원저 : 방사선 치료에 따른 99mTc - pertechnetate를 이용한 이하선과 악하선 기능 검사의 유용성 ( usefulness of the Salivary Gland Scan Using 99mTc - pertechnetate after Radiotherapy in Patients with Head and neck Cancer ) () |
Author |
김종진(Jong Jin Kim),홍인수(In Soo Hong),이종영(Jong Young Lee),김명순(Myung Soon Kim),성기준(Ki Joon Sung),박진숙(Jin Sook Park), |
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Affiliation |
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Abstract |
Purpose: To assess the functional change of salivary
gland, recovery of salivary destruction, difference of
susceptibility to irradiation between the parotid and
submandibular gland, correlation between the xerostomia
and excretory rate by irradiation in salivary Tc-99m-
pertechnetate in patients with head and neck cancer.
Materials and Methods: We evaluated 19 patients with
head and neck cancer who Tc-99m-pertechnetate salivary
gland scan before, during and after radiotherapy. We
measured the uptake of radioactivity every 5 minutes
for 60 minutes after injection of Tc-99m-
pertechnetate(370MBq). We also evaluated the first
excretory function stimulated by 5% citric acid at 30
minutes after injection of Tc-99m-pertechnetate and
then the second excretory function stimulated by 10%
citric acid at 45 minutes. Results: The mean uptake
curves showed a sharp increase at the 1st week of
radiotherapy and then showed a gradual decrease
afterwards during radiotherapy. And the mean uptake
curves after radiotherapy persistently decreased on
follow up scans without being recovered. The excretory
rates decreased gradually as radiation dose increased
and were not recovered after radiotherapy. Our study
was not satisfactory enough to show the difference of
susceptibility to irradiation between the parotid and
salivary gland and the correlation between the symptom
of xerostomia and the change of the excretory rates.
Conclusion: The parotid and submandibular gland scans
using Tc-99m- perechnetate are useful in the assessment
of the functional change of the salivary gland by
radiotherapy and predicted the functional change of the
salivary gland until 1 year-follow up scan. KW:
Salivary gland abnormality, Salivary gland,
radionuclide studies, Salivary gland, therapeutic
radiology, Tc-99m-pertechnetate |
Keyword |
Salivary gland abnormality, Salivary gland, radionuclide studies, Salivary gland, therapeutic radiology, 99mTc-pertechnetate |
Full text Article |
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