| Japanese |
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| Title | 99mTc-DTPA-HSA (99mTc-HSA-D) リンパシンチグラフィにより診断できた原発性蛋白漏出性胃腸症の一症例 |
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| Subtitle | 症例報告 |
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| Authors | 菊池みかる*, 高橋恒男*, 加藤邦彦*, 及川浩*, 小原東也*, 柳澤融*, 片山佐登志**, 佐藤俊一** |
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| Authors(kana) | |
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| Organization | *岩手医科大学放射線科, **岩手医科大学第一内科 |
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| Journal | 核医学 |
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| Volume | 30 |
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| Number | 2 |
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| Page | 203-207 |
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| Year/Month | 1993/2 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」99mTc-DTPA-HSAを用いたリンパシンチグラフィが診断に有用であった原発性蛋白漏出性胃腸症の一例を報告した. トレーサを両側の第1, 2趾間に皮下注射し, 10分後の早期像と60分後の遅延像を撮像した. その結果, 早期よりリンパ液の腸管内への漏出が認められた. さらに動態検査により漏出部位の同定も可能であった. したがって99mTc-DTPA-HSAリンパシンチグラフィは蛋白漏出性胃腸症の診断に有用と考えられた. 「I. はじめに」蛋白漏出性胃腸症は胃あるいは腸からの蛋白漏出により低蛋白血症を起こす病態を総称する. このうち原発性蛋白漏出性胃腸症は, 原因疾患が明らかな続発性蛋白漏出性胃腸症を除外したもので, リンパ管異常によって起こることが多いといわれている. |
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| Practice | 臨床医学：一般 |
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| Keywords | Technetium-99m-diethylene triamine pentaacetic acid-human serum albumin (99mTc-DTPA-HSA 99mTc-HSA-D), Lymphoscintigraphy, Primary protein losing gastroenteropathy |
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| English |
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| Title | Lymphoscintigraphy with 99mTc-DTPA-HSA in the Diagnosis of Protein-Losing Gastroenteropathy |
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| Subtitle | Summary |
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| Authors | Mikaru KIKUCHI*, Tsuneo TAKAHASHI*, Kunihiko KATO*, Hiroshi OIKAWA*, Toya OBARA*, Toru YANAGISAWA*, Satoshi KATAYAMA**, Syunichi SATO** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **First Department of Internal Medicine, Iwate Medical University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 30 |
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| Number | 2 |
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| Page | 203-207 |
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| Year/Month | 1993/2 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | We evaluated the diagnostic capability of technetium-99m-diethylene triamine pentaacetic acid-human serum albumin (99mTc-DTPA-HSA) lymphoscintigraphy in a patient with protein-losing gastroenteropathy. 99mTc-DTPA-HSA (total 740 MBq) was injected subcutaneously into the digital webs of the both feet. With a gamma camera, whole-body and abdominal lymphoscintigrams were obtained after the injection of the radioisotope: early images and delayed images taken 5 - 15 min and 50 - 60 min, respectively, after the injection. A few days later, the dynamic lymphoscintigraphy was also performed. Lymphfluid leakage into the small bowel and the sites of the leakage were detected. It was concluded that lymphoscintigraphy with 99mTc-DTPA-HSA was a useful diagnostic tool in patients with protein-losing gastroenteropathy. |
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| Practice | Clinical medicine |
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| Keywords | Technetium-99m-diethylene triamine pentaacetic acid-human serum albumin (99mTc-DTPA-HSA 99mTc-HSA-D), Lymphoscintigraphy, Primary protein losing gastroenteropathy |
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