Japanese
Titleクローン病におけるガリウムシンチグラフィの意義
Subtitle原著
Authors斉藤泰博*, 綾部時芳**, 油野民雄*, 秀毛範至*, 高塩哲也*, 山田有則*, 吉川大平*, 川口香織*, 遠山節子*, 吉田弘*, 佐藤順一***, 石川幸雄***
Authors(kana)
Organization*旭川医科大学放射線科, **第三内科, ***放射線部
Journal核医学
Volume32
Number4
Page387-394
Year/Month1995/4
Article原著
Publisher日本核医学会
Abstract「要旨」クローン病における67Gaシンチグラフィの有用性と, 治療法選択に際してのその役割について検討した. 対象はクローン病と診断された30患者であり, 67Ga-citrate 111 MBq静注後, 48時間と72時間にplanar像およびSPECT像を撮像した. 全体の陽性率は42.1%であった. 陽性例においては, 78.6%がなんらかの外科的処置を必要とした. これに対して, 陰性例では, 外科的処置の施行率は18.8%と有意に低率であった. 一方, 手術施行例から見ると, 75.0%の症例が術前に陽性所見を示していた. したがって, 67Gaシンチグラフィ陽性例は, 内科的な治療に抵抗する手術のハイリスク群であると考えられた.
Practice臨床医学:一般
KeywordsGallium scintigraphy, Crohn's disease, SPECT
English
TitleThe Role of Gallium-67 Citrate Scintigraphy in Crohn's Disease
SubtitleOriginal Articles
AuthorsYasuhiro SAITO*, Tokiyoshi AYABE**, Tamio ABURANO*, Noriyuki SHUKE*, Tetsuya TAKASHIO*, Tomonori YAMADA*, Daihei YOSHIKAWA*, Kaori KAWAGUCHI*, Setsuko TOUYAMA*, Hiroshi YOSHIDA*, Junichi SATO***, Yukio ISHIKAWA***
Authors(kana)
Organization*Department of Radiology, **Third Department of Internal Medicine, ***Department of Clinical Radiology, Asahikawa Medical College
JournalThe Japanese Journal of nuclear medicine
Volume32
Number4
Page387-394
Year/Month1995/4
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] We investigated the usefulness of gallium scintigraphy and its importance in the choice of a treatment method for Crohn's disease. The subjects for the study were 30 patients diagnosed as Crohn's disease. After intravenous injections of 67Ga-citrate 111 MBq, planar and SPECT images were taken at 48 and 72 hrs. The overall positive rate was 42.1%, and among the positive cases, 78.6% required surgical treatment. On the other hand, surgical treatment was only performed in 18.8% of the negative cases, which was significantly low percentage. However, since 75% of the cases, in whom surgical treatment was performed, showed preoperative positive 67Ga results, positive cases detected by 67Ga scintigraphy were considered to be high-risk cases requiring surgical treatment.
PracticeClinical medicine
KeywordsGallium scintigraphy, Crohn's disease, SPECT

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