

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