• 제목/요약/키워드: $SO_4^{2-}$ uptake

검색결과 217건 처리시간 0.026초

급성 심근경색 후 휴식 / 24시간 지연 $^{201}Tl$ 심근 SPECT 상 역재분포를 보인 경색심근에서 관찰된 $^{18}F-FDG$ 섭취 결손 (Defect of $^{18}F-FDG$ Uptake Observed in Infarcted Myocardium Showing Reverse Redistribution on Rest / 24-Hour Delayed $^{201}Tl$ Myocardial SPEG after Acute Myocardial Infarction)

  • 이호영;팽진철;오소원;김지영;정우영
    • Nuclear Medicine and Molecular Imaging
    • /
    • 제42권6호
    • /
    • pp.478-481
    • /
    • 2008
  • Reverse redistribution is frequently observed after revascularization in acute myocardial infarction, and usually regarded as a predictor of viable myocardium on stress/rest and 2- to 4-hour redistribution $^{201}Tl$ SPECT. However, there is not enough report of reverse redistribution in case of 24-hour delayed SPECT, which is commonly used for viability assessment. In this report, a case of reverse redistribution on rest and 24-hour delayed $^{201}Tl$ SPECT is reported with use of automatic segmental quantitative analysis. The myocardium of reverse redistribution was dysfunctional on gated SPECT, and diagnosed as non-viable on $^{18}F-FDG$ PET.

히비스커스 꽃 추출액과 감물을 이용한 견직물의 복합염색 (Combination Dyeing of Silk Fabrics with Hibiscus flowers and Persimmon Juice Extract)

  • 조임선;이정숙
    • 한국의류산업학회지
    • /
    • 제17권3호
    • /
    • pp.476-485
    • /
    • 2015
  • The purpose of this research is to analyze the effects of persimmon juice and hibiscus flowers extract to perform combination dyeing of silk fabrics, with respect to color changes, fastness, and functionality. The optimal conditions as a result, were shown at 100% of dye concentration, $40^{\circ}C$ of dyeing temperature and 30 minutes of dyeing time while in terms of dye uptake depending on the kind of mordants and methods. The highest K/S value was recorded at pH 3, pre-mordants of $CuSO_4$, and $SnCl_2$, post-mordanting. After repeated dyeing and post-mordanting, various color change occurred with mordant treatments. Color fastness of dyed fabrics with hibiscus flowers extract was improve considerably by combination dyeing with persimmon juice extract. In aspects of functional properties, it showed excellent results of 99% deodorization rate, 99.9% Staphylococcus aureus rate and 99.9% Klebsiella pneumoniae.

Prediction of response by FDG PET early during concurrent chemoradiotherapy for locally advanced non-small cell lung cancer

  • Kim, Suzy;Oh, So Won;Kim, Jin Soo;Kim, Ki Hwan;Kim, Yu Kyeong
    • Radiation Oncology Journal
    • /
    • 제32권4호
    • /
    • pp.231-237
    • /
    • 2014
  • Purpose: To evaluate the predictive value of the early response of $^{18}F$-flurodeoxyglucose positron emission tomography (FDG PET) during concurrent chemoradiotherapy (CCRT) for locally advanced non-small cell lung cancer (NSCLC). Materials and Methods: FDG PET was performed before and during CCRT for 13 NSCLC patients. Maximum standardized uptake value ($SUV_{max}$), mean standardized uptake value ($SUV_{mean}$), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were measured and the changes were calculated. These early metabolic changes were compared with the standard tumor response by computed tomograms (CT) one month after CCRT. Results: One month after the completion of CCRT, 9 patients had partial response (PR) of tumor and 4 patients had stable disease. The percent changes of $SUV_{max}$ ($%{\Delta}SUV_{max}$) were larger in responder group than in non-responder group ($55.7%{\pm}15.6%$ vs. $23.1%{\pm}19.0%$, p = 0.01). The percent changes of $SUV_{mean}$ ($%{\Delta}SUV_{mean}$) were also larger in responder group than in non-responder group ($54.4%{\pm}15.9%$ vs. $22.3%{\pm}23.0%$, p = 0.01). The percent changes of MTV ($%{\Delta}MTV$) or TLG ($%{\Delta}TLG$) had no correlation with the tumor response after treatment. All the 7 patients (100%) with $%{\Delta}SUV_{max}{\geq}50%$ had PR, but only 2 out of 6 patients (33%) with $%{\Delta}SUV_{max}$ < 50% had PR after CCRT (p = 0.009). Likewise, all the 6 patients (100%) with $%{\Delta}SUV_{mean}{\geq}50%$ had PR, but only 3 out of 7 patients (43%) with $%{\Delta}SUV_{mean}$ < 50% had PR after CCRT (p = 0.026). Conclusion: The degree of metabolic changes measured by PET-CT during CCRT was predictive for NSCLC tumor response after CCRT.

