대한핵의학회지 (1967년~2009년)
대한핵의학회지 1992;26(1)111~5
원저 : 속립성 결핵의 67Gallium Scan 소견 ( 67Gallium Scan Findings in Miliary Tuberculosis )
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Author 이명섭(Myeong Seob Lee),김응조(Eung Jo Kim),홍인수(In Soo Hong),성기준(Ki Jun Sung),박현주(Hyun Ju Park),
Affiliation
Abstract

Miliary Tuberculosis is an illness produced by acute dissemination of tubercle bacilli via the blood stream. In chest roentgenogram, a diffuse "miliary" infiltrates are usually seen, but normal or suspicious ground glass pattern also can be seen in early manifestation. Ten patients of miliary tuberculosis who underwent whole-body 67Ga-citrate scintigraphy were evaluated retrospectively to study usefulness of Ga-scan for early diagnosis of miliary Tbc and evaluation of disease activity. All of ten patients demonstrated significantly diffuse bilateral pulmonary uptakes on 48 hours image. All of three patients of ground-glass pattern in chest roentgemogram also demonstrated increased uptakes. In the statistical analysis, the severity of chest roentgenographic findings showed positive correlation with the activity on Ga-scan. These results suggest that Gallium scan is useful for diagnosis of early miliary tuberculosis and for evaluation of disease activity on follow-up examination of miliary tuberculosis of lung.

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