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201Tl / 99mTc Pertechnetate 감영스캔을 이용한 부갑상선 항진증의 진단
박용휘(Yong Whee Bahk),김춘열(Choon Yul Kim),정수교(Soo Kyo Chung),신경섭(Kyung Sub Shinn),김성훈(Sung Hoon Kim),손형선(Hyung Sun Sohn),안보영(Bo Young Ahn),김의녕(Euy Neyung Kim) 대한핵의학회 1995 핵의학 분자영상 Vol.29 No.4
N/A 201Tl/99mTc pertechnetate subtraction scintigraphy of the parathyroid gland performed in a study of 8 patients with clinical and biochemical evidence of hyperparathyroidism for diagnosis and localization of the lesion prior to sugery. 6 cases of parathyroid adenomas were accurately localized and 2 cases of diffuse hyperplasia associated with chronic renal failure(CRF) and multiple endocrine neoplasia(MEN) type I. 201Tl/99mTc pertechnetate scan was useful for patients with hyperparathyroidism, especially in definite localization preoperatively.
박용휘(Yong Whee Bahk),김춘열(Choon Yul Kim),정수교(Soo Kyo Chung),박정미(Jeong Mi Park),신경섭(Kyung Sub Shinn),최효선(Hyo Sun Choi),손형선(Hyeong Seon Sohn) 대한핵의학회 1992 핵의학 분자영상 Vol.26 No.1
N/A The leukemias represent diffuse lesions of the bone marrow and significant bony abnormalities are associated with the more aggressive varieties of leukemias and with the younger age groups. On plain film, several roentgenographic findings are observed such as diffuse osteopenia, radiolucent metaphyseal bands, osteolytic lesions and periostitis. We evaluated bone scintigraphic findings using Tc-99m-methylene diphosphonate (Tc-99m-MDP) in ten patients with proven leukemia. The scan is abnormal in 90%. We classified abnormal scintigraphic findings to 3 types and these are increased diffuse juxta-articular uptake, focal increase of uptake and combined type. The common sites of focal uptake were femur, humerus, tibia, spine, ribs, calvarium, scapula and mandible. We concluded that Tc-99m-MDP bone scintigraphy is sensitive imaging modality in leukemic patients with bone pain.
흉골 . 늑골 . 쇄골 과골증 ( Sternocostoclavicular Hyperostosis ) 의 바늘구멍 골스캔 소견 - 보고 -
박용휘(Yong Whee Bahk),정수교(Soo Kyo Chung),김성훈(Sung Hoon Kim),정우희(Woo Hee Jung) 대한핵의학회 1992 핵의학 분자영상 Vol.26 No.1
Sternocostoclavicular hyperostosis (SCCH) is a chronic, nonsuppurative inflammatory disease involving sternum, clavicle, upper ribs and its adjacent soft tissue. It is a relatively newly described syndrome, characterized by ossification in the region between the clavicle and the first rib, and hyperostosis of the medial end of the clavicle with simultaneous involvement of the sternum and juxtasterna1 ribs. We experienced one case of sternocostoclavicular hyperostosis, diagnosed by pinhole bone scintigraphy. This paper describes characteristic pinhole scintigraphic findings of SCCH, with comparative study with radiographic and pathologic findings.
반사성 교감신경계 기능장애 증후군 ( RSDS ) 의 손 3상 골스캔 소견
박용휘(Yong Whee Bahk),정수교(Soo Kyo Chung),박정미(Jeong Mi Park),신경섭(Kyung Sub Shinn),김성훈(Sung Hoon Kim),박영하(Young Ha Park),안명임(Myeong Im Ahn) 대한핵의학회 1991 핵의학 분자영상 Vol.25 No.1
N/A Reflex sympathetir. dystrophy syndrome (RSDS), known also as Sudecks atrophy, is an uncomrnon disoder recognized by its distinctive symptom complex consisting of pain and tenderness, vasomotor instability, swelling, and dystrophic skin changes and radiologic changes. The present study has been carried out to prospectively establish scintigraphic diagnostic criteria for RSDS using three-phase radionuclide bone scintigraphy (TPBS). In addition, the csefulness in the evaluation of treatment of RSDS was assessed. Patients included were 6 men and 7 women with the age ranging from 25 to 63 years (average 47 years). Diagnosis was based on typical clinical symptoms and signs as described above. Associated r.linical conditions in these patients were cerebral infarction (4 patients), lung cancer (2 patients), trauma (1 patient), lymphoma (1 patient), and unknown cause (5 patients). All patients showed diffuse radionuclide accumulation in juxtaarticular region on the delayed static image and 11 patients showed diffusely increased activities also on scintiangiogram and blood-pool image. Fillow-up TPBS after corticosteroid therapy in 4 patients revealed near normal return of abnormal radionuclide accumulations in the affected hand. TPBS is an useful test for the diagnosrs of as well as the evaluation of the therapeutic effects of RSDS.
골스캔상 신장의 미만성 방사능집적 증가소견의 임상적 의의
박용휘(Yong Whee Bahk),신경섭(Kyung Sub Shinn),양우진(Woo Jin Yang),변재영(Jae Young Byun),성미숙(Mi Sook Sung),박정미(Jung Mi Park) 대한핵의학회 1990 핵의학 분자영상 Vol.24 No.1
N/A Unexpected renal abnormality can be detected on bone scan using Tc-99m-MDP. The purpose of the study is to evaluate the diagnostic significance of diffusely increased bliateral renal uptake on bone scan. 1,500 bone scan were reviewed and 43 scans which showed diffusely increased bliateral renal uptake were selected for analysis. Laboratory findings for renal and liver function tests including routine urinalysis were reviewed in 43 patients. 26 of 43 case showed abnormality in urinalysis and renal function study. 20 of 43 cases showed abnormal liver function study and 3 of these cases were diagnosed as hepatorenal syndrome later. 13 of those 20 cases had liver cirrhosis with or without hepatoma. 12 of 43 cases showed abnormality both in renal and liver function studies. 2 of 43 cases showed diffusely increased bilateral renal uptake after chemotherapy for cancer but not on previous scans before chemotherapy. 2 of 43 cases showed hypercalcemia and 8 of 43 cases had multifocal bone uptake due to metastasis or benign bone lesion. but the latter showed no hypercalcemia at all. There was no significant correlation between increased renal uptake and MDP uptake in soft tissue other than kidneys. This study raised the possibility that the impaired liver and/or renal function may result in diffuse increase of bliateral renal uptake of MDP of unknown mechaninsm. It seems to need further study on this correlation.