셀룰로오스 유도체가 돈가스 튀김옷의 흡유량 감소에 미치는 영향 (Effect of Cellulose Derivatives to Reduce the Oil Uptake of Deep Fat Fried Batter of Pork Cutlet)

  • 김병숙;이영은
    • 한국식품조리과학회지
    • /
    • 제25권4호
    • /
    • pp.488-495
    • /
    • 2009
  • 돈가스의 튀김과정에서 증가되는 지방량을 감소시키고자 튀김반죽에 셀룰로오스 유도체인 MC 및 HPMC를 각 0.5, 1, 1.5%의 비율로 첨가하여 점도, 튀긴 후 색도, 수분보유량 및 흡유량, 관능특성 등을 측정하여 품질특성을 비교한 결과는 다음과 같다. 1. 셀룰로오스 유도체를 첨가한 튀김반죽의 점도는 속도에 반비례하여 감소하였고 첨가량에 비례하여 증가되었다. 동일 첨가수준에서 HPMC에 비하여 MC의 점도 증가가 매우 컸으며 HPMC 0.5%의 첨가군이 대조군과 거의 유사한 점도양상을 보였다. 반죽의 점도는 돈가스를 제조할 때 재료(원육)에 대한 튀김반죽의 coating성에 영향을 주어서 HPMC 0.5% 첨가군의 coating성이 가장 좋았다. 2. 튀김옷의 수분보유량과 흡유량을 측정한 결과, 수분보유량은 대조군(45.69%) < MC 0.5%(47.36%) < MC 1%(48.55%) < MC 1.5%(49.59%) < HPMC 0.5%(51.49%) < HPMC 1%(53.72%) < HPMC1.5%(56.45%)의 순으로 증가하였으며, 흡유량은 대조군(15.49%)> MC 0.5%(15.44%) > MC 1%(15.25%) > MC 1.5%(15.05%) > HPMC 0.5%(14.69%) > HPMC 1%(12.62%) > HPMC 1.5%(10.03)의 순으로 감소하여 HPMC 1.5% 첨가 batter가 수분보유량이 가장 높으면서 흡유량은 가장 적었다. 3. 튀긴 돈가스의 명도는 셀룰로오스 유도체를 첨가함에 따라 대조군에 비해 증가하였으며 HPMC 보다 MC첨가에 의한 변화가 커서 1.5% MC 첨가군에서 가장 높은 명도값을 나타냈다(p<0.001). 적색도는 HPMC를 첨가한 경우 대조군과 비슷한 수준을 나타냈으나 MC의 경우 1.5%에서 가장 낮은 수준을 나타냈다(p<0.05). 황색도는 유의적인 차이를 나타내지 않았다. 4. 관능검사 결과 튀긴 돈가스의 색은 HPMC 0.5% 및 1% 첨가 시 가장 대조군과 유사하였으며 그 외에는 색상이 진해지는 경향을 보였다. 