• 대한핵의학회지
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• 제24권1호
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• pp.80-86
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• 1990

Fifty seven patients with differentiated thyroid carcinoma were performed radioactive iodine-131 whole body scans after administration of diagnostic dose $(2\sim10\;mCi)$ and therapeutic dose $(30\sim150\;mCi)$ within three months. We evaluated the state of radioactive iodine-131 uptakes in whole body scan to detect correct metastasis of thyroid carcinoma. The results are as follows: 1) In 20 of the 57 patients (35%), the therapeutic scan showed the additional uptakes that were not seen in the diagnostic scan. 2) In 9 (64.2%) of the 14 patients who had been received the thyroid ablation theraphy with I-131 previously, new additional lesions were found in the therapeutic scan but only 11 (25%) of the 32 patients who had not been received the thyroid ablation theraphy disclosed new uptake lesions (p < 0.01). 3) The additional uptake lesions of therapeutic scan were significantly more common in the bony metastatic foci (55.7%) than other areas (p < 0.01). In 11 (55%) of 20 patients, additional uptake regions were anterior neck areas (thyroid bed or regional lymph node). We conclude that diagnostic scan with $2\sim5$ mCi I-131 is inadequate in evaluating residual iodine avid tissues of patients with thyroid carcinoma. Also post-theraphy I-131 whole body scan would be important to evaluate the correct staging and prognosis of thyroid carcinoma, and to follow-up patients.

• 대한핵의학회지
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• 제35권3호
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• pp.117-124
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• 2001

Serum thyroglobulin measurement and I-131 whole-body scintigraphy (WBS) are well-established methods for the detection of recurrence in the follow-up of patients with thyroid carcinoma. However, inconsistent results are observed frequently, and these two methods are not always able to detect recurrence. In some patients, serum thyroglobulin level is elevated but the WBS is negative, because the recurrent tumor is too small and below the sensitivity of the diagnostic scan, or there is a dissociation between thyroglobulin synthesis and the iodine frapping mechanism. In such cases, various nuclear imaging methods including Tl-201 Tc-99m-sestamibi, and F-18-FDG PET can be used besides anatomical imaging methods. Among them, FDG PET localizes recurrent lesions in WBS-negative thyroid carcinoma with high accuracy. Several studies have suggested that empirical high-dose I-131 therapy resulted in a high rate of visualization in post-therapy scans with evidence of subsequent improvement. An important question is when to operate on patients with recurrent tumor. We believe that surgical removal is the best means of treatment for patients with localized persistent tumor, despite the high-dose I-131 therapy. with tumor in thyroid remnant, and with isolated recurrence in the lymph node, lung or bone. In addition, we recommend palliative resection of locally unresectable mass with subsequent treatment with high-dose I-131 therapy. Before I-131 therapy, the evaluation of sodium-iodide symporter expression in thyroid carcinoma can predict iodine uptake. Retinoic acid is known to induce redifferentiation, and to enhance I-131 uptake in thyroid carcinoma. Retinoic acid therapy may represent an alternative approach before high-dose I-131 therapy.

• Nuclear Engineering and Technology
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• 제4권3호
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• pp.186-193
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• 1972

Rose $Bengal-^{131}$ /I, $Hippuran-^{131}$ /I, $H.S.A-^{131}$ /I 등을 효과적으로 합성하기 위해 표지 반응액의 pH, 염의함량, 반응액중의 완충용액의 부피 및 합성장치등에 따르는 표지 반응수율을 검토하였다. Rose $Bengal-^131{ }$I 및 $Hippuran-^{131}$ /I 의 반응수율은 PH 5.6에서, $H.S.A-^{131}$ /I 반응수율은 pH 8.5에서 각각 가장 좋았다. 반응액중에 함유된 염은 $Hippuran-^{131}$ /I의 생성반응을 크게 저해 시켰으며 H.S.A.의 표지수율은 어느 범위안에서 오히려 약간 향상시켰다. Rose $Bengal-^{131}$ /I 나 $Hippuran-^{131}$ /I 를 소규모 합성할 경우는 밀폐된 용기가 효과적이었다. 이상의 결과에 따라 더 높은 표지수율과 좋은 재현성을 얻을 수 있는 반응조건을 확립하였으며 이에 따라 환원제가 함유된 국산 $Na^{131}$ /I를 사용하더라도 Rose $Bengal-^{131}$ /I과 $Hippurn=^{131}$ /I의 표지수율을 높일 수 있었다.

