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RISS 인기검색어
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- 저자 : 나정일(Jung Il Nah) (검색결과 2 건)
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말초성 동맥 질환에 있어서 201TI을 이용한 말초혈관 관류스캔의 유용성
김진우(Jin Woo Kim),김영설(Young Seol Kim),김광원(Kwang Won Kim),최영길(Young Kil Choi),고은미(Eun Mi Koh),김덕윤(Deog Yoon Kim),우인숙(In Sook Woo),나정일(Jung Il Nah) 대한핵의학회 1991 핵의학 분자영상 Vol.25 No.2
N/A Peripheral arterial disease, because of its significant and prolonged morbidity and related mortality is a major medical and surgical problem. Contrast angiograrn remains the essential standard for the anatomic demonstration of disease. It does not, however, provide data suitable for quantification or any evaluation of the microcirculation. For these reasons, radionuclide studies are playing an increasingly important role by not only confirming the diagnosis and offering objective data on the physiologic significance of anatomic lesions, but by offering prognosis of healing and prediction of therapeutic results. In addition, radionuclide procedures offer means t.o safely and repeatedly monitor response to therapy and long term follow up. 1'he object of this study was to evaluate the clinical availability of 'Tl perfusion scan in patients with peripheral arteriai diseases. We performed 'Tl perfusion scans in patients with five Buerger s disease (10 legs), six DM gangrenes (12 legs) and classified three perfusion pattern groups. Finally we compared treatment modalities among each groups and compaired Tl-201 perfusion scan findings with angiographic findings in six patients with Buergers disease. The results were as follows: 1) Seven legs showed increased perfusion in stress image and normal or increased perfusion in resting image (type 1). Six legs showed decreased perfusion in stress image and irnproved in resting image (type II). Of total 13 legs, only 1 leg needed to amputation. 2) Three legs showed decreased perfusion in stress and resting irnage (type III), and subsequently all cases were received surgical amputation. 3) In six Buergers disease patients, there were disagreernents in two patients (2 legs) between 'Tl scan and angiography, in which angiograms were normal but 'Tl scans shawed type II perfusion patterns.
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갑상선 질환의 병태생리를 이해하는 데 있어서 갑상선 스캔의 재평가
김진우(Jin Woo Kim),김영설(Young Seol Kim),김광원(Kwang Won Kim),최영길(Young Kil Choi),고은미(Eun Mi Koh),김덕윤(Deog Yoon Kim),우인숙(In Sook Woo),나정일(Jung Il Nah),김성운(Sung Woon Kim),양인명(In Myung Yang) 대한핵의학회 1991 핵의학 분자영상 Vol.25 No.1
N/A To diagnosis and understand the pathophysiologic status of thyroid disease, not only hormonal measurments but also thyroid scan is believed to have a unique role. Especially in the cases of the change of the thyroid function by thyroiditis, it is emphasized that thyroid scan can be helpful in differentia! diagnosis, Discordant results of thyroid hormone levels and thyroid scan are found in transient hyperthyroidism, or in transient hypothyroidism. We analysed and reevaluated thyroid scan to look at the importance of thyroid scan. The results are summerised as follows: 1) 80%. of hyperthyroid patients had hyperthyroidism increased RAIU with even density, they are compatible with Graves' disease. 2) 2.1% of hyperthyroid patients had normal or decreased RAIU, which are classfied as high iodine turn over genuine hyperthyroidism. 3) 8.5% of hyperthyroid patients had markedly decreased RAIU at both 2 hour and 24 hour, whose patholgic processes are suggested to be heterogenous namely subacute thyroiditis, postpartum thyroiditis, Hashimotos thyroiditis, and pamless thyroiditis. 4) 45% of hypothyroid patients had increased 24hr RAIU, 30% of hypothyroid patients were normal, 25%, decreased In conclusion. thyroid scan should be reevaluated its useful role to asses the pathophysiologic status of thyroid disease. Especially in cases of transient thyrotoxicosis, thyroid scan is essential to diagnose and follow up the disease process.
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