짠맛은 대체적으로 셀룰로오스유도체의 첨가에 따른 유의적인 차이가 없었다. 구수한 맛은 셀룰로오스유도체의 첨가량이 증가하면 감소하였으며 HPMC 0.5%와 MC 0.5% 첨가 시에는 대조군과 유의한 차이가 없었다. 불쾌취의 정도는 대조군과 HPMC 0.5% 첨가군 사이에는 유의적인 차이가 없었으며 다른 셀룰로오스유도체의 첨가군에서는 약간 불쾌취가 느껴지는 것으로 평가되었다. 기름진 정도는 대조군보다 HPMC 0.5%와 1% 첨가군에서 덜 기름진 것으로 평가된 반면 HPMC 1.5%와 MC 첨가 시에는 대조군보다 더 기름지게 느껴지는 것으로 나타났다. 촉촉한 정도는 대조군과 HPMC 0.5% 및 1%는 같은 경향으로 평가되었고 HPMC 1.5%와 MC의 경우는 대조군보다 촉촉한 정도가 더 강해 반죽이 덜 익었다는 느낌을 주기도 하였다. 단단한 정도는 대조군과 MC 0.5%, HPMC 0.5% 및 1%가 같은 수준으로 평가되었으나 첨가량이 증가할수록 감소하였으며 MC 1.5%에서 가장 낮은 수준을 나타냈다. 바삭거리는 정도는 셀룰로오스유도체 첨가량이 증가하면 감소하는 경향이었으며, 전체적인 기호도는 HPMC 0.5% 첨가군이 오히려 대조군보다 더 우수한 것으로 나타났다. 따라서 돈가스의 흡유량을 개선시키기 위한 튀김반죽의 첨가제로 셀룰로오스 유도체인 MC 및 HPMC의 첨가가 효과적이나, MC의 경우는 대조군에 비해 점도의 증가가 매우 커서 동일 온도에서 coating이 두껍게 되었다. 또한 색도 및 관능평가의 결과 HPMC 0.5% 및 1%를 제외한 모든 셀룰로오스 첨가군은 첨가율에 비례하 여 대조군에 비해 명도가 감소하고 수분보유력이 증가하 여 흡유량이 적은 데도 느끼하고 덜 익은 것처럼 느끼 는 것으로 평가되었다. 위의 결과를 종합해보면 돈가스와 같이 튀김반죽을 재 료에 코팅하는 조리과정을 거치는 음식에서는 튀김반죽 에 셀룰로오스유도체인 HPMC를 적정량 첨가하면 코팅 하기가 쉽고 흡유량은 감소하는 반면 수분보유량은 증가 하여 매우 효과적이었다. HPMC의 최적 첨가량은 약 0.5% 수준이었을 때 점도가 적당하였고 색감, 바삭한 정도 및 단단한 정도 등의 관능적인 면에서도 우수하였다.

SBR을 이용한 하수와 우사폐수로 구성된 혼합폐수의 영양소 제거 (The Nutrient Removal of Mixed Wastewater composed of Sewage and Stable Wastewater using SBR)