• 한국환경과학회지
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• 제24권9호
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• pp.1123-1129
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• 2015

This research was performed by means of several different virgin granular activated carbons (GAC) made of each coal, coconut and wood, and the GACs were investigated for an adsorption performance of iodine-131 in a continuous adsorption column. Breakthrough behavior was investigated that the breakthrough points of the virgin two coals-, coconut- and wood-based GACs were observed as bed volume (BV) 7080, BV 5640, BV 5064 and BV 3192, respectively. The experimental results of adsorption capacity (X/M) for iodine-127 showed that two coal- based GACs were highest (208.6 and $139.1{\mu}g/g$), the coconut-based GAC was intermediate ($86.5{\mu}g/g$) and the wood-based GAC was lowest ($54.5{\mu}g/g$). The X/M of the coal-based GACs was 2~4 times higher than the X/M of the coconut-based and wood-based GACs.

• 대한수의학회지
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• 제12권1호
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• pp.15-19
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• 1972

This experiment was carried out to investigate the effect on the liver of guinea pig after administration of 4.5mCi per Kg. body wt. with iodine-131. The histological changes in the liver were degeneration of hepatic cells, congestion of sinusoids, dilatation of bile ducts, perivascular infiltration of lymphocytes, and dissociation of hepatic cords. A marked histological changes were produced after treatment for 14 days and the morphological recoveries were observed 28 days after the treatment.

• 종양간호연구
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• 제12권4호
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• pp.297-304
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• 2012

Purpose: This study was to identify the symptom severity, interference and their psychological predictors in thyroid cancer patients hospitalized for radioactive iodine administration. Methods: One hundred seventy-seven thyroid cancer patients admitted to the isolation room for Iodine ($I^{131}$) therapy were recruited. Subjects were asked to complete the questionnaire on core symptoms, thyroid cancer symptoms, interference, depression and state anxiety in the evening after receiving radioactive iodine therapy. Data was analyzed using frequency, percentage, mean, Pearson's correlation, and multiple regression with SPSS vs. 19. Results: Lack of appetite, drowsiness, sleep disturbance, fatigue, and nausea were the 5 most core symptoms. More than 20% of patients experienced moderate to severe thyroid cancer symptoms including feeling cold, hoarseness, swallowing difficulty, and feeling hot. More than 30% of subjects experienced moderate to severe interferences in mood, general activity, and 22% in walking. Depression and state anxiety were identified as predictors of core symptoms, thyroid symptom severity and interference. Conclusion: Nursing interventions to reduce the symptom severity and interference need to be developed by considering thyroid cancer patients' depression and anxiety when hospitalized in the isolation room for radioactive iodine administration.

• 대한핵의학회지
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• 제34권4호
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• pp.285-293
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• 2000

목적: 손쉽고 빠른 시간 안에 시행 가능한 Tc-99m을 이용할 갑상선 스캔을 시행하여 I-131 진단적 전신영상을 대체할 수 있는지에 대해 전향적으로 평가하였다. 대상 및 방법: 분화된 유두상 갑상선암으로 진단되어 갑상선 전절제술을 시행한 후 갑상선 잔여조직의 완전한 제거를 위하여 방사선 옥소 치료를 위해 의뢰된 21명의 환자를 대상으로 하였다. Tc-99m을 이용한 영상은 Tc-99m 10 mCi (370 MBq)를 정맥 주사한 후 10분 뒤 pinhole 영상을 목 부위에서 얻었고 가슴과 목을 포함한 평면영상을 얻었다. 진단적 I-131 스캔 영상은 Tc-99m 영상을 얻은 후 곧바로 I-131 2 mCi (74MBq)를 복용 시켰으며 복용 후 2일이 경과된 다음 Tc-99m와 같은 방법으로 영상을 얻었다. 또한 모든 환자에서 치료용량의 방사성 옥소를 투여 후 7일 째 치료적 I-131 스캔을 얻었다. 결과: 1) Tc-99m 스캔과 I-131 스캔의 비교 Tc-99m 평면영상은 19명에서 I-l3l 진단 스캔은 13명에서 시행되었다. 이 중 Tc-99m 평면영상에서 3 환자(16%)는 스캔상 아무런 섭취소견을 보이지 않아 민감도는 84%를 보였다. 그러나 I-131 진단 스캔에서는 모든 환자에서 섭취를 보여 100% 민감도를 보였다. Tc-99m 평면영상에서 보이지 않던 3명의 환자의 I-131 진단 스캔상의 섭취는 2명은 경도의 섭취를 1명은 중등도 섭취를 보였다. 2) Tc-99m pinhole영상과 I-131 pinhole 영상의 비교 Tc-99m pinhole 영상은 20명에서 I-131 pinhole 스캔은 10명에서 시행되었다. Tc-99m pinhole 영상에서 검사를 시행한 20명에서 1명을 제외한 19명에서 양성소견을 보여 민감도는 95%였으며 이들의 목 부위의 섭취 정도는 19명 중 3명에서 경도 섭취를, 7명에서 중등도 섭취를 그리고 9명은 강한 섭취를 보였다. 또한 Tc-99m 평면영상에서 섭취가 없었던 2명의 환자는 Tc-99m pinhole 영상에서 경도의 섭취를 보였으나 1명은 섭취가 없었다. 결론: 간편하게 시행할 수 있는 Tc-99m 스캔상 갑상선 섭취가 관찰될 경우 I-131 진단적 스캔을 생략하고 방사성옥소 치료를 시행할 수 있을 것으로 생각된다. 그러나 Tc-99m 스캔에서 음성인 경우와 전이된 예에 대한 연구가 추가적으로 필요할 것으로 보인다.

