• Title/Summary/Keyword: Tomography, emission computed

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Total En Bloc Lumbar Spondylectomy of Follicular Thyroid Carcinoma

  • Jo, Dae-Jean;Jun, Jae-Kyun;Kim, Sung-Min
    • Journal of Korean Neurosurgical Society
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    • v.45 no.3
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    • pp.188-191
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    • 2009
  • The presence of distant metastases from differentiated thyroid carcinoma decreases the 10-year survival rates of patients by 50%. This is a report of a 61-year-old female with follicular thyroid carcinoma who presented initially with low back pain. 2-deoxy-2-[18F] fluoro-D-glucose whole-body positron emission tomography/computed tomography (PET/CT) demonstrated a hypointensity lesion in the left thyroid gland with malignant uptake in L1 vertebra and magnetic resonance images revealed paravertebral and epidural extension of mass in L1 vertebra. After thyroidectomy, histopathological study showed a follicular carcinoma. We performed L1 total en bloc spondylectomy with expandable cage for long-term local control. The technical details of total en bloc spondylectomy in follicular carcinoma are described herein.

Quality Assurance and Performance Evaluation of PET/CT (핵의학 영상장비 PET/CT의 정도관리와 성능평가)

  • Lee, Byeong-Il
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.2
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    • pp.137-144
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    • 2008
  • Positron emission tomography-computed tomography (PET/CT) provides both functional and anatomical images of high quality non-invasively with better precision in localization than PET alone. Increase in the use of PET/CT, coupled with increasing concerns about the quality of medical services accrued the demands for accurate evaluation of system performance and quality assurance. Thus, well designed programs for performance evaluation and quality assurance are needed. Widely used protocols for performance evaluation of PET are the methods proposed by National Electrical Manufacturers Association (NEMA) in 1994 and 2001. In addition, in order to maintain high quality of PET/CT images, quality assurance programs including periodic (daily, monthly, and yearly). Therefore, in this article, the methods and present state of performance evaluation and quality assurance of PET/CT are reviewed.

Neurolymphomatosis in patients with mantle cell lymphoma diagnosed by FDG PET-CT

  • Kim, Sooyoung;An, Hakyeu;Choi, Yoon Seok;Park, Kee Hong;Sohn, Eun Hee
    • Annals of Clinical Neurophysiology
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    • v.22 no.1
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    • pp.37-40
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    • 2020
  • Neurolymphomatosis (NL) is characterized by the infiltration of malignant lymphoma cells into peripheral nerves, nerve roots, plexuses, or cranial nerves. This is a very rare complication of mantle-cell lymphoma. Diagnosing NL is made difficult by cerebrospinal fluid cytology and bone-marrow biopsy results often being negative. NL can appear as the only sign of recurrence in a patient with a previous diagnosis of lymphoma. Here we present two cases of NL in patients with mantle-cell lymphoma diagnosed by positron emission tomography with deoxy-fluoro-D-glucose integrated with computed tomography.

Management for locally advanced cervical cancer: new trends and controversial issues

  • Cho, Oyeon;Chun, Mison
    • Radiation Oncology Journal
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    • v.36 no.4
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    • pp.254-264
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    • 2018
  • This article reviewed new trends and controversial issues, including the intensification of chemotherapy and recent brachytherapy (BT) advances, and also reviewed recent consensuses from different societies on the management of locally advanced cervical cancer (LACC). Intensive chemotherapy during and after radiation therapy (RT) was not recommended as a standard treatment due to severe toxicities reported by several studies. The use of positron emission tomography-computed tomography (PET-CT) and magnetic resonance imaging (MRI) for pelvic RT planning has increased the clinical utilization of intensity-modulated radiation therapy (IMRT) for the evaluation of pelvic lymph node metastasis and pelvic bone marrow. Recent RT techniques for LACC patients mainly aim to minimize toxicities by sparing the normal bladder and rectum tissues and shortening the overall treatment time by administering a simultaneous integrated boost for metastatic pelvic lymph node in pelvic IMRT followed by MRI-based image guided adaptive BT.

Dopamine Transporter Imaging in Neurodegenerative Disorders (신경계 퇴행성 질환에서의 도파민 운반체 영상)

  • Kim, Jae-Woo
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.1
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    • pp.34-42
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    • 2003
  • The dopamine transporter (DAT) is responsible for the re-uptake of dopamine from the synaptic cleft and is located on dopaminergic nerve terminals only. DAT single photon emission computed tomography (SPECT) and positron omission tomography (PET) imaging, therefore, offer the unique opportunity to study via striatal uptake the integrity of presynaptic dopaminergic nerve terminals in vivo. In recent years SPECT and PET using specific ligands binding to DAT have evolved as an useful tool for diagnosing and monitoring progression of neurodegenerative disorders affecting dopaminergic systems. This article briefly reviews the literature dealing with DAT SPECT and PET imaging in parkinsonism and other neurodegenerative disorders.

