Japanese
Title201TlCl, 99mTc-MIBIを用いた運動負荷, 安静同時収集心筋シンチグラフィの試み - Triple Energy Window散乱線補正法を用いての検討 -
Subtitle技術報告
Authors橋本順*, 松田美智恵*, 三宮敏和*, 中村佳代子*, 塚谷泰司*, 久保敦司*, 尾川浩一**, 高橋栄一***, 三田村秀雄***, 半田俊之介***, 小川聡***, 市原隆****
Authors(kana)
Organization*慶應義塾大学医学部放射線科, **法政大学工学部電気工学科, ***慶應義塾大学医学部呼吸循環器内科, ****東芝那須
Journal核医学
Volume31
Number11
Page1365-1372
Year/Month1994/11
Article報告
Publisher日本核医学会
Abstract「要旨」201TlCl, 99mTc-MIBIの2核種を用いることにより運動負荷心筋シンチグラフィの所要時間の短縮を試みた. 以下に述べる4通りの検査プロトコールで各1例ずつ施行した. (A)法は安静時にTlを投与した後に運動負荷時にMIBIを投与して2核種同時収集を行うもの, (B)法は安静時にMIBIを投与後, 負荷を行いTlを投与して2核種同時収集を行うもの, (C)法は負荷時にMIBIを投与し, 1時間経過後に安静状態でTlを投与して2核種同時収集を行うもの, (D)法は安静時にTlを投与してTl像を撮像後, 運動負荷時にMIBIを投与してMIBI像を撮像するものである. 2核種同時収集の際にはTEW法によるクロストーク, 散乱線の除去を行った. 2核種の使用により検査時間は1-2時間程度に短縮された. また散乱線, クロストークの除去が正確な診断をするうえでは必要であると考えられた.
Practice臨床医学:一般
Keywords201TlCl, 99mTc-MIBI, Dual energy acquisition, TEW scatter correction, SPECT
English
TitleExercise and Rest Myocardial Scintigraphy with 201TlCl/99mTc-MIBI Dual Energy Acquisition Using Triple-Energy Window Scatter Correction
Subtitle
AuthorsJun HASHIMOTO*, Michie MATSUDA*, Toshikazu SAMMIYA*, Kayoko NAKAMURA*, Yasushi TSUKATANI*, Atsushi KUBO*, Koichi OGAWA**, Eiichi TAKAHASHI***, Hideo MITAMURA***, Shunnosuke HANDA***, Satoshi OGAWA***, Takashi ICHIHARA****
Authors(kana)
Organization*Department of Radiology, ***Department of Internal Medicine, School of Medicine, Keio University, **Department of Electrical Engineering, College of Engineering, Hosei University, ****Toshiba Nasu Works
JournalThe Japanese Journal of nuclear medicine
Volume31
Number11
Page1365-1372
Year/Month1994/11
ArticleReport
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] We carried out dual 201Tl/99mTc-MIBI imaging, to reduce the time required for exercise myocardial scintigraphy. We investigated 4 different protocols. In protocol (A), Tl was injected at rest followed by the injection of MIBI at peak exercise. Dual SPECT images were obtained by 201Tl/99mTc simultaneous acquisition. Protocol (B) means reverse either, in which MIBI was injected at rest followed by the administration of Tl at peak exercise. In protocol (C), exercise was performed first with MIBI-injection, and then Tl was injected at rest after one hour later. Simultaneous acquisition was also performed. In protocol (D), after the rest Tl-imaging, MIBI was injected at peak exercise, and then the MIBI-imaging was done. In protocol (A), (B) and (C), simultaneous acquisition was performed using TEW (Triple-Energy Window) scatter correction. Thanks to using dual isotopes, all procedures could be completed within 1-2 hours, which was much shorter than the conventional myocardial perfusion imaging. Scatter correction was useful for accurate diagnoses, when the simultaneous imaging is performed.
PracticeClinical medicine
Keywords201TlCl, 99mTc-MIBI, Dual energy acquisition, TEW scatter correction, SPECT

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