• Title/Summary/Keyword: $^{99m}Tc$-pertechnetate

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Dual Lingual Thyroid Mimicking Mono-ectopic Thyroid in the Anterior View of Tc-99m Sodium Pertechnetate Thyroid Scan (전면 영상에서 하나로 오인된 두개의 설갑상전종)

  • Chong, A-Ri;Jeong, Shin-Young;Kwon, Seong-Young;Seo, Young-Soon;Ha, Jung-Min;Oh, Jong-Ryool;Bom, Hee-Seung;Song, Ho-Chun;Min, Jung-Joon
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.6
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    • pp.485-487
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    • 2008
  • Ectopic thyroid is not common disease and double ectopic thyroid is rare. Until January of 2008, dual ectopic thyroid has been reported only 23 cases in international literatures. Tc-99m sodium pertechnetate scan is playing an important role in the diagnosis of ectopic thyroid. In most of the cases, dual lingual thyroid tissues could be detected as two radiotracer uptake foci. We report a case of dual lingual thyroid mimicking mono-lingual thyroid in the anterior view of thyroid scan. Lateral view helped in this case to detect the dual lingual thyroid. With lateral view, the anatomical position and relationship could be examined in more detail.

Dynamic Salivary Gland Scintigraphy in Clinical Sicca Syndrome: Comparison with Static images (구내 건조증을 호소하는 환자에서 역동적 타액선 신티그라피: 정적영상과의 비교)

  • Kim, Euy-Neyng;Sohn, Hyung-Sun;Choi, Jung-Eun;Kim, Sung-Hoon;Chung, Yong-An;Chung, Soo-Kyo;Kim, Choon-Yul
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.1
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    • pp.43-51
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    • 2001
  • Purpose: In this study, we compared the quantitative characteristics of dynamic salivary gland scintigraphy with static scintigraphy in patients with clinical sicca syndrome using Tc-99m pertechnetate. Materials and Methods: Fifty-two parotid glands and 52 submandibular glands out of 26 patients with clinical sicca syndrome were studied by dynamic and static salivary gland scintigraphy. Ten normal volunteers were also studied as a control group for comparison of scintigraphic parameters. Ten minutes after injection of 370 MBq Tc-99m pertechnetate, we obtained pre-stimulus static images for a few minutes. Then dynamic salivary gland scintigraphy with lemon juice stimulation was performed for 20 minutes. Finally we obtained post-stimulus static images after dynamic images. On dynamic study, functional parameters such as uptake rate, secretion rate and re-uptake rate were calculated. The results of dynamic study and static images were compared. Results: On dynamic study, we could obtain functional parameters of salivary glands successfully. On dynamic study, 22 parotid glands and 22 submandibular glands out of each of 52 glands are abnormal. The static images demonstrated somewhat different results, of which reasons we could assume via dynamic study. Conclusion: Dynamic salivary gland scintigraphy using Tc-99m perechnetate were more functional than static images and might be useful in the assessment of the functional change of the salivary gland in patients with clinical sicca syndrome.

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Studies on the Formation of Pyrophosphate-$^{99m}T_c$ complex

  • Kim, Jae-Rok;Awh, Ok-Doo
    • Nuclear Engineering and Technology
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    • v.12 no.1
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    • pp.19-28
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    • 1980
  • An instant labelling technique for lyophilized pyrophosphate with $^{99m}$Tc is described labelling yield of about 90% is obtained at the pH range 3.5-5.5 on reconstitution with sodium pertechnetate-$^{99m}$ Tc solution. The final product is controlled by a modified two dimensional paper chromatography using 85% methanol and 0.85% saline, and biodynamic investigations are performed on white mice. Generally, the less amount of stannous chloride is used. the higher labelling yield is obtained. The molar ratio of pyrophosphate to stannous chloride of 10 : 1 ~ 50 : 1 is sufficient. The more amount of reduced unbound $^{99m}$Tc is injected, the more radioactivity is incorporated in the liver. Thus. the cause of the false bone-imaging is attributable to the presence of reduced unbound $^{99m}$Tc which is known to be well adsorbed to oxidized tin colloidals. The maximum uptake ratio of bone: liver in mice, in weight basis, 35 : 1 is achieved in lime of 60 min. or so. Tile preparation is suitable for clinical investigations on patients with bone diseases.iseases.

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Normal Lung Ventilation/Perfusion Scintigraphy in Miniature Pigs (미니돼지에서 정상 폐 환기/관류 신티그라피)

  • Kim, Se-Eun;Han, Ho-Jae;Shim, Kyung-Mi
    • Journal of Life Science
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    • v.20 no.11
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    • pp.1725-1728
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    • 2010
  • Miniature pigs are widely used in experiments related to pulmonary disease because of their similarities with humans. However, there are not enough data about normal lung function in miniature pigs. Thus, in this study, we investigated normal lung function in miniature pigs with lung ventilation/perfusion scintigraphy and evaluated the availability of this method. Three male miniature pigs weighing 30-35 kg were used. After general anesthesia, ventilation scintigraphy was performed with 100 MBq of $^{99m}Tc$-pertechnetate (${O_4}^-$), after which perfusion scintigraphy was performed with intravenous injection of $^{99m}Tc$-macro aggregated albumin (MAA). The functional contribution of the right lung was about 55%, and left lung was about 45%, similar to humans. Lung ventilation/perfusion scintigraphy was very useful in evaluating the normal lung function of miniature pigs because it was a non-invasive procedure (no tissue damage was involved), took a short time and was easy to perform. In conclusion, miniature pigs are similar to humans in functional contributions of the lung, and this method will be helpful in future pulmonary disease studies involving miniature pigs.

