대한핵의학회지 (1967년~2009년)
대한핵의학회지 2003;37(6)364~373
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
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