담즙분비촉진 식물추출물을 이용한 심근관류영상 검사법 개선 (A Modified Protocol for Myocardial Perfusion SPECT Using Natural Plant Extracts for Enbancement of Biliorg Excretion) |
Author |
정환정,김창근, |
Hwan-Jeong Jeong, M.D., Chang-Guhn Kim, M.D. |
Affiliation |
원광대학교 의과대학 핵의학교실 Department of Nuclear Medicine, Wonkwang University School of Medicine, Iksan, Jeonbuk, Korea |
Abstract |
Purpose: For good quality of myocardial perfusion images, an approximately 30 min to 1 hour of waiting
time after radiopharmaceutical injection and ingestion of fatty meal are asked of the patients. The aim of
this study was to investigate the shortening of waiting time after radiopharmaceutical injection and
improvement of image quality using natural plant extracts that promote bile excretion. Materials and
Methods: Ten volunteers participated in protocol 1 (7 men, 3 women; mean age, 24.1¡¾2.4 years) and
protocol 2 (8 men, 2 women; mean age, 26.1¡¾2.9 years), respectively. For the modified method of both
protocols, subjects took natural plant extracts 15 minutes before the first injection of 99mTc MIBI without
taking fatty meals. Control (Conventional) methods were performed with intake of a fatty meal 20 to 30
minutes after 99mTc MIBI injection. Results: As the results of protocol 1 and 2, the ratio of myocardial to
lung ratio were not different between modified and conventional method. Liver to lung ratio of modified
method showed significantly lower value than that of conventional method. In modified method, myocardial
to liver ratio was higher persistently. In protocol 2, natural plant extracts took before the first injection of
99mTc MIBI exerted accelerating effect of excretion of bile juice into intestine until the end of examination.
Conclusion: These results represent that natural plant extracts for facilitation of bile excretion before
injection of 99mTc MIBI may provide better quality of myocardial perfusion images without the need for
preparations such as ingestion of fatty meal within the 2 hours compared with conventional method. |
Keyword |
myocardial perfusion image, 99mTc MIBI, natural plant extracts, bile excretion |
Full text Article |
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