Helicobacter pylori 감염 진단 시 14C-요소호기검사의 계수측정 방법에 따른 진단성능 비교 (Comparison of the Diagnostic Performance of 14C-urea Breath Test According to Counting Method for the Diagnosis of Helicobacter pylori Infection) |
Author |
김민우1.임석태1,3,4.이승옥2,3,4.손명희1,3,4, |
Min-Woo Kim M.D.1, Seok Tae Lim M.D.1,3,4, Seung Ok Lee M.D.2,3,4 and Myung-Hee Sohn M.D.1,3,4 |
Affiliation |
전북대학교 의과대학 핵의학교실1, 내과학교실2, 임상의학연구소3, 의과학연구소4 Department of Nuclear Medicine1 and Internal Medicine2, Research Institute of Clinical Medicine3, and Institute for Medical Sciences4, Chonbuk National University Medical School, Chonju, Korea |
Abstract |
Purpose: 14C-urea breath test (UBT) is a non-invasive and reliable method for the diagnosis of Helicobacter pylori
(HP) infection. In this study, we evaluated the diagnostic performance of a new and rapid 14C-UBT (Heliprobe
method), which was equipped with Geiger-Muller counter and compared the results with those obtained by using
the conventional method. Materials and Methods: Forty-nine patients with dyspepsia underwent
gastroduodenoscopy and 14C-UBT. A 37 KBq 14C-urea capsule was administered to patients and breath samples
were collected. In Heliprobe method, patients exhaled into a Heliprobe BreathCard for 10 min. And then the
activities of the BreathCard were countered using Heliprobe analyzer. In the conventional method, results were
countered using liquid scintillation counter. During gastroduodenoscopy, 18 of 49 patients were underwent
biopsies. According to these histologic results, we evaluated the diagnostic performance of two different methods
and compared them. Also we evaluated the concordant and disconcordant rates between them. Results: In all 49
patients, concordant rate of both conventional and Heliprobe methods was 98% (48/49) and the discordant rate
was 2% (1/49). Thirteen of 18 patients to whom biopsies were applied, were found to be HP positive on histologic
results. And both Heliprobe method and conventional method classified 13 of 13 HP-positive patients and 5 of 5
HP-negative patients correctly (sensitivity 100%, specificity 100%, accuracy 100%). Conclusion: The Heliprobe
method demonstrated the same diagnostic performance compared with the conventional method and was a
simpler and more rapid technique.(Korean J Nucl Med 39(1):21-25, 2005) |
Keyword |
Helicobacter pylori, 14C urea breath test, Peptic ulcer disease |
Full text Article |
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