• Title/Summary/Keyword: Tc-99 m

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Radiolabelled Monoclonal Antibodies (McAb): An Alternate Approach to the Conventional Methods for the Assessment of Cardiomyocyte Damage in an Experimental Brain-Death Pig Model

  • Haider, Kh.H.;Stimson, W.H.
    • Archives of Pharmacal Research
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    • v.21 no.5
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    • pp.496-502
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    • 1998
  • The present study was carried out to determine the possible use of cTn-I in the cardiac myofibrillar architecture, as a potential target for in vivo radioimmunodetection of cardiac damage in a brain death pig model. Radioiodiantion of the anti-cTn-I 5F4 McAb was carried out by lactoperoxidase method. the percentage iodine incorporation achieved was 70-75%. The radioiodinated McAbs were purified on Sephadex G-25 column and characterised by Paper chromatography, Phast Gel electrophoresis and electroimmunoblotting. Radioiodinated anticTn-I 5F4 McAbs were employed alongside Pyrophosphate($Tc_{99m}$-PPi$) and $Thallium^{201}$ chloride($TI^{201}$) in 24 landrace pigs (brain-dead=18 & sham-operated=6). The percentage cardiac uptake of the radiolabelled antibody injected dose was significantly higher in the brain dead animals(0.196%) as compared to that of sham-operated animals (0.11%). Specific in vivo localization of radiolabelled McAbs in the infarcted cardiac tissue was confirmed by computer-aided reconstruction of 3-D images of the isolated heart. The preliminary results of the study revealed preferential uptake of radiolabelled antibody at the site of myocyte damage resulting from artificially induced brain death.

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Compton Scatter Distribution Function in Non-uniform Attenuation Media in SPECT (SPECT 영상에서 불균등 감약물질의 콤프톤 산란 분포함수)

  • Lee, Man-Koo
    • Journal of radiological science and technology
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    • v.14 no.2
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    • pp.45-53
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    • 1991
  • SPECT 영상에서 콤프톤 산란 광자는 공간분해능의 감소와 그 양을 측정하는데 있어 정확성과 정밀성을 감소시킨다. 이와같은 콤프톤 산란의 영향을 감소시키기 위하여 사용하는 대부분의 보정방법은 선원의 위치로부터 거리의 단일지수함수로 대칭인 산란분포함수를 고려하게 된다. 본 연구는 균등 및 불균등 산란에 대한 산란분포함수를 얻기 위하여 보다 현실적인 접근방법을 시도하였다. 산란 및 비산란광자의 공간분포와 에너지분포를 얻기 위하여 뼈, 폐, 물의 균등 및 불균등 분포로 된 원통형의 팬톰 속에 $^{99m}Tc$의 선선원 및 점선원을 놓고 Monte Carlo Simulation을 하였으며, 깊이의 함수, media의 접촉영역으로부터 선원거리 및 산란체의 밀도의 변화로 표현한 산란분포함수(SDF)를 얻었다. 산란분포함수는 균등한 뼈, 폐, 물에서는 선원위치로부터 거리의 단일지수함수(single exponential functions)로 대칭으로 나타났으며, 두 물체의 조합에서는 2중지수함수(dual exponential functions)로 비대칭으로 나타났다. 산란분율은 20% window photopeak에서 총 계수의 8%에서 53%까지 다양한 변화가 있었으며, 지수함수의 기울기는 $0.1{\sim}0.9\;cm^{-1}$의 범위로 나타났다. 불균등 산란체에서 얻은 산란분포함수는 SPECT 영상에 있어 콤프톤 산란의 감소에 대한 보다 정확한 보정방법의 개발에 필요한 정보를 제공할 것이다.

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Radiographic Image and Calcium Metabolism after Experimental Fracture of the Metatarsus in Chicken (병아리 부전골에서 실험적 골절후의 방사선 사진상과 칼슘대사)

  • Lee, Dong-Myoung;Park, Young-Ki
    • Journal of radiological science and technology
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    • v.9 no.1
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    • pp.137-143
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    • 1986
  • This study was undertaken to analyze the changes of radiographical image in avian (chicken) by using scanner and ${\gamma}-camera$ with $Tc^{99m}-MDP$. Experiment was aimed also to observe the changes of calcium, phosphorus and alkaline phosphatase activity in serum after experimental fracture. The results obtained are summerized as follows. 1. 10 chickens grown 6 weeks were scanned within 48 hours after experimental fracture, showed localized increase in uptake. The earlist increased local uptake was observed after 7 hours from experimental fracture at the fracture site. 2. Serum alkaline phosphatase level was increasing continuously during the fracture healing process in comparison with control group and serum alkaline phosphatase activity showed a peak after 2 weeks following the fracture. 3. The change of Ca. amount in serum trended to decrease from 1st day after fracture and it was in the lowest level at the 7 day's group following the fracture. 4. Serum phosphorus level trended to increase after fracture and it was in the highest level at the 7 day's group and showed similar level in comparison with control group.