Contralateral Internal Mammary Lymphadenopathy Mimicking Metastasis in a Patient with a History of Breast Cancer and Prior Interstitial Mammoplasty by Paraffin Injection: MRI, PET-CT, and Pathological Findings

  • Nam, Kyung Jin;Choo, Ki Seok;Kim, Jee Yeon
    • Investigative Magnetic Resonance Imaging
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    • v.22 no.4
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    • pp.245-248
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    • 2018
  • Foreign body injections into breasts may produce foreign body reactions, fibrosis, and local swelling of involved lymph nodes, which can be misdiagnosed as metastasis or malignancy. Here, the authors report MR imaging, PET-CT imaging, and pathologic findings of contralateral internal mammary lymphadenopathy suspicious of breast cancer metastasis in a 58-year-old woman with history of left breast cancer, and previous interstitial mammoplasty by paraffin injection in both breasts.

The Role of Imaging in Current Treatment Strategies for Pancreatic Adenocarcinoma

  • Hyungjin Rhee;Mi-Suk Park
    • Korean Journal of Radiology
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    • v.22 no.1
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    • pp.23-40
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    • 2021
  • In pancreatic cancer, imaging plays an essential role in surveillance, diagnosis, resectability evaluation, and treatment response evaluation. Pancreatic cancer surveillance in high-risk individuals has been attempted using endoscopic ultrasound (EUS) or magnetic resonance imaging (MRI). Imaging diagnosis and resectability evaluation are the most important factors influencing treatment decisions, where computed tomography (CT) is the preferred modality. EUS, MRI, and positron emission tomography play a complementary role to CT. Treatment response evaluation is of increasing clinical importance, especially in patients undergoing neoadjuvant therapy. This review aimed to comprehensively review the role of imaging in relation to the current treatment strategy for pancreatic cancer, including surveillance, diagnosis, evaluation of resectability and treatment response, and prediction of prognosis.

Intraabdominal abscess mimicking gastric cancer recurrence: a case report

  • Yong-Eun Park
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.426-429
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    • 2023
  • Surgical site infection is a common healthcare-associated infection that rarely occurs several months after surgery. Herein, a case is described in which an abdominal mass lesion was found at a 6-month follow-up visit after gastrectomy was performed for early gastric cancer. Positron emission tomography-computed tomography revealed a 2.5 cm-sized mass with a high maximal standard uptake value (8.32), located above a previous anastomosis site. Locoregional recurrence of gastric cancer was diagnosed by multidisciplinary team discussion, and explorative laparotomy was performed. However, surgical and pathologic findings revealed that the mass was an intraabdominal abscess. In conclusion, differential diagnosis of delayed abscess formation should be considered if the possibility of tumor recurrence is low, especially after early gastric cancer surgery.

The changes of cerebral blood flow by brain imaging algorithm in the Normal Brains : Analysis by Statistical Parametric Mapping (정상 뇌혈류 영상에서 재구성 알고리즘 적용에 따른 섭취율 차이 : 통계적 파라미터 지도를 사용한 분석)

  • Lee, Hyo-Yeong;Kim, Yun-Jin;Sin, Sung-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5311-5316
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    • 2012
  • Single Photon Emission Computed tomography(SPECT) was performed on 13 healthy adults (average age: 39) to investigate the changes of cerebral blood flow according to brain imaging analysis algorithm. The acquired images were filtered and reconstructed through Filtered Back Projection (FBP) and Ordered Subset Expectation Maximization (OSEM). The brain distribution data of radiopharmaceuticals were compared using Statistical Parametric Mapping (SPM), and the changes of blood flow was expressed in Cluster. As a result, uptake rate was increased in Sub-gyral, Sub-Lobar, Extra-Nuclear, Limbic lobe and Cingulate Gyrus, while uptake rate was decreased in Middle frontal gyrus, Inferior Frontal Gyrus and Precentral Gyrus. The discriminable SPM was shown according to cerebral blood flows in Cluster by the reconstruction algorithm.

3D Reconstruction Using Segmentation of Myocardial SPECT Images (SPECT 심근영상의 영상분할을 이용한 3차원 재구성)

  • Jung, Jae-En;Lee, Sang-Bock
    • Journal of the Korean Society of Radiology
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    • v.3 no.2
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    • pp.5-10
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    • 2009
  • Myocardial imaging in SPECT (Single Photon Emission Computed tomography) scan of the gamma-ray emitting radiopharmaceuticals to patients after intravenous radiopharmaceuticals evenly spread in the heart region of interest by recording changes in the disease caused by a computer using the PSA test is to diagnose. Containing information on the functional myocardial perfusion imaging is a useful way to examine non-invasive heart disease, but the argument by noise and low resolution of the physical landscape that is difficult to give. For this paper, the level of myocardial imaging by using the three algorithms to split the video into 3-D implementation of the partitioned area to help you read the proposed plan. To solve the difficulty of reading level, interest in using the sheet set, partitioned area of the left ventricle was ranked the partitioned area was modeled as a 3-D images.

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