| Japanese |
|---|
| Title | 横紋筋融解症における99mTc-燐酸塩によるシンチグラフィの臨床的意義 |
|---|
| Subtitle | 《原著》 |
|---|
| Authors | 相澤信行*, 鈴木豊****, 明石恒浩**, 亀井徹正**, 内山富士雄**, 原芳邦*, 三井民人***, 山崎愉紀*** |
|---|
| Authors(kana) | |
|---|
| Organization | *湘南鎌倉病院内科, **茅ケ崎徳洲会総合病院内科, ***放射線科, ****東海大学放射線科I |
|---|
| Journal | 核医学 |
|---|
| Volume | 27 |
|---|
| Number | 8 |
|---|
| Page | 801-807 |
|---|
| Year/Month | 1990/8 |
|---|
| Article | 原著 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」臨床的に横紋筋融解症と診断した15症例に対し99mTc標識燐酸塩による全身シンチグラフィを施行した. 最高血清CK値の平均は48,300IU/l. 13例に異常集積がみられ障害された筋に一致したと判断した. 9例には腎への集積増加もあったが同じ横紋筋である心臓への取り込みは無かった. 異常集積の無かった2例の最高血清CK値はそれぞれ, 2,960IU/l, 7,600IU/lで横紋筋融解症は比較的緩徐にきていた. 以上より, 99mTc標識燐酸塩による全身シンチグラフィは, 急性で比較的重症の横紋筋融解症の症例に障害された筋と腎に一致して異常集積を生じ, 障害部位と程度を画像的に判断でき, 有用な方法と考えられた. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | rhabdomyolysis, bone scan, Tc-99m methylene diphosphonate, Tc-99m pyrophosphate. |
|---|
| English |
|---|
| Title | Clinical Usefulness of Scintigraphy with 99mTechnetium Phosphates in Rhabdomyolysis |
|---|
| Subtitle | - Original Articles - |
|---|
| Authors | Nobuyuki AIZAWA*, Yutaka SUZUKI****, Tsunehiro AKASHI**, Tetsumasa KAMEI**, Fujio UCHIYAMA**, Yoshikuni HARA**, Tamito MITSUI***, Yuki YAMAZAKI*** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Internal Medicine, Shonan Kamakura Hospital, **Department of Internal Medicine, Cigasaki Tokushukai Hospital, ***Department of Radiology, Chigasaki Tokushukai Hospital, ****Department of Radiology No.1, Tokai University Hospital |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 27 |
|---|
| Number | 8 |
|---|
| Page | 801-807 |
|---|
| Year/Month | 1990/8 |
|---|
| Article | Original article |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | We performed bone scans with 99mTechnetium phosphates in 15 cases of clinically suspected rhabdomyolysis admitted to Chigasaki Tokushukai Hospital. Whole body scans were performed within 5 days from the onset of illness or admission. Accumulation of the radioactivity in the skeletal muscle was revealed in 13 of the 15 cases and the involved muscle groups were visualized vividly. Etiologies of rhabdomyolysis were diverse, ranging from malignant syndrome to sepsis. Myocardial concentration was absent in all of the cases. Renal concentration of the isotope was seen in cases where the degree of rhabdomyolysis was higher and renal impairment was present. We conclude that 99mTechnetium phosphate bone scan is useful in clinically suspected rhabdomyolysis as a diagnostic test and as a test to localize and quantitate the muscular involvement. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | rhabdomyolysis, bone scan, Tc-99m methylene diphosphonate, Tc-99m pyrophosphate. |
|---|