  • 김홍태
    • 한국환경과학회지
    • /
    • 제8권5호
    • /
    • pp.617-623
    • /
    • 1999
  • This study was carried out to obtain the optimal operating parameter on organic matters and nutrient removal of mixed wastewater which was composed of sewage and stable wastewater using SBR. A laboratory scale SBR was operated with An/Ae(Anaerobic/Aerobic) ratio of 3/3, 2/4 and 4/2(3.5/2.5) at organic loading rate of 0.14 to 0.27 kgBOD/$m^3$/d. TCOD/SCOD ratio of mixed wastewater was 3, so the important operating factor depended upon the resolving the particulate parts of wastewater. Conclusions of this study were as follows: 1) For mixed wastewater, BOD and COD removal efficiencies were 93-96% and 85-89%, respectively. It was not related to each organic loading rate, whereas depended on An/Ae ratio. During Anarobic period, the amount of SCOD consumption was very little, because ICOD in influent was converted to SCOD by hydrolysis of insoluble matter. 2) T-N removal efficiencies of mixed wastewater were 55-62% for Exp. 1, 66-76% for Exp. 2, and 67-81% for Exp. 3, respectively. It was found that nitrification rate was increased according to organic concentration in influent increased. Therefore, the nitrification rate seemed to be achieved by heterotrophs. During anoxic period, denitrification rate depended on SCOD concentration in aerobic period and thus, was not resulted by endogenous denitrification. However, the amount of denitrification during anaerobic period were 3.5-14.1 mg/cycle, and that of BOD consumed were 10-40 mg/cycle. 3) For P removal of mixed wastewater, EBPR appeared only Mode 3($3^*$). It was found that the time in which ICOD was converted to VFA should be sufficient. For mode 3 in each Exp., P removal efficiencies were 74, 87, and 81%, respectively. But for 45-48 of COD/TP ratio in influent, P concentration in effluent was over 1 mg/L. It was caused to a large amount of ICOD in influent. However, as P concnetration in influent was increased, the amounts of P release and uptake were increased linearly.

  • PDF

렌티바이러스와 아데노바이러스를 통하여 쥐의 중간엽줄기세포에 사람 나트륨/옥소 공동수송체 유전자를 전달하였을 때의 발현성능 비교 (Comparison of Human Sodium/Iodide Symporter (hNIS) Gene Expressions between Lentiviral and Adenoviral Vectors in Rat Mesenchymal Stem Cells)

  • 박소연;김성진;이원우;이희란;김현주;정준기;김상은
    • Nuclear Medicine and Molecular Imaging
    • /
    • 제42권5호
    • /
    • pp.394-400
    • /
    • 2008
  • 목적: 줄기 세포에서 렌티바이러스와 아데노바이러스를 이용해 유전자를 전달하였을 때 유전자 발현 정도를 정량적으로 비교하는 연구는 보고되지 않았다. 저자들은 쥐의 중간엽줄기세포(이하 rMSC)에 사람 나트륨/옥소 공동수송체 (이하 hNIS) 유전자를 렌티바이러스와 아데노바이러스를 통하여 전달하고 발현 정도를 정량적으로 비교해 보았다. 대상 및 방법: hNIS를 발현하는 rMSE (lenti-hNIS-rMSC)의 생산은 hNIS유전자를 렌티바이러스 벡터인 pLenti/UbC/V5-DEST (Invitrogen)에 클로닝하여 pLenti-hNIS를 얻은 후 rMSC에 감염시켜서 3주간 blasticidin으로 선별하였다. hNIS를 발현하는 재조합 아데노바이러스(Rad-hNIS)는 homologous recombination 방법에 의하여 생산하였으며 Rad-hNIS의 rMSC에 대한 transduction efficiency는 Rad-GFP를 사용하여 MOI 1, 5, 20, 고리고 100에서 평가하였고 그 결과는 각각 $19.1{\pm}4.7%$, $54.0{\pm}6.4%$, $85.7{\pm}8.7%$, 그리고 $98.4{\pm}1.3%$이었다. 두 바이러스 전달 시스템에서 hNIS의 발현정도를 ummunocytochemistry, western blot 그리고 방사성옥소 섭취실험을 통해 평가하였다. 결과: Immunocytochemistry와 western blot으로 hNIS 단백질의 양을 비교하였을 때 lenti-hNIS-rMSC에서 발현하는 hNIS 단백질의 양은 Rad-hNIS를 rMSC에 MOI 20으로 감염시킨 경우보다는 많았으나 MOI 50 보다는 작았다. 그러나 방사성옥소 섭취실험에서 lenti-hNIS-rMSC ($29,704{\pm}6,659\;picomole/10^6\;cells$)는 MOI 100의 Rad-hNIS를 rMSE에 감염시킨 경우($6,168{\pm}2,134\;picomole/10^6\;cells)$ 보다도 높은 섭취율을 보였다. 결론: 렌티바이러스를 통하여 hNIS를 rMSC에서 발현하도록 했을 때 아데노바이러스를 전달 벡터로 사용한 경우에 비하여 단백질 발현 양은 상대적으로 적었으나 hNIS의 기능은 더 우수하였다. hNIS를 리포터 유전자로 사용한 줄기세포추적은 벡터에 따른 유전자 발현효율의 차이를 고려하고 시행되어야 할 것으로 생각한다.

