| Japanese |
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| Title | PTCA前後での201Tl, 123I-BMIPP, 123I-MIBG心筋イメージングが病態把握に有用であったacute coronary syndromeの一症例 |
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| Subtitle | 《症例報告》 |
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| Authors | 寺田幸治*, 杉原洋樹**, 谷口洋子*, 伊藤一貴*, 志賀浩治*, 大槻克一*, 馬本郁男*, 中川達哉*, 前田知穂**, 中川雅夫* |
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| Organization | *京都府立医科大学第二内科, **京都府立医科大学放射線科 |
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| Journal | 核医学 |
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| Volume | 30 |
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| Number | 12 |
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| Page | 1459-1463 |
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| Year/Month | 1993/12 |
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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」 軽労作にて強い虚血発作を繰り返すacute coronary syndromeの一症例に対し, PTCAを施行し, その前後での201Tl, 123I-BMIPP, 123I-MIBG各心筋イメージングを得た. PTCA前では, いずれも前壁中隔の中部から心尖部にかけて集積低下があり, その範囲, 程度はMIBG, BMIPP, Tlの順に高度であった. 運動負荷により, Tlの集積低下の範囲は広がり, BMIPPより広く, MIBGと同程度となった. PTCA後, 集積低下はいずれも改善し, BMIPPの集積低下の範囲は, PTCA前後とも超音波検査での壁運動低下部位とほぼ一致した. MIBGの集積低下はarea at riskを反映し, BMIPPの集積低下は壁運動異常を反映すると考えられた. 各心筋シンチグラフィの特性を考慮し, 適宜組み合わせることは, 虚血心筋の代謝異常ならびに機能や, その回復過程の把握に有用と考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | 201Tl, 123I-BMIPP, 123I-MIBG, acute coronary syndrome, PTCA. |
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| English |
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| Title | A Case of Acute Coronary Syndrome Followed by 201Tl, 123I-BMIPP and 123I-MIBG Myocardial Imagings before and after PTCA |
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| Subtitle | Case Reports |
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| Authors | Kouji TERADA*, Hiroki SUGIHARA**, Yoko TANIGUCHI*, Kazuki ITOU*, Kouji SHIGA*, Katsuichi OOTSUKI*, Ikuo UMAMOTO*, Tatsuya NAKAGAWA*, Tomoho MAEDA**, Masao NAKAGAWA* |
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| Authors(kana) | |
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| Organization | *Second Department of Medicine, Kyoto Prefectural University of Medicine, **Department of Radiology, Kyoto Prefectural University of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 30 |
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| Number | 12 |
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| Page | 1459-1463 |
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| Year/Month | 1993/12 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] 201TlCl (Tl), 123I-β-methyl-p-iodophenyl pentadecanoic acid (BMIPP) and 123I-metaiodobenzylguanidine (MIBG) images were applied before and after PTCA to a patient with acute coronary syndrome who had repeated ischemic attacks on light effort. A decreased tracer uptake was noted at the mid and apical anteroseptal regions in each image before PTCA. MIBG uptake was most decreased and Tl uptake was least decreased, but Tl uptake at exercise decreased as severely as MIBG uptake at rest. After PTCA an uptake was improved in each image. Both before and after PTCA, the area with decreased BMIPP uptake corresponded to the region with deteriolated wall motion obtained by echocardiography. It was suspected that the decreased MIBG uptake correlates with "area at risk" and that the decreased BMIPP uptake correlates with abnormal wall motion. Taken together those findings, it was indicated that an application of these cardiac scintigraphy is useful for the evaluation of comprehending metabolic abnormality and recovering process of ischemic myocardium. |
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| Practice | Clinical medicine |
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| Keywords | 201Tl, 123I-BMIPP, 123I-MIBG, acute coronary syndrome, PTCA. |
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