| Japanese |
|---|
| Title | 99mTc-MAAによる下肢・骨盤部RIベノグラフィの再評価 |
|---|
| Subtitle | 原著 |
|---|
| Authors | 小須田茂*, 川上亮二*, 秋田佐喜子*, 目崎高志*, 鈴木謙三*, 久保敦司*, 橋本省三* |
|---|
| Authors(kana) | |
|---|
| Organization | *都立駒込病院放射線診療科, **慶應義塾大学医学部放射線科 |
|---|
| Journal | 核医学 |
|---|
| Volume | 29 |
|---|
| Number | 4 |
|---|
| Page | 463-473 |
|---|
| Year/Month | 1992/4 |
|---|
| Article | 原著 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」31例に下肢・骨盤部RIベノグラフィを施行し, 18例(58.1%)に異常所見を認めた. 深部静脈血栓症(DVT)は14例に認められ, DVTにおけるRIベノグラフィのsensitivity, specificity, accuracyはそれぞれ100%, 76%, 87%であった. 片側下肢の浮腫, 疼痛を主訴とした患者は全例DVTを有していた. 同時に施行した肺スキャンによりDVT患者の33.3%に多発性肺血栓塞栓症を認めた. そのうち, 75%は無症状の肺血栓塞栓症であった. 下大静脈, 両側総腸骨静脈閉塞の1例に99mTc-MAAの肝内集積が認められた. 肺血栓塞栓例および片側下肢の浮腫, 疼痛例に対してはRIベノグラフィをルーチンに行うべきと思われた. 結論として, 99mTc-MAAによるRIベノグラフィの有用性が再確認された. 「I. はじめに」深部静脈血栓症(deep vein thrombosis, 以下DVT)は肺血栓塞栓症(pulmonary thromboembolism, 以下PTE)の原因疾患として知られており, PTEを有する患者には高率にDVTを合併している. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | RI-venography, 99mTc-MAA, Deep vein thrombosis, Pulmonary thromboembolism. |
|---|
| English |
|---|
| Title | Reassessment of Radionuclide-Venography for Deep Vein Thrombosis in the Lower Extremities and Pelvic Cavity Using 99mTc-MAA |
|---|
| Subtitle | Original Article |
|---|
| Authors | Shigeru KOSUDA*, Ryoji KAWAKAMI*, Sakiko AKITA*, Takashi MEZAKI*, Kenzo SUZUKI*, Atsushi KUBO**, Shozo HASHIMOTO** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Radiology, Tokyo Metropolitan Komagome Hospital, **Department of Radiology, Keio University Hospital |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 29 |
|---|
| Number | 4 |
|---|
| Page | 463-473 |
|---|
| Year/Month | 1992/4 |
|---|
| Article | Original article |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary]We performed radioisotope (RI)-venography in 31 patients suspected of deep vein thrombosis (DVT), and 18 patients of them (58.1%) had abnormal findings. Out of the 18 patients, 14 satisfied the diagnostic criteria for DVT, that were interruption in the venous flow with the presence of collateral circulation. Sensitivity, specificity and accuracy of RI-venography for DVT were 100%, 76%, 87%, respectively. In all of the patients with chief complaints of edema and pain in the unilateral extremity DVT was found by RI-venography. Lung scan revealed multiple pulmonary perfusion defects in 4 (33.3%) of 12 patients with DVT. Out of the 4 patients, 3 (75%) had silent pulmonary thromboembolism. 99mTc-MAA accumulation was seen in the left lobe of the liver in a patient with occlusion of the IVC and common iliac veins. We are convinced that patients with PTE and/or edema and pain in the unilateral lower extremity should undergo routine RI-venography. In conclusion, RI-venography using 99mTc-MAA was reassessed and we obtained the result that it is useful for screening and monitoring DVT and pulmonary thromboembolism. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | RI-venography, 99mTc-MAA, Deep vein thrombosis, Pulmonary thromboembolism. |
|---|