NADH 센서를 이용한 생물학적 동시 탈질.질산화공정에서 질소, 인제거 영향인자 및 거동 평가 (Evaluation of Affecting Factors on N and P removal in Biological SND (Simultaneous Nitrification and Denitrification) Process with NADH Sensor)

  • 김한래;이시진
    • 한국환경보건학회지
    • /
    • 제34권5호
    • /
    • pp.374-381
    • /
    • 2008
  • In this study, the factors affecting biological N and P removal using SND (simultaneous nitrification and denitrification) process were investigated and evaluated to examine the possibility of treating N and P through SND with NADH by surveying N and P traces in an aeration tank. Variations of $NH_4^+$-N+$NO_3^-$-N concentration were used to estimate the degree of SND in each point (P2, P3, P4, P5) of the aeration tank and these variations showed that denitrification efficiency in P2 (front zone), nitrification and denitrification efficiencies in P4 (middle zone) were 67%, 86% and 39%, respectively. When $PO_4^{-3}$-P concentration was analyzed in each point of the aeration tank, it was shown that $PO_4^{-3}$-P concentration coming into P2 was 1.25 mg/L, which increased to 2.22 mg/L by P release in P2 zone and then decreased to 0.74 mg/L by P uptake in P4. Consequently, we were able to estimate which high P removal efficiency observed in this study was caused by biological phosphorus removal. To determine the operating factors affecting effluent T-N, we analyzed the correlation among FN/M ratio, C/N ratio, Temp., SRT etc and these results showed that the correlation among FN/M ratio, C/N ratio and Temp was not high. However, the relationship of SRT and other parameters (effluent $NH_4^+$-N and effluent BOD) and the short SRT could have an affect on effluent $NH_4^+$-N and so effluent BOD could be increased. Thus, SRT operation should be controlled over 10 days. The results for analyzing the correlation between SRT and influent $NO_3^-$-N in order to investigate the operating factors affecting effluent T-P showed that T-P or $PO_4^{-3}$-P was not highly correlation with SRT, whereas $PO_4^{-3}$-P concentration increased along with increasing $NO_3^-$-N concentration into P2. Based on these results, we concluded, using regression analysis (R2=0.97), that effluent $PO_4^{-3}$-P concentration depends on $NO_3^-$-N concentration into P2.

Genistein이 사람 섬유육종 세포주 증식 및 Membrane Type 1-Matrix Metalloproteinase (MT1-MMP) mRNA 발현에 미치는 영향 (THE EFFECT OF THE GENISTEIN ON THE PROLIFERATION OF HT1080 AND EXPRESSION OF MEMBRANE TYPE 1-MATRIX METALLOPROTEINASE (MT1-MMP) mRNA)

