Japanese
Title各心筋製剤における典型正常例と注意すべき正常例 - 心臓核医学ワーキンググループ共同研究報告 -
Subtitle総説
Authors大嶽達*1, 佐々木康人*1, 濱田希臣*2, 坂本貴昭*3, 神原啓文*3, 西村恒彦*4, 中嶋憲一*5, 工藤崇*6, 小西淳二*6, 橋本順*7, 桑原洋一*8, 増田善昭*8, 鯵坂隆一*9, 杉下靖郎*9, 村田啓*10, 玉木長良*11, 清水啓之*12, 中野赳*12
Authors(kana)
Organization*1東京大学医学部放射線科, *2愛媛大学医学部第二内科, *3大阪赤十字病院心臓血管センター心臓内科, *4大阪大学医学部トレーサ情報解析学, *5金沢大学医学部核医学科, *6京都大学医学部核医学科, *7慶應義塾大学医学部放射線治療核医学科, *8千葉大学医学部第三内科, *9筑波大学臨床医学系内科, *10虎の門病院核医学科, *11北海道大学医学部核医学科, *12三重大学医学部第一内科
Journal核医学
Volume34
Number9
Page837-849
Year/Month1997/9
Article報告
Publisher日本核医学会
Abstract「要旨」世界心臓核医学会の日本側の受け皿として作られた心臓核医学ワーキンググループ(日本循環器学会と日本核医学会の共同)の研究活動のひとつとして, 各心筋製剤の典型正常例と注意すべき正常例についてまとめた. 11施設から, 典型正常例としてTl 16例, BMIPP 14例, MIBG 8例, MIBI 8例, tetrofosmin 14例, 注意すべき症例としてTl 12例, BMIPP 5例, MIBG 12例, MIBI 10例, tetrofosmin5例を提示してもらい, 各施設の撮像条件のちがいを集計し, 注意すべき症例についても分類して集計した. さらに撮像条件や, 注意すべき症例の異常例との区別のしかたについて, 文献的に考察した. MIBGは他の製剤と比べ, 典型正常例, 注意すべき正常例が異なるが, 他の4製剤は横隔膜や女性乳房の吸収による減弱や心尖菲薄など注意すべき正常例はほぼ同様の傾向であった.
Practice臨床医学：一般
KeywordsMyocardium, SPECT, Thallium-201, Technetium-99m, Iodine-123.
English
TitleTypical Normal Cases and Normal Cases with Abnormal Image Pattern in Every Myocardial SPECT Radiopharmaceutical
SubtitleReview
AuthorsTohru OHTAKE*1, Yasuhito SASAKI*1, Mareomi HAMADA*2, Takaaki SAKAMOTO*3, Hirofumi KANBARA*3, Tsunehiko NISHIMURA*4, Ken-ichi NAKAJIMA*5, Takashi KUDOU*6, Junji KONISHI*6, Jun HASHIMOTO*7, Youichi KUWABARA*8, Yoshiaki MASUDA*8, Ryuuichi AJISAKA+9, Yasurou SUGISHITA*9, Hajime MURATA*10, Nagara TAMAKI*11, Hiroyuki SHIMIZU*12, Takeshi NAKANO*12
Authors(kana)
Organization*1Department of Radiology, Faculty of Medicine, University of Tokyo, *2Second Deppartment of Internal Medicine, Ehime University School of Medicine, *3Department of Cardiology, Osaka Red Cross Hospital, *4Department of Tracer Kinetics, Osaka University Medical School, *5Department of Nuclear Medicine, Kanazawa University School of Medicine, *6Department of Radiology and Nuclear Medicine, Kyoto University Faculty of Medicine, *7Department of Radiology, School of Medicine, Keio University, *8Third Department of Internal Medicine, Chiba University School of Medicine, *9Department of Cardiology, Tsukuba University School of Medicine, *10Department of Nuclear Medicine, Toranomon Hospital, *11Department of Nuclear Medicine, Hokkoido University School of Medicine, *12First Department of Internal Medicine, Mie University School of Medicine
JournalThe Japanese Journal of nuclear medicine
Volume34
Number9
Page837-849
Year/Month1997/9
ArticleReport
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]Working group of cardiac nuclear medicine was made as a Japanese part of society of international cardiac nuclear medicine under the cooperation between Japanese society of nuclear medicine and Japanese society of cardiology. We investigated typical normal cases and normal cases with abnormal image pattern in every myocardial SPECT radiopharmaceutical as one of the research activity of working group. From 11 faculties, 16Tl cases, 14 BMIPP cases, 8 MIBG cases, 8 MIBI cases and 14 tetrofosmin cases were submitted as typical normal cases, and 12Tl cases, 5 BMIPP cases, 12 MIBG cases, 10 MIBI cases and 5 tetrofosmin cases were submitted as normal cases with abnormal image pattern. We summarized the condition of SPECT data acquisition of each faculties. And we added the discussion from literature about how to discriminate normal cases with abnormal image pattern from abnormal cases. In MIBG, patterns of typical normal cases and normal cases with abnormal image pattern were slightly different from other 4 pharmaceuticals. In other 4 pharmaceuticals, diaphragmatic attenuation, breast attenuation, apical thinning and others were presented as normal cases with abnormal image pattern.
PracticeClinical medicine
KeywordsMyocardium, SPECT, Thallium-201, Technetium-99m, Iodine-123.

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