대한핵의학회지 (1967년~2009년)
대한핵의학회지 1969;3(2)49~6
폐쇄성 황달의 진단에 관한 핵의학적 고찰 ( Scan Manifestation and Trace-Dose Radiogold Clearance Rates in Obstructive Jaundice )
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Author 김동집(Dong Jib Kim), 박용휘(Yong Whee Bahk), 신경섭(Kyung Sub Shinn),
Affiliation
Abstract

The present study has been undertaken to analyze scan manifestation in obstructive jaundice. Scan changes were correlated with the duration of jaundice. In addition, clearance rates of trace dose of colloidal radiogold were assessed in each case. The materials were consisted of 19 cases with surgically and/or histopathlogically verified obstructive jaundice from various causes including common duct stone, empyema of the gall bladder and carcinoma of the pancreas head etc. Blood clearance rates of colloidal 198Au were determined after the injection of 8 uCi by simple geometrical drawing of recorded strip charts. Scan was performed following additional injection of the sam radiogold. In 16 out of 19 cases, the scan rather typical "arborifrom" mottlings around the porta hepatis. The intensity and appearance of such mottlings on the scan was related with the duration of jaundice and level of serum bilirubin and alkaline phosphatase. The blood clearance rates remained to be within normal range in 74 percent of the patients. In the remaining 26 percent, clearance rate ranged between 4.1 and 6 minutes. It is concluded that the association of "arboriform" mottlings and normal or midly delayed clearance rates in the patients with jaundice is characterisic of obstructive change in the biliary system.

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Full text Article 28502748.pdf 28502748.pdf
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