  • 강진한;명훈;김명진
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제27권4호
    • /
    • pp.314-320
    • /
    • 2001
  • Matrix metalloproteinases have long been viewed as ideal candidates for proteinases that enables tumor cells to permeated basement membrane defenses and invade surrounding tissue. There is growing evidence that the MMPs have an expanded role, as they are important for the creation and maintenance of a microenvironment that facilitates growth and angiogenesis of tumors at primary and metastatic sites. MT-MMPs are not secreted but instead remaining attached to cell surfaces. Although not all of the MT-MMPs are fully characterized, MT-MMPs have important role in localizing and activating secreted MMPs. The MMP genes are transcriptionally responsive to a wide variety of oncogene, growth factors, cytokine, and hormones. Currently, a number of MMP inhibitors are being developed and some have reached clinical trials as anti-metastatic or anti-cancer therapies. MT1-MMP is involved in the activation of proMMP-2. MT1-MMP is significant not only as a tumor marker but as a new target for chemotherapy against cancer. The purpose of this study was to evaluate the effects of protein kinase C inhibitor(genistein) on the proliferation of HT1080 and expression of MT1-MMP mRNA. Human fibrosarcoma cell line HT1080 was cultured and divided 2 groups. The experimental group was treated with $100{\mu}M$ genistein and incubated 12h, 24h for $[3^H]-thymidine$ uptake assay and northern hybridization individually. And the control group was treated with same amount of PBS for the above procedures. $[3^H]-thymidine$ incorporation was measured with ${\beta}$ ray detector. And RT-PCR and northern blotting for MT1-MMP mRNA was performed. The results were as follows 1. $[3^H]-thymidine$ uptake was reduced in experimental group with statistical significance. 2. MT1-MMP mRNA expression was significantly reduced in experimental group. These results showed that protein kinase C inhibitor (genistein) inhibited proliferation of HT1080 and almost completely blocked transcription of MT1-MMP mRNA. So, it is possible to use the protein kinase inhibitor (genistein) as anti-metastatic and anti-proliferative agent.

  • PDF

$^{99m}Tc-HMPAO$를 이용한 자가백혈구표지 및 그를 이용한 염증병소의 스캔 (Inflammation Scan Using $^{99m}Tc-HMPAO$ Labelled Leukocytes)

  • 양우진;정수교;신경섭;박용휘;김훈교
    • 대한핵의학회지
    • /
    • 제23권2호
    • /
    • pp.219-223
    • /
    • 1989
  • Inflammation scan using radiolabelled leukocytes has high sensitivity and specificity. Several methods for labelling leukocytes have been evaluated using P-32 diisopropyl fluorophosphate (DFP-32), H-3 thymidine, Cr-51 chromate, Ga-67 citrate and Tc-99m-sulfur colloid. In-111-oxine has proved so far to be the most reliable agent for labelling leukocytes. In-111-oxine is, however, expensive, not easily available when needed, and its radiation dose to leukocytes is relatively high. Moreover, resolution of the resultant image is relatively poor. Tc-99m is still the agent of choice because of, as compared with the indium, its favorable physical characteristics, lower cost and availability. Now the technique for labelling the leukocytes with technetium is successfully obtained using the lipophilic HAPAO with higher efficiency for granulocytes than for other cells. With this technique it is possible to label leukocytes in plasma to improve the viability of the leukocytes. Inflammation scan using Tc-99m-HMPAO has been evaluated in several laboratories, and difference in methods for separation and labelling accounts for difference in efficiency, viability and biodistribution of the labelled leukocytes. We performed inflammation scan using leukocytes labelled with Tc-99m-HMPAO in three dogs 24 hours after inoculation of live E. Coli and A. Aureus in their right abdominal wall. We separated mixed leukocytes by simple sedimentation using 6% hetastarch (HES) and labelled the leukocytes with Tc-99m-HMPAO in 20% cell free plama diluted with phosphate buffer solution(Fig. 1). Uptake was high in the liver and spleen but is was minimal in the lungs on whole body scan. Kidneys and intestine showed minimal activity although it was high in the urinary bladder(Fig. 2). Uptake of labelled leukocytes in the inflammation site was do(mite on 2 hour-postinjection scan and abscess was clearly delineated on 24 hour-delayed scan with high target-to-nontarget ratio(Fig. 3, 4). Inflammation scan using mixed leukocytes labelled with Tc-99m-HMPAO is very sensitive and specific in early detection of inflammation.