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A Case of Thyroid Hemiagenesis (갑상선 반쪽 무형성증 1례)

  • Kim, Joon-Sung;Lee, Kyung-Yeon;Kim, Ja-Hyeong;Park, Sang-Kyu;Jeong, Jin-Young;Oh, Ki-Won
    • Neonatal Medicine
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    • v.16 no.2
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    • pp.244-247
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    • 2009
  • Thyroid hemiagenesis is a rare congenital anomaly in which one thyroid lobe fails to develop. Thyroid hemiagenesis usually does not cause clinical symptoms by itself, therefore, this anomaly is detected incidentally during the evaluation of other thyroid disorders. We describe a rare case of thyroid hemiagenesis in a 1-month-old female infant who presented with prolonged jaundice and abnormal laboratory findings of congenital hypothyroidism. The patient showed the characteristic features of thyroid hemiagenesis of the left lobe in Tc-99m pertechnetate scintigraphy and ultrasonography of the thyroid gland. The patient has improved with supportive care, including thyroid hormone replacement. Further long-term follow-up is required for the investigation of recurrence of thyroid abnormalities.

Attenuation Correction in Measurements of Gastric Emptying Time (위배출시간 측정시 감쇠보정에 의한 효과)

  • Koh, Eun-Mi;Kim, Deog-Yoon;Kim, Byung-Ho;Chang, Young-Woon;Kim, Kwang-Won;Chang, Rin;Choi, Young-Kil;Kim, Yong-Bong
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.260-266
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    • 1990
  • Scintigraphic measurement of gastric emptying time has been reported to be influenced by the variation in depth of radionuclide within the stomach. In order to determine the effect of tissue attenuation in the measurement of gastric emptying time, 15 gastric emptying studies were performed with Tc-99m labeled egg sandwiches. Single anterior detector method overestimated the T1/2 by an average of 13% than geometric mean method and range of overestimation was wide (from -13% to 132%). Therefore, to evaluate the gastric empthying time accurately, methods of attenuation correction are needed.

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Role of Bone Scan in Rheumatic Diseases (류마티스 질환에서 골스캔의 역할)

  • Choi, Yun-Young
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.3
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    • pp.137-146
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    • 2003
  • Rheumatic diseases can be categorized by pathology into several specific types of musculoskeletal problems, including synovitis (e.g. rheumatoid arthritis), enthesopathy (e.g. ankylosing spondylitis) and cartilage degeneration (e.g. osteoarthritis). Skeletal radiographs have contributed to the diagnosis of these articular diseases, and some disease entities need typical radiographic changes as a factor of the diagnostic criteria. However, they sometimes show normal radiographic findings in the early stage of disease, when there is demineralization of less than 30-50 %. Bone scans have also been used in arthritis, but not widely because the findings are nonspecific and it is thought that bone scans do not add significant information to routine radiography. Bone scans do however play a different role than simple radiography, and it is a complementary imaging method in the course of management of arthritis. The Image quality of bone scans can be improved by obtaining regional views and images under a pin-hole collimator, and through a variety of scintigraphic techniques including the three phase bone scan and bone SPECT. Therefore, bone scans could improve the diagnostic value, and answer multiple clinical questions, based on the pathophysiology of various forms of arthritis.

Median modified wiener filter for improving the image quality of gamma camera images

  • Park, Chan Rok;Kang, Seong-Hyeon;Lee, Youngjin
    • Nuclear Engineering and Technology
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    • v.52 no.10
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    • pp.2328-2333
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    • 2020
  • The filter technique was applied to noise images, as noise is the significant factor that cause poor image quality due to lower photon counting. The purpose of this study is to confirm that image quality can be improved using the median modified Wiener filter (MMWF) technique; this is achieved via a National Electrical Manufacturers Association International Electrotechnical Commission body phantom with four large spheres that are filled with the 99mTc radioisotope when evaluating the image quality. Conventional filters such as Wiener, Gaussian, and median filters were designed, and signal to noise ratio, coefficient of variation, and contrast to noise ratio were used as the evaluation parameters. The improvement in the image quality was in the following order, from the least to the highest improvement, in all cases: Wiener filter, Gaussian filter, median filter, and the MMWF technique. The results show that the image quality was improved from 20.6 to 65.5%, 7.4-40.3%, and 12.7-44.7% for the SNR, COV, and CNR values, respectively, when using the MMWF technique, compared with the use of conventional filters. In conclusion, our results demonstrated that the MMWF technique is useful for reducing the noise distribution in gamma camera images.

