원저 : 분화된 갑상선암의 수술후 경과 관찰에서 Tc - 99m MIBI 스캔과 다른 추적 지표들의 유용성 비교 ( Usefulness of Tc - 99m MIBI Scan in the Postoperative Follow Up Of Well - Differentiated Thyroid Cancer ) () |
Author |
유계화(Kye Hwa You),송재순(Jae Soon Song),신준재(Joon Jae Shinn),이현경(Hyun Kyung Lee),차왕기(Wang Ki Cha),김도민(Do Min Kim),김은실(Eun Sil Kim),김종순(Chong Soon Kim), |
|
Affiliation |
|
Abstract |
To evaluate the clinical utility of Tc-99m MIBI scan in
the detection of residual thyroid tissue or metastatic
lesion in postoperative thyroid cancer patients, we
compared Tc-99m MIBI scan with I-131 diagnostic and
therapeutic scan in 30 postoperative well-
differentiated thyroid cancer patients. Thyroglobulin
levels of both on and off thyroid hormone medication
and antithyroglobulin antibody were tested [Tg(on),
Tg(off)l Positive rates for I-131 diagnostic and Tc-99m
MIBI scan were 81% and 68% respectively. Concordance
between I-131 diagnostic and Tc-99m MIBI scan was
observed in 15 cases; 12 positive and 3 negative
respectively Among the 6 cases with negative I-131
diagnostic scan and positive Tc-99m MIBI scan, 4 were
positive in the therapeutic I-131 scan. We concluded
that Tc-99m MIBI scan maybe a useful complementary
modality to the currently established method of I131
scan and serum thyroglobulin level in the detection of
recurrent or metastatic thyroid cancer, especially in
the case of negative I-131 diagnostic scan. |
Keyword |
Tc-99m MIBI scan, I-131 scan, Thyroid cancer, Thyroglobulin |
Full text Article |
28502018.pdf
|
|
|