• 대한핵의학회지
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• 제33권6호
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• pp.493-501
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• 1999

목적 : 분화된 갑상선암에서 암 절제술 및 방사성 옥소 치료 후 추적관찰 중 재발이나 전이병소를 찾기 위한 효과적인 검사 방법에 대한 자료를 제시하고자 T1-201 스캔, Tc-99m MIBI 스캔, I-131 스캔 검사의 결과를 비교하였다. 대상 및 방법: 분화된 갑상선암으로 진단되어 수술 및 방사성 옥소로 치료 후 추적관찰 중 국소 재발 또는 전이로 생각되어 한번이상의 방사성 옥소 재 치료를 시행한 20명(총 33예)의 환자를 대상하여 T1-201 스캔, Tc-99m MIBI 스캔, 진단적 및 치료적 I-131 스캔을 시행하여 각 스캔에서 결과를 후향적으로 분석하였다. 모든 환자에서 갑상선글로불린을 측정하였고 임상적, 방사선학적, 조직학적 검사로 암의 재발 및 전이를 확인하였다. 결과: 4가지 검사의 비교에서 병소를 발견할 수 있는 양성률은 Tc-99m MIBI 스캔, T1-201 스캔, 진단적 I-131 스캔, 치료적 I-131 스캔에서 각각 70% (19/27), 54% (15/28), 35% (17/48), 63% (30/48)였다. T1-201 스캔과 I-131 스캔을 같이 시행한 군(20 예, 28병소)에서는 병소의 양성률은 치료적 I-131 스캔, T1-201 스캔, 진단적 I-131 스캔 순으로 높았으나(71%, 54%, 36%), T1-201 스캔과 진단적 I-131 스캔간의 차이는 없었다(p>0.05). Tc-99m MIBI 스캔을 I-131 스캔과 같이 시행한 군(20예, 27병소)에 서는 Tc-99m MIBI, 치료적 I-131 스캔, 진단적 I-131 스캔의 순으로 높았고(70%, 52%, 33%), Tc-99m MIBI는 진단적 I-131 스캔보다 양성률이 유의하게 높았다(p<0.05). 결론: 분화된 갑상선암 환자의 치료 후 추적 관찰에서 국소 재발 및 전이 병소를 찾는데 Tc-99m MIBI 스캔은 진단적 I-131 스캔보다 우수하였다. 따라서 치료 전에 진단적 I-131 스캔을 시행하기보다는 갑상선 호르몬제를 중단하지 않은 상태에서 Tc-99m MIBI 스캔을 시행한 후 결과에 따라서 치료용량의 방사성 옥소를 투여하고 치료적 I-131 스캔을 하는 것이 효과적일 것으로 사료된다.

• Journal of Radiation Protection and Research
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• 제46권4호
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• pp.178-183
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• 2021

Background: This study was carried out to provide environmental transfer parameter values to estimate activity concentrations of these radionuclides in agricultural crops when direct contamination occurred. Materials and Methods: Mass interception fractions (F_Bs) and weathering half-lives (T_ws) of ¹³¹I and radiocesium were calculated using openly available monitoring data obtained after the Fukushima Daiichi Nuclear Power Plant accident. F_B is the ratio between the initial radioactivity concentration of a radionuclide retained by the edible part of the plant (Bq·kg^-1 fresh weight [FW]) and the amount of deposited radionuclide in that area (Bq·m^-2). T_w values can be calculated using activity concentrations of crops decreased with time after the initial contamination. Results and Discussion: Calculated F_B and T_w values for ¹³¹I and radiocesium were mostly obtained for leafy vegetables. The analytical results showed that there was no difference of F_Bs between ¹³¹I and radiocesium by t-test; geometric mean values for leafy vegetables cultivated under outdoor conditions were 0.058 and 0.12 m²·kg^-1 FW, respectively. Geometric mean T_w value of ¹³¹I in leafy vegetables grown under outdoor conditions was 8.6 days, and that of radiocesium was 6.6 days; there was no significant difference between T_w values of these radionuclides by Wilcoxon rank sum test. Conclusion: There was no difference between ¹³¹I and radiocesium for F_Bs and T_ws. By using these factors, we would be able to carry out a rough estimation of the activity concentrations of ¹³¹I and radiocesium in the edible part of leafy crops when a nuclear accident occurred.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 2003년도 춘계학술발표대회 요약집
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• pp.341.2-341.2
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• 2003