Quantitative gated myocardial perfusion SPECT (정량적 게이트 심근관류 SPECT)

  • Ahn, Byeong-Cheol
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.4
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    • pp.207-218
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    • 2003
  • Myocardial perfusion imaging has been increasingly used to provide prognostic data and guidance on the choice of appropriate management of patients with known or suspected coronary artery disease. The electrocardiogram gated myocardial SPECT program is corning into wide use with an advent of $^{99m}Tc-labeled$ tracers and an improvement of SPECT machines. The gated technique permits measurement of important cardiac prognostic indicators without any further discomforts or radiation burden in patients underwent standard myocardial perfusion SPECT. In addition, gated study significantly improves diagnostic yield by reducing the number of borderline interpretations and could find myocardial stunning and viable myocardium. Gated single photon emission computed tomography (SPECT) imaging allows the automated calculation of end-diastolic volume, end-systolic volume, ejection fraction, myocardial mass and the assessment of regional wall motion and thickening, and it have dramatically improved assessment of coronary artery disease in routine nuclear practice. This allows the simultaneous assessment of both perfusion and function within the same acquisition, and serves as a cost-effective technique for providing more diagnostic data with fewer diagnostic tests. Because the diagnostic and prognostic power derived from knowledge of left ventricular function can be added to that provided by assessing myocardial perfusion, gated SPECT imaging has rapidly gained widespread acceptance and is now used on a routine clinical basis in a growing number of laboratories, including South Korea. The gated SPECT technique for measurement of left ventricular parameters has been validated against a variety of well established techniques. In this work, overview of gated myocardial perfusion SPECT focus on functional parameters is presented.

Brain Hypoxia Imaging (뇌 저산소증 영상)

  • Song, Ho-Chun
    • Nuclear Medicine and Molecular Imaging
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    • v.41 no.2
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    • pp.91-96
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    • 2007
  • The measurement of pathologically low levels of tissue $pO_2$ is an important diagnostic goal for determining the prognosis of many clinically important diseases including cardiovascular insufficiency, stroke and cancer. The target tissues nowaday have mostly been tumors or the myocardium, with less attention centered on the brain. Radiolabelled nitroimidazole or derivatives may be useful in identifying the hypoxic cells in cerebrovascular disease or traumatic brain injury, and hypoxic-ischemic encephalopathy. In acute stroke, the target of therapy is the severely hypoxic but salvageable tissue. $^{18}F-MISO$ PET and $^{99}mTc-EC-metronidazole$ SPECT in patients with acute ischemic stroke identified hypoxic tissues and ischemic penumbra, and predicted its outcome. A study using $^{123}I-IAZA$ in patient with closed head injury detected the hypoxic tissues after head injury. Up till now these radiopharmaceuticals have drawbacks due to its relatively low concentration with hypoxic tissues associated with/without low blood-brain barrier permeability and the necessity to wait a long time to achieve acceptable target to background ratios for imaging in acute ischemic stroke. It is needed to develop new hypoxic marker exhibiting more rapid localization in the hypoxic region in the brain. And then, the hypoxic brain imaging with imidazoles or non-imidazoles may be very useful in detecting the hypoxic tissues, determining therapeutic strategies and developing therapeutic drugs in several neurological disease, especially, in acute ischemic stroke.

Two Cases of Rotor Syndrome in Siblings (형제에서 발생한 Rotor 증후군 2례)

  • Kim, Yong-Kuk;Lee, Jung-Bok;Im, Hae-Ra;Ryoo, Eell;Tchah, Hann;Lee, Hak-Soo;Kim, Jong-Ho;Jung, Dong-Hae
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.1
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    • pp.101-107
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    • 2002
  • We experienced two cases of Rotor syndrome in brothers who were a 13 year-old boy and an 11 year-old boy, respectively. They presented with icteric scleras for a few months. Their common laboratory characteristics were as follows: Direct bilirubin was more increased than indirect bilirubin, but aminotransferases were normal. Plasma indocyanine green (ICG) test revealed hepatic excretory defect: plasma ICG concentrations 15 minutes after intravenous injection were 80.45% and 78.28%, respectively. 99mTc-DISIDA Hepatobiliary scan showed that severely decreased hepatic extraction with mild cardiac blood pool, markedly delayed biliary excretion in both intra- & extra- hepatic bile ducts, delayed visualization of gall bladder, and markedly delayed intestinal biliary passage. Needle liver biopsy showed normal hepatic histology without pigmentation.

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