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담낭염 환자에서의 99m Tc-HIDA Scan 의 진단적 의의
조보연,박난재,안일민,장연복,홍기석,윤용범,고창순 대한핵의학회 1981 핵의학 분자영상 Vol.15 No.2
Cholescintigraphic studies with Tc-99m-HIDA(dimethyl iminodiacetic acid) were performed in 22 cases of normal subjects, 21 of acute cholecystitis, 22 of chronic cholecystitis and 12 others, with the results of, 1) In normal control group, liver and intrahepatic biliary tree, CBD and gall bladder, and G-I tract appeared at 10, 20 and 30 minutes after intravenous injection of Tc-99m-HIDA respectively. 2) In acute cholecystitis, 20 among 21 cases showed non-visualization of gall bladder with the diagnostic accuracy, sensitivity and specificity of 98.290, 95.290 and 100% respectively. 3) In chronic cholecystitis, 5 among 12 cases showed non-visualization of gall bladder and remained 7 among 12 cases showed poor contraction of gall bladder (4), delayed visualization of gall bladder(l) and normal findings(2). 4) In the other disease group, the 12 cases which initially suspected as acute cholecystitis, revealed normal scan findings to exclude the cystic duct obstruction easily. With the above results, this scintigraphic procedure was found very rapid, accurate and easily available method for the determining of the cystic duct patency.
양측신장에 99mTc-MDP (methylene diphosphonate) 의 미만성 섭취증가 예에 대한 고찰
이명철,이정상,고창순,임상무,박난재,정우갑,유기수,장경문 대한핵의학회 1982 핵의학 분자영상 Vol.16 No.2
$quot;atients with diffusely increased uptake in both kindeys($quot;$quot;hot kidney$quot;$quot;) on the Tc-99m-MDP bone imagings were evaluated. Total incidence of the $quot;$quot;hot kidney$quot;$quot; was 2.7%(56/2053). Among 56 patients with $quot;$quot;hot kidney$quot;$quot;, the most common diseases were malignancies(30), and the remainders were composed of renal diseases(11) and other disease group(l6). We report the possible factors for the $quot;$quot;hot kidney$quot;$quot; with brief review of some literatures.$quot;
신생아 황달에서 99mTc-HIDA 스캔의 임상적 의의
김명덕,조보연,이명철,고창순,권인순,박난재,박정식 대한핵의학회 1983 핵의학 분자영상 Vol.17 No.1
Twenty-nine patients with neonatal jaundice were evaluated with Tc-99m-HIDA cholescintigraphy to elucidate its clinical applicability. Scintigraphic results were interpreted by the degree of early hepatic uptake and the presence or absence of radioactivity in the G-I tract. The results are as follows; 1) In 18 patents with neonatal hepatitis; 8 of 11 patients with decreased hepatic uptake and all 5 patients with good hepatic uptake showed G-I radioactivity. But, the 2 remainders with poor hepatic extraction were not available for evaluation of neonatal jaundice due to patients poor hepatic function. 2) In 9 patients, confirmed as biliary obstruction; all showed no G-I radioactivity but 3 of the 9 showed poor hepatic extraction on scan and they were not available for evaluation. 3) All the 2 patients with postoperative cholangitis showed G-I radioactivity on Tc-99m-HIDA scan. 4) Relationship between histopathologic findings and Tc- 99m-HIDA scan; Among 5 patients with biliary cirrhosis 3 showed poor hepatic extraction, the remainders showed decreased and good hepatic uptake respectively. But, the 2 portal fibrosis without cirrhosis and 4 cholestasis showed decreased(4) or good hepatic uptake(2).