  • PDF

그레이브스 갑상선기능항진증 환자의 방사성옥소($^{131}I$) 치료시 실제 유효반감기의 측정 (Measurements of Actual Effective Half-Life in $^{131}I$ Therapy for Graves' Hyperthyroidism)

  • 소용선;김명선;권기현;김석환;김태형;한상웅;김은실;김종순
    • 대한핵의학회지
    • /
    • 제30권1호
    • /
    • pp.77-85
    • /
    • 1996
  • 목적 : 그레이브스 갑상선기능항진증 환자에서 개개인마다 유효반감기가 차이가 있기 때문에, 방사성옥소 치료시 용량산출법에서, 고정된 유효반감기를 사용하는 경우에는 환자에 따라 과용량 뿐만아니라, 부족한 용량을 투여하게 되는 문제점이 있다. 저자들은 환자마다 다양하게 나타나는, 유효반감기를 $^{131}I$ 치료의 효과를 결정하는 가능한 한 인자로서 평가하고, 방사성옥소 투여후에 실제 유효반감기를 추정하고, 이를 기준으로 환자에게 실제 흡수된 방사선 흡수선량을 구하고 예정 흡수선량에 도달하기 위해 필요한 조사선량을 추정하기 위해서 본 연구를 시작했다. 대상 및 방법 : 대상은 1995년 4월부터 본원의 갑상선 클리닉을 방문한 환자중 그레이브스병 갑상선기능항진증으로 진단받았으나 항갑상선제를 장기간 복용에도 불구하고 관해를 유도하지 못했던 경우와, 항갑상선제에 대한 부작용으로 복용할 수 없는 환자 및 환자가 수술적 치료를 거부한 12명의 환자를 대상으로 방사성옥소 치료를 실시하였다. 수정된 Quimby-Marrinelli[투여량(MBq)=$absorbed\;dose(100Gy){\times}thyroid\;weight(g){\times}25{\div}T_{1/2}(day){\div}24hr$ $^{131}I$ uptake(%)]공식에 의해서 계산된 용량을 기준으로 방사성옥소를 투여한 후에 24, 48, 72, 96, 120시간당 방사성 옥소의 갑상선흡수율을 구한후 생물학적반감기, 유효반감기, 흡수선량을 구하였다. 결과: 1) 환자들에서 방사성옥소 투여시 실제 생물학적반감기는 9.5일에서 67.2일까지 다양하게 나타났고 평균 $21{\pm}13.0$(S.D.)일 이었다. 유효반감기는 평균 $5.3{\pm}0.88$(S.D.)일 이었으며 4.3일에서 7.1일까지였다. 2) 평균 방사성옥소 투여량은 532MBq(S.D.=${\pm}254$), 이때 실제 흡수선량은 112Gy(S.D.=${\pm}50.9$)였고, 갑상선조직 1그람당 100Gy의 흡수선량의 도달에 필요한량은 평균 583MBq(S.D.=${\pm}385$)였으며 평균 51MBq의 추가 용량투여가 필요하였다. 3) 방사성옥소의 추적자용량과 치료량에서의 갑상선 옥소섭취율의 변화는 t 값이 3.85, p<0.001로서 유의수준 0.01에서 유의한 차가 인정되었다. 4) 갑상선 중량측정에 있어서 갑상선스캔과 초음파사이에 유의한 차이를 보이지 않았다. 5) 유효반감기, 갑상선중량, 치료전과 치료후의 방사성옥소섭취율은, 40세 이전과 40세 이후의 양군에 있어서 유의한 차이를 보이지 않았다. 결론 : 그레이브스병 환자의 방사성옥소 치료시 용량결정 방법에서 실제 유효반감기를 이용한 방법은, 치료자가 목표로 한 흡수선량을 환자들에게 되도록 정확하게 투여하여, 방사성옥소 투여 후 잦은 빈도로 발생하는 갑상선기능저하증과, 치료실패의 빈도를 줄일 수 있을 것으로 생각한다.

  • PDF