Incidental Visualization of Thyroid Gland on Bone Scan Caused by Graves' Hyperthyroidism (뼈 스캔상 우연히 발견된 그레이브스 갑상선기능항진증에서 갑상선의 섭취증가)

  • Sohn, Myung-Hee;Jeong, Hwan-Jeong;Kim, Dong-Wook;Lim, Seok-Tae
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.2
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    • pp.154-155
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    • 2009
  • A 45-year-old man presented with fatigue and weight loss underwent a Tc-99m MDP bone scan because of increased serum alkaline phosphatase. Delayed images at 4 hours demonstrated diffuse increased activity throughout both lobes of the thyroid in the absence of activity of the stomach and salivary glands. Thyroid laboratory indices and a Tc-99m pertechnetate thyroid scan suggested Graves' hyperthyroidism.

Effect of Saline-Sephadex on the Organ Distribution of $^{99m}TC$-Sephadex (식염수-Sephadex가 $^{99m}TC$-Sephadex의 폐분포에 미치는 영향)

  • Sung, Ho-Kyung;Kang, Sin-Koo;Koh, Joo-Hwan;Moon, Kwang-Nam;Lee, Jang-Kyu
    • The Korean Journal of Nuclear Medicine
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    • v.5 no.2
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    • pp.57-64
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    • 1971
  • The organ distribution study and the whole body scan were done in the albino rats at intervals of 5, 30, 60, 90 and 120 minutes after the intravenous injection of $^{99m}TC$-pertechnetate absorbed in Sephadex beads of $20{\sim}80$ micra in diameter. Effect of additional injection of physiological saline and saline absorbed in Sephadex beads of $20{\sim}80$ micra in diameter on the scan and organ distribution were also studied. The results were as follows. 1. Five minutes after the injection of $^{99m}TC$-pertechnetate absorbed in Sephadex beads of $20{\sim}80$ micra in diameter, Sephadex was well trapped in the lungs, with which the excellent lung scan was obtained. Two hours after the injection, kidneys were well visualized instead of lungs, which suggested that kidney acts as the excretory organ. Five minutes prior to scan, additional injection of physiological saline absorbed in Sephadex above mentioned was done. The bladder was also well visualized together with the kidneys. 2. In the distribution studies, most of radioactivity was detected in the lungs at 5 minutes and was gradually transferred chiefly to the kidneys and bladder and partly to the liver. 3. Additional injection of physiological saline resulted in a rapid transfer of $^{99m}TC$ trapped in the lung to both the kidneys and liver. 4. Additional injection of physiological saline absorbed in Sephadex beads of $20{\sim}80$ micra in diameter resulted in a rapid transfer of $^{99m}TC$ trapped in the lung to only the urinary system. 5. Results of these studies suggested that; a) Other nutrients and therapeutic compounds may be carried into the lungs along with Sephadex beads and then released in high concentration, which would exert greater therapeutic effect locally than that of the usual administration. b) Some radionuclides absorbed in Sephadex could be used as the lung scan agents, the flushing out of which by Sephadex-saline also give satisfactory renal and bladder scans. c) Other potent therapeutic radionuclides could be retained for some time by this method, which can be in the lungs easily flushed out within 2 hours.

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Diagnosis and Treatment of Bleeding Meckel's Diverticulum (출혈성 메켈게실의 진단 및 치료)

  • Huh, Young-Soo;Kim, Bum-Ryul;Yun, Jung-Hoon;Kwack, Dong-Min
    • Advances in pediatric surgery
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    • v.7 no.1
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    • pp.42-45
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    • 2001
  • The major complications of Meckel's diverticulum (MD) are bleeding, intestinal obstruction, infection, umbilical fistula and perforation. Although the relative incidences vary between authors, bleeding is the most common complication in children. The aim of our study is to show the symptomatic guideline for the diagnosis of the bleeding MD. Eight cases with bleeding MD which were operated upon at the department of Pediatric Surgery, Yeungnam University Hospital from April 1985 to April 2001 were reviewed. Half of the patients were under 2 years of age and all patient s we re male. All patients were preoperatively diagnosed by previous history of intestinal bleeding (melena, hematochezia) and 99mTc pertechnetate MD scan. Segmental resection and end-to-end anastomosis was performed in 6 patients and diverticulectomy in 2 patients. Heterotropic gastric mucosa was found in 6 patients. Postoperative complication was not observed in any cases. In conclusion, in any male children with obscure intestinal bleeding, especially less than 2 years of age, bleeding MD must be suspected. It seems to us that 99mTc pertechnetate MD scan is a useful tool to diagnose bleeding MD.

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